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NUR 356 Exam 3 Questions And Accurate Answers
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NUR 356 Exam 3 Questions And Accurate AnswersA nurse is teaching a client who has a new prescription for simvastatin. Which of the
following instructions should the nurse include?
A. You will notice that your urine is brown in color.
B. You must also avoid grapefruit.
C. You will need to watch for ringing in the ears.
D. You can take this medication in the morning. - Answer You must also avoid grapefruit
juice.
Rationale: can inhibit the drug metabolizing enzyme CYP3A4 which slows the
metabolism of simvastatin. This can cause an increase in serum simvastatin. Potential
adverse effects include elevated liver enzymes, and rhabdomyolysis.
A nurse is going to administer digoxin 0.25mg PO daily. The availability for this
medication is digoxin 0.125mg tablets. How many tablets should be given by the nurse? -
Answer 2
A clinic nurse is providing care for a client who has just initiated warfarin. The nurse is
reviewing the risks of potential drug and food interactions and should instruct the client
to avoid which of the following?
A. Cabbage
B. Cantaloupe
C. Green Beans
D. White Beans - Answer A. Cabbage
Rationale: Cabbage should be limited because it is high in Vitamin K.
,A nurse is teaching a client who is taking a new prescription of lisinopril. Which of the
following statements by the nurse demonstrates an understanding of the teaching?
A. I should increase my intake of potassium rich foods
B. I should expect to have facial swelling when taking this medication.
C. I should take this medication with food.
D. A cough should be reported to my provider. Answer D. A cough should be reported to
my provider .
Rationale: The irritating cough is continuous, so the medication should be stopped by
the provider.
A nurse is caring for a client who is ordered to receive digoxin 0.25mg PO daily.
Available is digoxin 0.125mg tab. The client's vital signs are currently: blood pressure
144/96, heart rate 54/min, respirations 18/min, and temperature 98.6F. Which of the
following is the appropriate action by the nurse?
A. Administer digoxin 0.125mg
B. Administer digoxin 0.25mg
C. Withhold the digoxin dose for elevated blood pressure.
D. Withhold the digoxin dose for decreased pulse rate. - Answer D. Withhold the digoxin
for decreased pulse rate.
Rationale: Because the HR is less than 60/min, the nurse should withhold the prescribed
dose of digoxin and notify the provider.
A client is receiving a new prescription for hydrochlorothiazide to manage hypertension.
Which of the following instructions should the nurse provide?
A. "Take this medication before bedtime."
, B. "Monitor for leg cramps."
C. "Avoid grapefruit juice.'
D. "Reduce intake of potassium-rich foods." - Answer Hydrochlorothiazide may cause
hypokalemia. The client should monitor for manifestations of hypokalemia that include
but are not limited to fatigue, tachycardia, leg cramps, and muscle weakness.
A client is receiving the medication lisinopril. Which of the following is a therapeutic
effect of the medication?
A. Decreased BP
B. Increase of HDL cholesterol
C. Prevention of bipolar maniac episodes.
D. Improved sexual function - A. Decreased BP
Rationale: ACE inhibitor; may be used alone or in combination with other
antihypertensives in the management of hypertension and congestive HF. A therapeutic
effect is decreased BP.
A nurse is preparing to administer atenolol 25mg PO q 12 hr. The amount available is
atenolol 50mg/tab. How many tablets should the nurse administer per dose? - A. 0.5 tab
The nurse is working with a client who has hypertension and who says he is scared to
take his blood pressure medication. Which of the following is an example of a
therapeutic communication response of reflection by the nurse?
A. You appear angry about taking your BP medication
B. Why are you scared to take your medication
C. You won't get well until you take your medication.
D. Was your symptom before or after taking the medication? Response A. You seem
distressed about taking your BP medication
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