Pharmacology for Professional Nursing (NUR2474)/ NUR 2474 Exam 2 | questions and answers | 100% latest A+ Review guide - Rasmussen University.

Pharm Exam 2 Complete Review Guide_ Answered Latest Spring 26. 1. The client diagnosed with coronary artery disease (CAD) is instructed to take 81 mg of aspirin. Which statement best describes the scientific rationale for prescribing this medication? A. This medication will help thin the client's blood. B Daily aspirin will eliminate the chance of developing future angina. C. This medication will prevent platelet aggregation, which contributes to plaque. D. Baby aspirin will not cause gastric distress. 2. A client is going to start taking omeprazole to reduce the risk of NSAID-induced ulcers. Which of these statements would indicate an accurate understanding of how to take medication? a. "7 should take the capsule with Sucralfate before every meal." b. "I should never chew or crush omeprazole capsules." c. "I should only take omeprazole whenever heartburn persists 20" after I take an antacid." d. "When I need to refill my omeprazole, I should always see my provider first." 3. The nurse is monitoring an elderly client's response to metoclopramide. Which of these conditions would NOT be attributed to metoclopramide therapy? a. Parkinsonism b. Depression c. Paralytic ileus d. Extrapyramidal symptoms 4. A client with stable chronic obstructive pulmonary disease (COPD) receives prescriptions for an inhaled glucocorticoid and an inhaled short-acting beta2-adrenergic agonist. Which statement by the client indicates a need for further education on this medication regimen? a. "The glucocorticoid is used as prophylaxis to prevent exacerbations." b. "I will need to use the inhaled glucocorticoid medication daily." c. "I should use the short-acting beta2-adrenergic agonist as needed when symptoms flare." d. "The short-acting beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators." 5. A nurse is educating a client about the use of diphenhydramine to manage their seasonal allergies. Which response from the client indicates a need for further education? a. "I should not take more than one type of antihistamine at a time unless two are prescribed." b. "Anticholinergic effects are to be expected with diphenhydramine overdose." c. "Newer antihistamines can be taken in the morning, but citrus juice inactivates them." d. "I should take diphenhydramine when I have an asthma attack, even if I have had a few drinks."6. The nurse is exploring the potential side effects of cimetidine with a client who reports taking it over the counter without prescriber awareness. Which of these observations would be unexpected? a. Gynecomastia (swollen breasts) in men b. Malignant hypertension c. Concurrent medication toxicity due to CYP enzyme inhibition d. Diarrhea 7. A client is taking both beclomethasone and albuterol. Which of the following statements by the client indicates a need for further education? a. "I will take my albuterol puffs prior to taking my beclomethasone inhalation." b. "I will rinse my mouth after I use my becomethasone. c. "If I am having difficulty breathing, I will take two puffs of my rescue inhaler, as prescribed." d. "I will take two puffs of my beclomethasone only when I am wheezing." 8. A client taking theophylline has a serum theophylline level of 25 mcg/mL. How does the nurse interpret this laboratory value? a. It is below the therapeutic range. b. It is above the therapeutic range. (10–20 mcg/mL) c. It is near the top of the therapeutic range. d. It is in the middle of the therapeutic range. 9. The nurse understands that the client receiving their first dose of albuterol may experience which of the following side effects of this medication. a. Drowsiness b. Tachycardia c. Hyperkalemia d. Hyperglycemia 10. Which of the following is not an indication for laxative use? a. Emptying of the bowel before surgery b. Preventing fecal impaction in bedridden clients c. Correcting constipation associated with opioids d. Correcting obstruction of the bowel 11. The nurse is preparing to administer a nitroglycerin (NTG) transdermal patch to the client diagnosed with a myocardial infarction (MI). Which intervention should the nurse implement? a. Question applying the patch if the client's blood pressure is less than 120/80 b. Use sterile gloves when applying the transdermal patch. c. Date and time the transdermal patch prior to applying to the client's skin. d. Place the transdermal patch on the site where the old patch was removed.12. The nurse is administering morning medications to the following clients. Which client should the nurse question administering the medication? a. The client received a calcium channel blocker and drank a glass of grapefruit juice with breakfast. b. The client receiving a beta blocker has an apical pulse of 65 beats per minute. c. The client receiving a nitroglycerin patch has a blood pressure of 148/92. d. The client receiving antiplatelet medication has a platelet count of 150,000 13. The client diagnosed with coronary artery disease (CAD) is prescribed atorvastatin. Which statement by the client warrants further education? a. "I really haven't changed my diet, but I am taking my medication every day b. "I am feeling pretty good, except I am having muscle pain all over my body." c. "I am swimming at the local pool about three times a week for 30 minutes." d. "I am taking this medication first thing in the morning with a bowl of oatmeal." 