Cardiac
A newly admitted client takes digoxin 0.25mg/day. The nurse knows that which is the serum therapeutic range for digoxin?
0.5 to 2.0
A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the n use instruct the client to report to the provider?
a. Sedation
b. Increased appetite
c. White coating in the mouth
d. Dry oral mucous membranes
c. White coating in the mouth
These two antibiotics can be used to treat acne?
Tetracycline and doxycycline
Adverse effects of taking epoetin alfa to a patient who has kidney failure?
Hypertension
A client is taking hydrochlorothiazide 50mg/day and digoxin 0.25mg/day. What type of electrolyte imbalance does the nurse expect to occur?
A. Hypocalcemia
B. Hypokalemia
C. Hyperkalemia
D. Hypermagnesemia
B. Hypokalemia
The client is also taking a diuretic that decreases her potassium level. The nurse expects that a low potassium level could have what effect on the digoxin?
Increase the serum digoxin sensitivity level
A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?
a. Consume a high protein diet
b. Administer the medication with food
c. Avoid caffeine while taking this medication
d. Increase fluids to 1L/per day
c. Avoid caffeine while taking this medication
What is a normal therapeutic level for vancomycin troph?
10 to 20
Patient with a DVT on a continuous IV heparin. Provider prescribes warfarin PO. Why are both anticoagulants necessary?
Warfarin takes several days to work, use heparin until warfarin is therapeutic
Patient taking Neumega, what is this medication used for?
Increase platelet production
The health care provider is planning to discontinue a client's beta-blocker. What instruction should the nurse give the client regarding the beta-blocker?
A. The beta-blocker should be abruptly stopped
B. The beta-blocker should never be abruptly stopped, it should be tapered
C. The dosage should be maintained while taking another antianginal drug
D. Half of the dose should be taken for the next several weeks
B. The beta-blocker should never be abruptly stopped, it should be tapered
A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25 mg PO TID. Which of the following therapeutic outcomes should the nurse expect to see?
a. Delay in disease progression
b. Improved bladder function
c. Relief in depression
d. Decreased Tremors
d. Decreased tremors
When taking azithromycin, what should the patient do when taking these medications at home?
Take on a empty stomach with a full glass of water
Patient taking warfarin is having rectal bleeding, what medication is giving to counter act the bleeding?
Vitamin K
Before the nurse administers isosorbide mononitrate, what is the priority nursing assessment?
A. Assess serum electrolytes
B. Measure blood urea nitrogen and creatinine
C. Assess blood pressure
D. Monitor level of consciousness
C. Assess blood pressure
A client is being discharged home with a transdermal nitroglycerin patch. Which instructions will the nurse include in the client's teaching plan?
"Apply the patch to a nonhairy area of the upper torso or arm."
A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the clients parent on administering the medication?
a. Give the medication in the morning daily
b. Administer the medication 2 hr before exercise
c. Give the medication at the onset of wheezing
d. Administer the granules mixed with 20 oz of water
b. Administer the medication 2 hr before exercise
Vancomycin is used to treat what two serious infections?
MRSA and CDIFF
Alteplase is best to treat myocardial infarction when the patient receives it when?
Within 3 hours of symptoms onset
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Administer a short-acting B2- agonist (SABA)
The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action?
A. Blood pressure 110/90 mm Hg
B. Flushing
C. Headache
D. Chest pain
D. chest pain
A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication?
a. The client experiences less muscle pain
b. The clients seizure threshold is reduced
c. The client experiences an increased ease of breathing
d. The clients platelet count is increased
c. The client experiences an increased ease of breathing
When taking TB medications that patient should make sure to report what symptoms to their provider?
Numbness and tingling in the extremities
Patient taking ferrous sulfate for iron deficiency, develops severe N/V. What medication is given to treat iron toxicity?
Deferoxamine (Desferal)
When taking metronidazole (Flagyl) what is an important patient teaching the nurse should provider while taking this medication?
Avoid all items containing alcohol