ch 22
The nurse understands a patient who is treated for hypertension may be switched to an angiotensin receptor blocker (ARB) because of which angiotensin-converting enzyme (ACE) inhibitor adverse effect?
Dry, nonproductive cough
Calcium channel blockers reduce myocardial oxygen demand by decreasing afterload. How would the nurse explain afterload to the patient?
It is the force against which the heart must pump.
When admitting a patient to a medical-surgical unit with a diagnosis of Pneumocystis jirovecii pneumonia, the nurse will anticipate administering which medication?
Pentamidine
The nurse recognizes that metoclopramide is often used in treatment of nausea and vomiting associated with antineoplastic drug therapy or radiation therapy in patients due to what action of the medication?
It promotes motility in the small intestine.
When administering ferrous sulfate to a patient, the nurse plans to give this medication with what fluid to increase absorption of the iron?
Orange juice
Which medication would the nurse question if prescribed together with ACE inhibitors?
Potassium chloride
Which method of administration of nitroglycerin has the longest duration of action?
Transdermal patch
A patient, who weighs 45.4 kg, is prescribed pyrantel for a roundworm infection. The dosage is 11 mg/kg in one single dose to a maximum of 1 g. What is the appropriate dosage for this patient?
499 mg
A patient receiving an anticholinergic drug to treat nausea and vomiting would be taught to expect what adverse effect?
Dry mouth
The nurse is educating a patient on increasing dietary sources of folic acid. The nurse would teach the patient that what food source has the highest amount of folic acid?
Dried beans
Before administering eplerenone to a patient, what is the priority nursing action?
Check serum electrolytes.
To prevent the development of tolerance to nitroglycerin transdermal patch, the nurse instructs the patient to perform which action?
Apply the nitroglycerin patch in the morning and remove it at night for 8 hours.
The most significant drug interactions with use of antivirals occur when antivirals are administered via which route?
Intravenously
Cyanocobalamin is indicated for the treatment of what condition?
Pernicious anemia
The formation of erythrocytes and maturation of the red blood cell (RBC) is driven by what hormone?
Erythropoietin
To prevent cerebral artery spasms after a subarachnoid hemorrhage, the nurse anticipates administering which calcium channel blocker?
Nimodipine
Before administering isosorbide mononitrate sustained-release tablet to a patient, what is the priority nursing intervention?
Obtain a blood pressure reading.
When providing health promotion teaching at a senior citizen center, the nurse would include information about which medication used to decrease the duration of influenza virus types A and B?
Oseltamivir
When administering intravenous magnesium sulfate, the nurse will monitor for what signs and symptoms of hypermagnesemia?
Decrease in deep tendon reflexes
The nurse is caring for a patient who is prescribed epoetin alfa (Epogen). What does the nurse expect as the reason for use of this medication in this patient?
Treatment of anemia due to renal failure
The nurse is conducting a community education program. When explaining different medication regimens to treat hypertension, it would be accurate to state that African Americans often respond better to which combination of medications?
Diuretics and calcium channel blockers
The nurse is teaching treatment of acute chest pain for a patient prescribed nitroglycerin sublingual tablets. Which instructions would the nurse include?
Sit or lie down before taking medication.
To assess for the dose-limiting toxicity of ganciclovir, the nurse will monitor which laboratory test result?
Complete blood count (CBC)
What vitamins are most likely to lead to toxic levels, hypervitaminosis, when administered in megadoses?
Vitamin K, Vitamin D, Vitamin A
The nurse would question the prescription for epoetin alfa in a patient with what condition?
Uncontrolled hypertension