14. The client diagnosed with iron-deficiency anemia is being discharged. Which discharge instruction should the nurse include regarding the oral iron preparation prescribed? a. Teach the client to perform a fecal occult blood test daily. b. Demonstrate how to crush the tablets and mix them with pudding. c. Inform the client to take the medication at night. d. Tell the client that their stools will be greenish-black. 15. The client with essential hypertension (HTN) is prescribed metoprolol. Which assessment data should make the nurse question administering this medication? a. The client's blood pressure is 112/90. b. The client's apical pulse is 56 beats per minute. c. The client has an occipital headache. d. The client's respiratory rate is 20 breaths per minute. 16. A client with a history of previous myocardial infarction (Ml) will be prescribed a calcium channel blocker in addition to nitroglycerin to treat his chronic stable angina. What other measures may be added to the regimen to prevent further MI and death? (Select all that apply.) a. Aspirin to decrease platelet aggregation b. Lovastatin to lower cholesterol and slow the progression of coronary artery disease (CAD) c. Lithium to stabilize mood d. Addition of a heart-healthy diet and exercise e. Inhaled glucocorticoids to suppress inflammation. 17. Upon admission, a client tells the nurse that she takes verapamil. Which of the following additional medications in the client's medication list would cause concern for the nurse? (Select all that apply.) a. Metoprolol b. Digoxinc. Diltiazem d. Propranolol e. Metformin 18. A medication order states to administer fluoxetine 10 mg PO twice daily. Available is fluoxetine 20 mg/5 mL. How many mL should the nurse administer per dose? (Record the answer to the nearest tenth or one decimal place. Do not use a trailing zero.) 2.5 mL 19. A medication order states to administer atenolol 25 mg PO every 12 hours. Available is atenolol 50 mg/tablet. How many tablets should the nurse administer per dose? (Record the answer to the nearest tenth or one decimal place. Do not use a trailing zero.) 0.5 20. A client with a medical history of congestive heart failure is taking irbesartan and is going into renal failure. The nurse makes it a priority to check what lab result? a. Serum potassium level b. Serum sodium level c. Serum calcium level d. Arterial blood gas(ABG) test 21. The nurse is teaching the client diagnosed with angina about sublingual nitroglycerin (NTG). Which statement indicates the client needs additional teaching? A. "I will always carry my nitroglycerin in a dark-colored bottle." B. "If I have chest pain, I will put a tablet underneath my tongue." C. "If my pain is relieved with one tablet, I will still take the other two tablets, just to be safe." D. "I should expect to get a headache after taking my nitroglycerin." 22. The nurse understands that verapamil is pharmacologically classified as which of the following ? a Calcium channel blocker b. Selective beta blocker c. Angiotensin-converting enzyme (ACE) inhibitor d. Angiotensin Il receptor blocker 23. The nurse is caring for a client who is taking warfarin for a medical diagnosis of atrial fibrillation. The nurse notes the presence of gross hematuria, epistaxis, and melena. Which of the following medications would the nurse anticipate administering to the client? a. Protamine Sulfate b. Vitamin K c. Calcium Gluconate d. Filgrastim24. A post-operative client is on warfarin while still receiving subcutaneous heparin. Which of the following statements is true regarding the use of these two medications in the postoperative client? a. Most clients will go home on both medications until the blood clot clears. b. Once the international normalized ratio (INR) is at a therapeutic level, the heparin will be discontinued, and the client will remain on the warfarin. c. Once the international normalized ratio (INR) is at a therapeutic level, the warfarin will be discontinued, and the client will remain on heparin. d. The nurse will need to hold both medications until discharge. 25. The client diagnosed with chronic kidney disease (CKD) is prescribed epoetin alfa. Which statement best describes the scientific rationale for administering this medication? a. This medication stimulates red blood cell (RBC) production. b. This medication stimulates white blood cell (WBC) production. c. This medication is used to treat thrombocytopenia. d. This medication increases the production of urine. 26. The nurse is preparing to administer clopidogrel to the client with coronary artery disease (CAD). The client asks the nurse, "Why am I getting this medication?" Which statement by the nurse is most appropriate? a. "It will help break up a clot if you develop deep vein thrombosis." b. "Clopidogrel will help decrease your LDL cholesterol levels in about 1 month." c. "This medication will help prevent your blood from clotting in the arteries." d. "The medication will help decrease your blood pressure if you take it daily.” 