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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
b. Serum potassium 5.2 mEq/L
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
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 inter-
b. Toxic levels of digoxin
action 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
Propranolol (Inderal) is contraindicated
for a client who has which of the following
conditions?
a. Asthma a. Asthma
b. Diabetes
c. Angina
d. Dementia
A nurse is reinforcing teaching for a client
who has a prescription for verapamil
(Calan). Which of the following state-
ments by the clients indicates a need for
further teaching? c. "I should decrease the amount of cal-
a. "I should increase the amount of fiber cium in my diet while taking the medica-
in my diet since the medication causes tion."
constipation."
b. "I should eliminate grapefruit juice
from my diet while taking verapamil."
c. "I should decrease the amount of cal-
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cium in my diet while taking the medica-
tion."
d. I should take the medication with food
if it causes an upset stomach."
A nurse is caring for a client with pre-
scription for nifedipine (Procardia) to
treat angina pectoris. The nurse should
plan to monitor the client for which of the
following findings? b. Reflex tachycardia
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
A nurse is caring for a client on a med-
ical unit who takes regular doses of pro-
pranolol (Inderal) for hypertension. Be-
fore administering the client's morning
dose of propranolol, which of the follow-
ing should the nurse plan to monitor? b. Pulse rate
(SATA) d. Blood pressure
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
7. A nurse is reinforcing teaching for a
client who is prescribed digoxin (Lanox-
in). Which of the following should the
nurse instruct the client to report to the
a. Fatigue
provider? (SATA)
c. Anorexia
a. Fatigue
e. Diplopia
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
A nurse is caring for a client who is
prescribed isosorbide mononitrate (Im-
dur) for chronic stable angina. The nurse
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should plan to monitor the client for
which of the following findings?
a. Bradycardia
d. Headache
b. Fever
c. Hypertension
d. Headache
A nurse is obtaining a medication history
from a client who is to start a new pre-
scription for warfarin (Coumadin). Which
of the following over-the-counter medica-
tions should the nurse instruct the client
d. Aspirin
to avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
A nurse is caring for a client who has
angina pectoris and is prescribed a ni-
troglycerin patch (Nitro-Dur) once daily.
Which of the following are true regarding
the administration of transdermal nitro-
glycerin? (SATA) a. Apply the patch at the same time each
a. Apply the patch at the same time each morning
morning c. Put patch on a hairless area of skin.
b. Leave the patch in place for 24 hr e. Cut patches in half to allow for smaller
before replacing. doses of prescribed medication.
c. Put patch on a hairless area of skin.
d. Rotate the sites of administration with
each application.
e. Cut patches in half to allow for smaller
doses of prescribed medication.
After instilling an eye drop that has a
systematic effect, the nurse should press
on which of the following to prevent ab-
b. The nasolacrimal duct
sorption into the circulation?
a. The bony orbit
b. The nasolacrimal duct