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A client has a new prescription for spironolactone (Aldactone). Which of
the following laboratory values should the nurse recognize as a reason to
withhold the morning dose of the medication and notify the provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
b. Serum potassium 5.2 mEq/L
A nurse is caring for a client who is prescribed daily doses of both
digoxin (Lanoxin) and furosemide (Lasix). The client's potassium level
is 3.2 mEq/L. For which of the following medication interaction is the
client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
b. Toxic levels of digoxin
,Propranolol (Inderal) is contraindicated for a client who has which of the
following conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
a. Asthma
A nurse is reinforcing teaching for a client who has a prescription for
verapamil (Calan). Which of the following statements by the clients
indicates a need for further teaching?
a. "I should increase the amount of fiber in my diet since the medication
causes constipation."
b. "I should eliminate grapefruit juice from my diet while taking
verapamil."
c. "I should decrease the amount of calcium in my diet while taking the
medication."
d. I should take the medication with food if it causes an upset stomach."
c. "I should decrease the amount of calcium in my diet while taking the
medication."
A nurse is caring for a client with prescription for nifedipine (Procardia)
to treat angina pectoris. The nurse should plan to monitor the client for
which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
b. Reflex tachycardia
A nurse is caring for a client on a medical unit who takes regular doses
of propranolol (Inderal) for hypertension. Before administering the
client's morning dose of propranolol, which of the following should the
, nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed digoxin
(Lanoxin). Which of the following should the nurse instruct the client to
report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
a. Fatigue
c. Anorexia
e. Diplopia
A nurse is caring for a client who is prescribed isosorbide mononitrate
(Imdur) for chronic stable angina. The nurse should plan to monitor the
client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
d. Headache
A nurse is obtaining a medication history from a client who is to start a
new prescription for warfarin (Coumadin). Which of the following over-
the-counter medications should the nurse instruct the client to avoid?