27. An adult client sustains a pulmonary embolism that is confirmed by elevated D-Dimer levels and receives treatment. The next day the client has ecchymotic areas on the arms and legs and petechiae on the face Which intervention should the nurse anticipate? Another dose of alteplase in the next 24 hours. Administering a dose of protamine sulfate. Using compression on venipuncture and injections sites. 28. An increase in post-thrombolytic heparin. The nurse has administered a prescribed dose of intravenous (IV) ondansetron to a client. What assessment finding best indicates therapeutic effect? Vital signs are within reference ranges The client participates in various activities The client requests a snack of crackers 29. The client reports relief from nausea The nurse has provided teaching to a client with a duodenal ulcer who has been prescribed sucralfate What statement made by the client reflects they have a good understanding of the medication they are taking?"Sucralfate will coat the ulcer site effectively" "I will be sure to take sucralfate with food" "Sucralfate will enhance the absorption of my other medication" "Sucralfate does not interact with medications." 30. The client reports experiencing constipation Which nursing intervention is most appropriate to address this side effect? Administer a stool softener Reduce the dosage of cholestyramine Encourage the client to take the medication with carbonated beverages Increase the client's dietary fiber intake A client with chronic renal failure is being treated with epoetin alfa. 31. The client's hemoglobin level is currently 10.5 g/dL. What is the most appropriate nursing action? Discontinue epoetin alfa immediately to prevent adverse effects. Switch to darbepoetin alfa for better efficacy. Continue the current dose of epoetin alfa and monitor the hemoglobin level Increase the dose of epoetin alfa to achieve a hemoglobin level above 11 g/dL. hess. Which actions 32. the nurse are most appropriate? Select all that apply. ? Complete a physical assessment. Advise the client to increase fluid intake. Assess the client's creatine kinase (CK) levels. Immediately alert the healthcare provider. 33. A client reports regular, daily bowel movements, but reports having to strain when having a bowel movement. Which medication would the nurse anticipate as most appropriate for this client? Docusate Senna Bisacodyl Magnesium citrate 34. A client using a topical nasal decongestant for allergic rhinitis reports experiencing local burning and stinging. What priority action should the nurse take? Continue using the medication as these symptoms will subside. Discontinue the medication and consult the healthcare provider. Instruct the client to use a sterile saline nasal rinse. PhamClient Scenario: Client blood pressure control improving with new oral antihypertensive medication. Client has not required PRN IVP antihypertensive medication for 24 hours. Client reporting no headache and resolution of visual changes present on admission. Discharge orders obtained from provider. RN provides client with education on disease management and home medication prescriptions. Question: The client is ready for discharge two days later and the discharging nurse evaluates the client's understanding of the discharge instructions provided. Which statements made by the client to the nurse require further education by the nurse? Select all that apply. Options: • "I will take this new medication until my blood pressure is controlled and then switch back to my original blood pressure medication." • "I will keep a log of my blood pressure readings and take them to show my provider." • "I will check my blood pressure after I wake up, after my late morning walk, and after dinner." • "If I notice excess swelling in my body, especially my face, I will call my provider immediately." • "This new blood pressure medication is a combination of two different medications that work together to lower my blood pressure." • "I will take this new blood pressure pill in the evening since I take the other blood pressure pill in the morning." • "If my blood pressure is elevated again, I will take an additional dose of this new blood pressure medication." • "I will remember to change position slowly when getting up to avoid getting dizzy and potentially falling." Here is a transcription of the visible nursing actions and how they are marked ("APPROPRIATE" or "NOT APPROPRIATE") by the selected radio buttons in the image. Please note that the beginning of each action statement is cut off. ACTION (partially visible) APPROPRIATE NOT APPROPRIATE ...r PO benazepril/amlodipine upon admission to unit ...te a manual blood pressure at 1700...r IVP hydralazine at 1500 ...r IVP hydralazine at 1100 ...r IVP hydralazine at 1700 ...e provider at 1230 Export to Sheets The client presents to the emergency department. [Tabs: Nursing Notes | Vital Signs] Vital Signs Table: DATE BLOOD PRESSURE HEART RATE RESPIRATORY RATE TEMPERATURE SPO2 0930 178/.8 F / 37.1 C 95% RA An initial assessment, medical