Anticoagulants
The nurse is teaching a client about their heparin therapy. Which of the following statements made by the client confirms the teaching was effective?
A. This medication will help dissolve any blood clots that form
B. This medication helps with clotting by preventing new clots from forming
C. This medication causes clotting by activating fibrin
D. This medication causes clotting by signaling Vitamin K
B. This medication helps with clotting by preventing new clots from forming
The nurse is caring for a client taking ferrous sulfate. Which of the following is an adverse reaction of the medication? Select all that apply
A. Green-tinged to teeth
B. Constipation
C. Headache
D. Joint pain
E. Dysuria
A. Green-tinged to teeth
B. Constipation
The nurse is teaching a client taking captopril. Which of the following statements made by the clients indicates the need for further teaching? Select all that apply
A. If I develop a cough I can take a a cough medicine
B. This medications may make me feel dizzy
C. I will be sure to avoid bananas while taking this medication
D. If I develop a headache I can take Ibuprofen
E. If I become pregnant I may need to stop the medication and need to notify my doctor immediately
A. If I develop a cough I can take a a cough medicine
D. If I develop a headache I can take Ibuprofen
The nurse is caring for a client taking Spironolactone who is reporting palpitations. Which of the following orders would the nurse anticipate next?
A. ECG
B. EEG
C. ECHO
D. Troponin
A. ECG
The nurse is caring for a client taking Spironolactone. Which of the following is consider an adverse effect of this medication?
A. Gynecomastia
B. Hair loss
C. Weight gain
D. Angioedema
A. Gynecomastia
The nurse is caring for a client undergoing hemodialysis for chronic kidney disease. Which of the following medications would the nurse anticipate as part of the therapy plan?
A. Warfarin
B. Enoxaparin
C. Ferrous Sulfate
D. Aspirin
B. Enoxaparin
The nurse is caring for a client taking iron sucrose. The client has been admitted with severe nausea and vomiting, hypotension, dyspnea, and epi-gastric discomfort. Which of the following prescriptions does the nurse anticipate? Select all that apply
A. Oxygen 3L NC for SPO2 >92%
B. Lisinopril 10mg PO now
C. Deferoxamine 1g IV x1
D. NG tube to suction
E. ECG STAT
F. Vitamin B12 20,000 units
C. Deferoxamine 1g IV x1
D. NG tube to suction
E. ECG STAT
The nurse is caring for a client taking losartan. Which of the following is the most important intervention the nurse should take to avoid any potential adverse reactions?
A. Instruct the client to decrease their fluid intake
B. Avoid getting out of bed too quickly
C. Ambulate 3 times a day
D. Take with meals
B. Avoid getting out of bed too quickly
The nurse is caring for a client taking furosemide. Which of the following symptoms reported by the client warrants further intervention? Select all that apply
A. Dysuria
B. Constipation
C. Palpitations
D. Headache
E. Polyuria
B. Constipation
C. Palpitations
E. Polyuria
A nurse is preparing to administer verapamil for cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
A. Dizziness when standing
B. Fever
C. Headache
D. Muscle pain
A. Dizziness when standing
The nurse is caring for a client experiencing a Myocardial Infarction and is receiving 81mg of Aspirin. Which of the follow prescriptions would the nurse question as part of the treatment plan?
A. Ibuprofen 400mg PO every 8 hours as needed for mild headache
B. Nitroglycerin 0.4mg sl as needed for chest pain. May repeat every 5 minutes x3
C. Morphine 1mg IV every 4 hours as needed for chest pain
D. Hydralazine 10mg PO every 8 hours. Hold for SBP < 90.
A. Ibuprofen 400mg PO every 8 hours as needed for mild headache
The nurse is caring for client who has been receiving B12 injections for several months. The nurse understands that the client is most at risk for which electrolyte complication?
