NUR521 Exam 2
A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L
and is complaining of anorexia. A physician prescribes a digoxin level to rule out digoxin
toxicity. A nurse checks the results, knowing that which of the following is the
therapeutic serum level (range) for digoxin? - answer0.5 to 1.5 ng/mL
The nurse should question an order for metoprolol (Lopressor) when it is prescribed for
a client with: - answerSinus Bradycardia
What should the nurse include in a teaching plan aimed at reducing the side effects
associated with taking calcium channel blockers such as diltiazem (Cardizem)? -
answerChange positions slowly
Which points should the nurse plan to include when teaching a client receiving a
thiazide diuretic? (Select all tht apply) - answer-Keep appointments for laboratory
monitoring, including serum electrolytes, glucose, creatinine, blood urea nitrogen (BUN),
and uric acid levels.
-Minimize intake of high-fat foods.
-Include fruits such as melons and bananas in the diet
When administering an intravenous titirated drip of lidocaine HCL to a client, a serious
side effect that must be reported to the physician immediately is: - answerParesthesias
A home health nurse instructs a client about the use of a nitrate patch. The nurse tells
the client which of the following that will prevent client tolerance to nitrates? -
answerHave a 12-hour "no nitrate" time
A client is prescribed lisinopril (Zestril) for treatment of hypertension. He asks a nurse
about possible adverse effects. Which are common adverse effects of antiogensin-
converting enzyme (ACE) inhibitors should the nurse include in her teaching? SELECT
ALL THAT APPLY - answer-Blurred vision
-Dysrhythmias
-Nausea and vomiting
A client is admitted with pulmonary embolism and is to be treated with alteplase
(Activase, tPA). A nurse would report which of the following assessments to the
physician before initiating this therapy? - answerBlood pressure of 198/110 mmHg
What should the nurse include in a teaching plan for a client taking calcium channel
blockers such as nifedipine (Procardia)? (SELECT ALL that apply). - answer-Change
positions slowly
-Avoid drinking grapefruit juice
A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L
and is complaining of anorexia. A physician prescribes a digoxin level to rule out digoxin
toxicity. A nurse checks the results, knowing that which of the following is the
therapeutic serum level (range) for digoxin? - answer0.5 to 1.5 ng/mL
The nurse should question an order for metoprolol (Lopressor) when it is prescribed for
a client with: - answerSinus Bradycardia
What should the nurse include in a teaching plan aimed at reducing the side effects
associated with taking calcium channel blockers such as diltiazem (Cardizem)? -
answerChange positions slowly
Which points should the nurse plan to include when teaching a client receiving a
thiazide diuretic? (Select all tht apply) - answer-Keep appointments for laboratory
monitoring, including serum electrolytes, glucose, creatinine, blood urea nitrogen (BUN),
and uric acid levels.
-Minimize intake of high-fat foods.
-Include fruits such as melons and bananas in the diet
When administering an intravenous titirated drip of lidocaine HCL to a client, a serious
side effect that must be reported to the physician immediately is: - answerParesthesias
A home health nurse instructs a client about the use of a nitrate patch. The nurse tells
the client which of the following that will prevent client tolerance to nitrates? -
answerHave a 12-hour "no nitrate" time
A client is prescribed lisinopril (Zestril) for treatment of hypertension. He asks a nurse
about possible adverse effects. Which are common adverse effects of antiogensin-
converting enzyme (ACE) inhibitors should the nurse include in her teaching? SELECT
ALL THAT APPLY - answer-Blurred vision
-Dysrhythmias
-Nausea and vomiting
A client is admitted with pulmonary embolism and is to be treated with alteplase
(Activase, tPA). A nurse would report which of the following assessments to the
physician before initiating this therapy? - answerBlood pressure of 198/110 mmHg
What should the nurse include in a teaching plan for a client taking calcium channel
blockers such as nifedipine (Procardia)? (SELECT ALL that apply). - answer-Change
positions slowly
-Avoid drinking grapefruit juice