history, and vital signs are obtained. Which client cues does the nurse identify as most concerning? Select all that apply. • [X] Heart rate • [ ] Blood glucose • [ ] Allergies • [ ] Appetite • [X] Blood pressure • [X] Vision • [X] Headache • [ ] Home medications • Labetalol 20 mg IVP x 1 dose nowThe emergency department nurse prepares to administer the prescribed medication. For each nursing action, click to specify if the action is indicated or not indicated. Table of Nursing Actions: NURSE ACTION INDICATED NOT INDICATED Educate the client on common side effects, including dizziness and nausea. Administer the medication through a peripheral IV rapidly. Allow the client to use the restroom independently after medication administration. Ensure the client is laying with the head of bed elevated during administration. Ensure continuous cardiac monitoring prior to and after administration. Assess blood pressure 30 minutes after administration to evaluate effectiveness. (Key: = Selected radio button, = Unselected radio button) [Button: Submit Response for This Item] The client presents to the emergency department. [Tabs: Nursing Notes | Vital Signs] Nursing Notes Tab Content: 5/12 0930 56-year-old client presents to emergency department reporting severe headache rated 6/10, blurry vision, and "seeing spots." Client reports headache began 3 days ago, and vision changes began yesterday evening. Client reports slightly decreased appetite since onset of headache, no nausea or vomiting. Client has allergies to aspirin and penicillin. Medical history of obesity, type 2 diabetes mellitus, and hypertension. Home medications: hydrochlorothiazide 25 mg PO once daily, glipizide 10 mg PO once daily,and metformin 500 mg PO Q8H with meals. Bedside blood glucose value obtained-115 mg/dL. An initial assessment, medical history, and vital signs are obtained. Complete the following sentence by choosing from the lists of options. The nurse is most concerned with the client's [Select Option] and expects the provider to prescribe [Select Option] via the [Select Option] route to address the priority concern. [Button: Submit Response for This Item] Answer and Clinical Reasoning: The image asks you to complete the sentence by selecting options from dropdown menus, which are not visible. However, based on the clinical information provided in the "Nursing Notes" (and likely correlating with "Item 1 of 6" which showed a BP of 178/109 for this client), here's a clinically reasoned completion: • The nurse is most concerned with the client's... o Probable Answer: blood pressure or symptoms indicative of hypertensive crisis (such as severe headache and visual disturbances). o Rationale: The client presents with classic symptoms of severe, symptomatic hypertension (headache 6/10, blurry vision, "seeing spots") and has a history of hypertension. While a specific blood pressure isn't in this note, it's implied it's concerning from the overall assessment context. The blood glucose of 115 mg/dL is not an acute major concern. • ...and expects the provider to prescribe... o Probable Answer: an antihypertensive medication (a common specific example would be Labetalol, which was mentioned in a previous related question for this scenario). o Rationale: To address dangerously high blood pressure causing symptoms, a fast-acting medication to lower blood pressure is urgently needed. • ...via the... o Probable Answer: intravenous (IV) route. o Rationale: For rapid and controlled reduction of severe hypertension in an emergency setting, the IV route is preferred for medication administration due to its quick onset of action and ability to titrate the dose. Therefore, a likely completed sentence would be: "The nurse is most concerned with the client's blood pressure (or symptoms of hypertensive crisis) and expects the provider to prescribe an antihypertensive medication (such as Labetalol) via the intravenous (IV) route to address the priority concern." • Labetalol 20 mg IVP x 1 dose now. 1045 Orders (First List):• Admit to progressive care unit • Telemetry monitoring • Normal saline IV infusion, 1L over 24 hours • Benazepril/amlodipine 20 mg/5 mg PO once daily starting today • Hydralazine 10 mg IVP Q6H PRN for hypertension • Diabetic diet as tolerated • Discontinue home hydrochlorothiazide • Continue home glipizide and metformin • Vital signs per unit routine, report BP 180/100 Scenario and Question Section: The client is transferred to the progressive care unit and the admitting nurse reviews the admission orders. Which order does the nurse clarify with the provider? Orders 1045 (The following list appears to be the set of orders the nurse is reviewing, with some items visually highlighted as if they are the options for the question) • Administer to progressive care unit • Telemetry monitoring (Highlighted) • Normal saline IV infusion, 1L over 24 hours • Benazepril/amlodipine 20 mg/5 mg PO once daily starting today (Highlighted) • Hydralazine 10 mg IVP Q6H PRN for hypertension (Highlighted) • Diabetic diet as tolerated • Discontinue home hydrochlorothiazide • (Continue home glipizide and metformin - partially cut off but inferable from list above) 1. "Telemetry monitoring": 2. "Benazepril/amlodipine 20 mg/5 mg PO once daily starting today": 3. "Hydralazine 10 mg IVP Q6H PRN for hypertension":37. A client is prescribed a monoamine oxidase inhibitor (MAOI) for treatment of severe depression. Which statement made by the client indicates that there is understanding of education provided by the nurse related to dietary restrictions? • "Foods that are high in tyramine will reduce the medication's effectiveness." • "I am now allergic to foods that are high in the amino acid tyramine." • "Certain foods will cause me to have sexual dysfunction when I take this medication." • "I will avoid foods that are high in the amino acid tyramine since they can cause severe side effects." 