A. Hypercalemia
B. Hyperkalemia
C. Hypokalemia
D. Hyponaturemia
C. Hypokalemia
The nurse is caring for a client taking valsartan. Which of the following symptoms would the nurse be most concerned about?
A. Nausea
B. Angioedema
C. Joint pain
D. Dysuria
B. Angioedema
A nurse is teaching a client about taking their hydrochlorothiazide. Which of the following statements by the client shows an understanding?
A. Take this medication at night
B. Eat more tomatoes
C. Reduce intake of bananas
D. Take this medication as needed
B. Eat more tomatoes
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
A. My neck has been sore for a few days
B. I am noticing that I have to get up a night more to go to the bathroom
C. I was driving home the other night and think I saw a bright light that looked like a UFO
D. I notice I am more hungry than usual
C. I was driving home the other night and think I saw a bright light that looked like a UFO
The nurse is caring for 4 clients. Which of the following clients would not be suitable for warfarin therapy? Select all that apply
A. A 56 year old female patient with an active GI ulcer
B. A 55 year old male with active atrial fibrillation
C. A 39 year old female currently taking oral contraceptives and history of DVT
D. A 59 year old female on the transplant list for a new liver
A. A 56 year old female patient with an active GI ulcer
D. A 59 year old female on the transplant list for a new liver
Which of the following lab values are most important to monitor in a client receiving Alteplase? Select all that apply.
A. Calcium
B. HgB
C. aPTT
D. Magnesium
E. Creatinine
B. HgB
C. aPTT
The nurse is caring for a client with angina. The client is currently being treated with nifedipine and nitroglycerin. The client calls the triage line and notifies the nurse that their angina is not responding to the nitroglycerin and they feel their heart beating faster than usual. Which of the following is most likely causing the clients symptoms?
A. Nifedipine toxicity
B. Nitroglycerin toxicity
C. Rebound hypertension
D. Reflex tachycardia
D. Reflex tachycardia
The nurse is caring for a client receiving IV Nitroprusside. Which of the following symptoms would alert the nurse as a potential complication. Select all that apply
A. Dyspnea
B. Confusion
C. Nausea
D. Photosensitivity
E. Sore throat
A. Dyspnea
B. Confusion
The client is receiving amiodarone IV. Which is the most likely reason why the client is receiving this medication
A. Atrial Fibrillation
B. Heart failure
C. Heart block
D. Tachycardia
A. Atrial Fibrillation
A nurse is admitting a client who is presenting with altered mental status after a fall. The nurse is taking the client's history. Which of the following in the clients history would be of most concern. Select all that apply
A. The client reports taking ginger tablets daily to treat nausea
B. The client has a history of atrial fibrillation and is taking Apixaban
C. The client currently drinks 10 packs of beer a day
D. The client is schedule for a hip replacement in 8 weeks
A. The client reports taking ginger tablets daily to treat nausea
B. The client has a history of atrial fibrillation and is taking Apixaban
C. The client currently drinks 10 packs of beer a day
The nurse is caring for a client undergoing an evaluation for an ischemic stroke. The provider orders Alteplase IV STAT. Which of the following symptoms reported by the client would be most concerning?
A. Nausea
B. Headache
C. Photosensitivity
D. Tinnitus
B. Headache
The nurse is caring for a client being admitted for bradycardia and 1st-degree heart block. The provider places orders. Which of the following prescriptions would the nurse seek clarification?
A. Atropine
B. Metoprolol
C. IV saline
D. Epinephrine
B. Metoprolol
The nurse is caring for a client during therapy with hydralazine. Which of the following adverse reactions should the nurse instruct the client to report immediately. Select all that apply
A. Rash
B. Joint pain
C. Fever
D. Hematuria
E. Nausea
A. Rash
B. Joint pain
C. Fever
D. Hematuria
A nurse is caring for a client taking Digoxin. Which of the following medications in the client's history puts the client most at risk for toxicity?
A. Atropine
B. Torsemide
C. Losartan
D. Lisinopril
B. Torsemide