COMPLETE CORRECT ANSWERS
The nurse is preparing to administer digoxin to a
patient who has heart failure. The patient reports
nausea, vomiting, and visual halos around objects.
The nurse notes a respiratory rate of 18 breaths per
minute, a heart rate of 58 beats per minute, and a
blood pressure of 120/78 mm Hg. What will the nurse
do next?
A. Reassure the patient that these are common, self-
limiting side effects
B. Administer the next dose as ordered since these
are mild side effects
C. Hold the dose and notify the provider of possible
digoxin toxicity
D. Request an order for a drug nausea and an
analgesic medication
C. Hold the dose and notify the provider of possible
digoxin toxicity
Which statement made by the patient indicates to the
nurse that the patient understands discharge
instructions on antihyperlipidemic medications?
A. "It is important to double my dose if I miss one in
order to maintain therapeutic blood levels"
B. "I will continue my exercise program to help
increase my HDL serum levels"
C. "Antihyperlipidemic medications will replace the
other interventions I have been doing to try to
,decrease my cholesterol"
D. "I will stop taking the medication if it causes
nausea and vomiting"
B. "I will continue my exercise program to help increase
my HDL serum levels"
A patient who has been taking warfarin is admitted
due to vomiting with blood. What should the nurse
anticipate being prescribed for this patient?
A. Calcium gluconate
B. Vitamin E
C. Protamine sulfate
D. Vitamin K
D. Vitamin K
A nurse is monitoring a patient with angina for
therapeutic effects of nitroglycerin. Which
assessment finding indicates that the nitroglycerin
has been effective?
A. Blood pressure of 120/80 mmHg
B. Heart rate of 70 beats/min
C. ECG without evidence of ST changes
D. Patient stating that pain is 0 out of 10
D. Patient stating that pain is 0 out of 10
What is the best information for the nurse to provide
to the patient who is receiving spironolactone and
furosemide therapy?
A. Moderate doses of two different diuretics are more
effective than a large dose of one
B. This combination promotes diuresis but decreases
the risk of hypokalemia
C. This combination prevents dehydration and
hypovolemia
, D. Using two drugs increases the osmolality of plasma
and the glomerular filtration rate
B. This combination promotes diuresis but decreases the
risk of hypokalemia
What statement indicates to the nurse that the patient
needs additional instruction about antihypertensive
treatment?
A. “I will check my blood pressure daily and take my
medication when it is over 140/90”
B. “I will include rest periods during the day to help
me tolerate the fatigue my medicine may cause”
C. “I will not mow my lawn until I see how this
medication makes me feel”
D. “I will change my position slowly to prevent feeling
dizzy”
A. "I will check my blood pressure daily and take my
medication when it is over 140/90"
Which instruction should the nurse include in the
education of a patient beginning therapy with
ivermectin for a helminth infection?
A. Take on an empty stomach
B. Monitor pulse daily
C. Take with food
D. Use sunscreen or wear long sleeves
A. Take on an empty stomach
Which statement made by the patient demonstrates a
need for additional instruction from the nurse
regarding the use of nitroglycerin?
A. “If I get a headache, I should keep taking
nitroglycerin and use Tylenol for pain relief”