38. [The client] is anxious, with a heart rate of 192 beats per minute, and respirations of 24 breaths per minute. [The client] is diaphoretic, pale. Laboratory report reveals serum glucose of 142 mg/dL and a serum potassium of 3.2 mEq/L. Which medication does the nurse anticipate administering? • Verapamil • Amiodarone • Adenosine • Lidocaine 39. Client blood pressure control improving with new oral antihypertensive medication. Client has not required PRN IVP antihypertensive medication for 24 hours. Client reporting no headache and resolution of visual changes present on admission. Discharge orders obtained from provider. RN provides client with education on disease management and home medication prescriptions. The client is ready for discharge two days later and the discharging nurse evaluates the client's understanding of the discharge instructions provided. Which statements made by the client to the nurse require further education by the nurse? 1. "I will take this new medication until my blood pressure is controlled and then switch back to my original blood pressure medication." □ 2. "I will keep a log of my blood pressure readings and take them to show my provider." □ 3. "I will check my blood pressure after I wake up, after my late morning walk, and after dinner." □ 4. "If I notice excess swelling in my body, especially my face, I will call my provider immediately."☑ 5. "This new blood pressure medication is a combination of two different medications that work together to lower my blood pressure." 6. "I will take this new blood pressure pill in the evening since I take the other blood pressure pill in the morning." 7. "If my blood pressure is elevated again, I will take an additional dose of this new blood pressure medication." □ 8. "I will remember to change position slowly when getting up to avoid getting dizzy and potentially falling." 40. A client with the history of an embolic stroke is now treated on warfarin. The client monitors bleeding times at home and these are transmitted to the health care provider for medication recommendations. Today's INR is 3.5 times the control. Which action does the nurse expect related to this lab value? Answer Options: • A decrease in the warfarin dosage. • More information is needed to make a decision. • Discontinuation of the warfarin. • An increase in the warfarin dosage. 41. A client with hypertension is being educated on the potential adverse effects of antihypertensive therapy. What client teaching is the highest priority safety concern? • Insomnia • Dizziness • Weight gain • Increased appetite • 42. A client with a history of heartburn is self-medicating with over-the-counter calcium carbonate. The client reports experiencing constipation and increased heartburn. What should the nurse consider as the most likely cause? • The client is experiencing hypercalcemia. • The client is experiencing acid rebound. • The client has developed a tolerance to the medication. • The client is not taking the medication as directed.43. A client with megaloblastic anemia is being treated with folic acid and vitamin B12. The client reports persistent fatigue and pallor. What should the nurse anticipate as the most appropriate next step? • Discontinue the current treatment and switch to a different therapy. • Assess the client's adherence to the medication regimen. • Order additional laboratory tests to evaluate the effectiveness of the treatment. • Increase the dosage of folic acid and vitamin B12. 44. A client with a history of hypertension is prescribed a topical nasal decongestant. What should the nurse monitor closely in this client? Select all that apply. Answer Options: • Heart rate • Blood pressure • Respiratory rate • Blood glucose levels • Skin turgor 45. The nurse has administered a prescribed dose of intravenous (IV) ondansetron to a client. What assessment finding best indicates therapeutic effect? • Vital signs are within reference ranges. • The client participates in various activities. • The client requests a snack of crackers. • The client reports relief from nausea. 