How should the nurse administer cholestyramine?
- Correct Answer - Nurse must open the medication pouch and dilute it
with water or juice and have patient drink the mixture.
A client with heart failure has been taking an angiotensin converting
enzyme (ACE) inhibitor, a thiazide diuretic and a beta-blocker for several
months comes to the clinic for evaluation. As part of the ongoing
assessment of this client, the nurse will expect the provider to order
which assessment?
- Correct Answer - Serum electrolyte levels.
A provider has ordered captopril for a client and the nurse notes the
client has a history of swelling of the tongue and lips after taking
enalapril. Which action by the nurse is correct?
- Correct Answer - Hold the dose and notify the provider (angioedema is
a serious side effect of ACE inhibitors.
Which statement by the student nurse indicates the need for further
teaching regarding the use of sucralfate and ciprofloxacin to treat peptic
ulcer disease?
,- Correct Answer - Sucralfate may cause systemic side effects.
A nursing student who is preparing to care for a postoperative client with
DVT asks the nurse why the client must take heparin rather than
warfarin. Which response by the nurse is correct?
- Correct Answer - The onset of warfarin is delayed.
A client with COPD is prescribed tiotropium. After an initial dose, the
client reports only mild relief within 30 minutes. What is the nurse's best
response?
- Correct Answer - You should see improved effect within the next week.
(Titropium is long acting, usually once a day and and it may take several
weeks to see full effect. Used for prevent prevention, not acute flare.
A client with diabetes develops hypertension. This will anticipate
administering which type of medication to treat hypertension in this
client?
- Correct Answer - ACE inhibitors (or angiotensin II receptor blockers
because they prevent and slow kidney disease in diabetes)
A client with asthma is admitted to an emergency department with a
respiratory rate of 22, O2 saturation 90% on room air. The client reports
using FLUTICASONE in inhaler 110 µg twice daily and two puffs of
albuterol, 90 µg/puff every four hours for two days. The nurse will expect
to administer, which medication's?
- Correct Answer - IV. Glucocorticoids, nebulized, albuterol, and
ipratropium, and oxygen.
,A client with chronic hypertension is admitted to the hospital. During the
admission assessment, the nurse notes, a heart rate of 96, a blood
pressure of 150/90 with bibasilar crackles, 2+ pitting edema of the
ankles and distention of the JVD. What medication will the nurse expect
the provider to order?
- Correct Answer - Furosemide
The Ford ministering hydrochlorothiazide, the nurse reviewed the clients
chart. Which laboratory value causes the nurse, the most concern?
- Correct Answer - Elevated creatinine clearance.
Which of these effects associated with the use of protein pump inhibitors
and older clients would be most concerning to the nurse? SATA.
- Correct Answer - Osteoporosis (increased risk of osteoporosis related
fractures with use of PPI)
Mineral deficiencies
A client who is taking digoxin is admitted to the hospital for treatment of
CHF, and the provider orders furosemide. The nurse notes by Bassler
crackles, and a regular heart rate of 86, respiratory rate 22, and blood
pressure of 130/82. Which laboratory value would be most concerning
for the nurse?
- Correct Answer - Potassium: 3.0
A client is taking gentamycin and furosemide. The nurse should counsel
a client taking gentamycin furosemide to immediately report which
symptoms? SATA
- Correct Answer - Frequent nocturia
Tinnitus - Ringing in the ear
, A client who is receiving factor VIII concentrate to treat hemophilia a
develops hives, low-grade temp elevation with a stuffy nose. What is the
nurse's best response?
- Correct Answer - Give oral diphenhydramine (mild symptoms: hives,
itching, stuffy nose, coughing, and fever)
The nurse will be most concerned with which findings in the clients
history preparing to take propranolol?
- Correct Answer - Asthma (propanolol is a beta blocker and if used in
asthma, it blocks their adrenergic impulse to the bronchial tree that
causes bronchodilation. This means beta blockers increased
bronchoconstriction, and therefore contraindicated and asthma.)
A client who recently started therapy with an HMG-COA reductase
inhibitor asked the nurse, "how long will it take until I see an effect on my
LDL cholesterol?" What is the nurse's best response?
- Correct Answer - "A reduction will be seen within two weeks."
What clients education should the nurse provide in the discharge
teaching for a diabetic client starting COLESEVELAM and insulin?
- Correct Answer - The client needs to monitor the blood sugar carefully
because COLESEVELAM can cause hypoglycemia.
A client with asthma will be using metered dose for the delivery of an
inhaled medication. The provider has ordered two puffs to be given twice
daily. What must the nurse include in the client education?
- Correct Answer - Wait one minute between puffs from maximum effect.
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