A client is receiving a propranolol as part of the treatment for hypertension. What side effect should you be most alert for?
Bronchospasm. Propranolol is a nonselective beta blocker.
100
The nurse is preparing to administer spironolactone(Aldactone). Which priority intervention should the nurse implement?
Check the client’s potassium level.
100
The nurse is preparing to administer warfarin (Coumadin), an anticoagulant. The client’s current laboratory value are as follows:
PT38, PTT39,and INR 5.9
Which action should the nurse implement?
Prepare to administer Vitamin K
100
A common abnormal laboratory result associated with the development of peripheral vascular disease?
High serum lipid levels.
200
The client with essential hypertension is prescribed the beta blocker metoprolol(Lopressor). Which assessment data would make the nurse question administering this medication?
The client’s apical pulse is 56
200
If your patient taking Furosemide(Lasix), How to assess the medication having the desired effect?
Monitor daily weight to assess response to treatment
200
The nurse is preparing to hang the next bag of heparin to client diagnosed with deep vein thrombosis. The client’s current laboratory value are as follows:
PT12.7, PTT62, and INR1
Which intervention should the nurse implement?
Hang the intravenous bad at the same rate
200
The nurse is discharging a client diagnosed with DVT from the hospital. Which discharge instructions should be provided to the client?
Avoids green leafy vegetable and notify the HCP of red or brown urine.
300
The client diagnosed with arterial hypertension is receiving Furosemide(Lasix), a loop diuretic. Which data indicate the medication is effective?
The client’s 8-hour intake is 1800 ml and the output is 2300
300
Name two most commonly used diuretics in clinical?
Furosemide(Lasix)
spironolactone(Aldactone)
300
The client diagnosed with deep vein thrombosis (DVT) asks the nurse, “why do I have to take my Coumadin in the evening?” Which statement would be the nurse’s best response?
“This allows for a more accurate INR level when we draw your morning labs.”
300
The client is being admitted with Coumadin (warfarin), an anticoagulant, toxicity. Which laboratory data should the nurse monitor?
International Normalized Ratio (INR)
400
The nurse is preparing to administer a calcium channel blocker, a loop diuretic, and a beta blocker to a client diagnosed with arterial hypertension. Which action should the nurse implement?
Check the client blood pressure.
400
Name two most commonly used Beta- Blockers in clinical?
Atenolol (Tenotmin)
Carvedilol (Coreg)
400
The client has had a total right hip replacement. Which medication should the nurse anticipate the HCP prescribing?
The low molecular weight heparin enoxaparin (Lovenox)
400
Thw client diagnosed with a DVT is on a heparin(an anticoagulant) drip at 1400 units per hour, and Coumadin (warfarin); also anticoagulant 5 mg twice a day. Which intervention should the nurse implement first?
Check the PTT and PT/INR
500
The nurse is preparing to administer the alpha-beta blocker labetalol(Normodyne) IVP to a client diagnosed with hypertensive crisis. Which intervention should the nurse implement?
Administer the medication slow IVP over 5 minutes
500
The nurse is discussing the thiazide diuretic chlorothiazide (Diuril). Which discharge instruction should the nurse discuss with the client?
Instruct the client to drink adequate fluids.
500
The client on strict bed rest is prescribed subcutaneous heparin. Which date indicates the medication is effective?
The client’s calves are normal size, are normal skin color, and nontender.
500
Thw client receiving low molecular weight heparin (LMWH) subcutaneously to prevent DVT following hip replacement surgery complains to the nurse that there are small purple hemorrhaged areas on the upper abdomen. Which action should the nurse implement?