46. A client with a history of ischemic stroke is prescribed alteplase for an acute myocardial infarction (MI). The client has a recent history of gastrointestinal (GI) bleeding. What nursing action(s) are most appropriate? Select all that apply.Administer alteplase as ordered. • Consult with the healthcare provider. • Anticipate increasing the dose of alteplase. • Anticipate administering heparin. • Hold the prescribed alteplase.47. A client with a history of heart failure is prescribed propranolol for supraventricular tachycardia (SVT). The client reports feeling extremely fatigued and experiencing shortness of breath. What should the nurse consider as the most likely cause? • The client is experiencing an adverse effect of propranolol. • The client is not taking the medication as prescribed. • The client is experiencing anxiety. • The client is experiencing a respiratory virus. A client with chronic renal failure is being treated with epoetin alfa. The client's hemoglobin level is currently 10.5 g/dL. What is the most appropriate nursing action? • Discontinue epoetin alfa immediately to prevent adverse effects. • Switch to darbepoetin alfa for better efficacy. • Continue the current dose of epoetin alfa and monitor the hemoglobin level. • Increase the dose of epoetin alfa to achieve a hemoglobin level above 11 g/dL. 48. A client with asthma is prescribed theophylline. The client reports experiencing nausea, vomiting, and palpitations. The nurse notes that the client recently stopped smoking. What should the nurse analyze as the most likely cause of these symptoms? • The client is experiencing an allergic reaction to theophylline. • The client is experiencing theophylline toxicity due to decreased metabolism. • The client is experiencing withdrawal symptoms from smoking cessation. • The client is experiencing common side effects of theophylline. 49. A client with atrial fibrillation is prescribed warfarin. The client was just prescribed quinidine for rhythm control. What laboratory result is most concerning? • Blood glucose level of 112 mg/dl (Reference: less than 110 mg/dL) • Prothrombin time of 12 seconds (Reference: 11-13 seconds) • Serum potassium level of 4.6 mEq/L (Reference: 3.5-5.2 mEq/L) • White blood cell counts of 10 x 10³cells/mm³ (Reference: 4.5 – 10.5 x 10³cells/mm³) 50. Okay, here is the full text of the question and visible answer choices from the image, along with the answer and explanation: A 22-year-old female client who has severe dysmenorrhea has been prescribed ferrous gluconate to treat iron deficiency anemia. What dietary guidelines should the nurse provide to the client? • "Avoid drinking any grapefruit juice until you're no longer taking iron supplements." • "Avoid cured meats, shellfish, and aged cheeses while you're taking iron supplements." • "Do not consume milk, coffee, or tea at the same time as your iron supplement."• (Fourth option not fully visible) 51. An adult client sustains a pulmonary embolism that is confirmed by elevated D-Dimer levels and receives treatment. The next day the client has ecchymotic areas on the arms and legs and petechiae on the face. Which intervention should the nurse anticipate? • Another dose of alteplase in the next 24 hours. • Administering a dose of protamine sulfate. • Using compression on venipuncture and injections sites. • An increase in post-thrombolytic heparin. 52. A client reports regular, daily bowel movements, but reports having to strain when having a bowel movement. Which medication would the nurse anticipate as most appropriate for this client? • Docusate • Senna • Bisacodyl • Magnesium citrate 53. A client undergoing chemotherapy is experiencing severe nausea and vomiting. The healthcare provider prescribes ondansetron. Which of the following actions should the nurse take to ensure the effectiveness and safety of this medication? • Administer the medication immediately after the chemotherapy session. • Monitor the client for signs of dehydration and electrolyte imbalance. • Combine ondansetron with a phenothiazine to enhance antiemetic effects. • Advise the client to avoid exposure to sunlight due to photosensitivity. 54. A client is prescribed an angiotensin-converting enzyme (ACE) inhibitor. What intervention should the nurse include in the plan of care to minimize the risk for injury related to adverse effects of this classification of medications? Answer Options: • Monitoring for orbital edema • Low-fiber diet • Fall precautions • Monitoring temperature of extremities 55. A nurse is caring for a client who is taking Lisinopril 10 mg daily and is scheduled for surgery. What is the most appropriate action for the nurse to take in preparation for the client's surgery?Answer Options: • Proceed with the surgery without any special precautions. • Discontinue the angiotensin-converting enzyme (ACE) inhibitor immediately without consulting the healthcare provider. • Alert the healthcare provider and annotate the client's chart to highlight the use of an ACE inhibitor. 56. A client undergoing chemotherapy is experiencing severe nausea and vomiting. The healthcare provider prescribes ondansetron. Which of the following actions should the nurse take to ensure the effectiveness and safety of this medication? • Administer the medication immediately after the chemotherapy session. • Monitor the client for signs of dehydration and electrolyte imbalance. • Combine ondansetron with a phenothiazine to enhance antiemetic effects. • Advise the client to avoid exposure to sunlight due to photosensitivity.