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34 Cards in this Set
- Front
- Back
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Which of hte following client findings suggest a need to call the primary care provider for a possible reduction in a clients ferrous sulfate dose?
a. Client reports constipation b. client has a Hgb level of 9g/dL c. client's stool is greenish black in color d. Patient reports intolerable nausea and heartburn |
D.
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What is the most common CAUSE of dysrhythmias in clients receiving digoxin?
a. heart disease b. atrial fibrillation c. hypokalemia d. hyperkalemia |
c.
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Which of the following reversal agents should the nurse have available in the event of a heparin overdose?
a. Aminocaproic Acid b. Enpiniephrine c. Protamine sulfate d. Phytonadione |
c.
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Which of the following is correct regarding toxicity associated with amiodarone?
a. Mypoathy is a common manifestation of toxicity b. ototoxicity is irreversible c. visual impairment resolves when the medication is withdrawn d. lung damage can persist formonths after the medication is discontinued. |
d.
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Which of the following signs of toxicity should a client be monitored for when receiving
magnesium sulfate by the intravenous route? a. increased respiratory rate b. decreased deep tendon reflexes c. constipation d. peripheral edema. |
b
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Client teaching to prevent first-dose hypotension should include which of the following?
a. taking the medication right before driving b. taking ehmedication at bedtime c. taking the medicaiton at hte same time as a diuretic d. taking htemedication with a full glass of water. |
b
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In which of the following clinical situations is the initiation of IV heparin therapy NOT appropriate?
a. client with a platelet count of 80,000/mm3 b. obese client with swollen painful lower right calf postoperative c. client with an acute myocardial infarction d. client with DVT who is 5 months pregnant |
a.
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Which of the following statements made by a client receiving atorvastatin (Lipitor) indicates a
need for further teaching? a. I will limit my alochol intake to 1 or 2 drinks per day b. I should take my medication with dinner. c. I will maintain a steady intake of green leafy vegetables. d. i will limit fluid inake to one- and a half to 2 liters /day |
a.
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A client taking warfarin (Coumadin) should be instructed to avoid eating excessive amounts of
which of the following foods? a. red meats b. dark green leafy vegetables c. milk products d. yellow and orange fruits. |
b.
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The nurse knows that the main action of thrombolytic medications is to:
a. Remove the thrombus that has already formed b. suppress platelet aggregation c. suppress the action of hte vit K. d. prevent thrombus formation. |
a.
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Which of the following client findings pose a concern for the administration of a daily dose of warfarin?
a. hgb 12 g/dl\ b. angina unrelieved by rest c. INR 5.6 d. aPPT 75 sec |
c
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The goal of thrombolytic therapy is to restore blood flow through the blocked coronary artery.
The nurse knows that for this therapy to be most effective, this treatment must be initiated within what time of symptom onset? a. 4-6 hours b. 48 to 96 hr c. 12 to 24 hr d. 8 to 10 hr |
a
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A client receiving captopril (Capoten) and a spironolactone (Aldactone), a potassium-sparing
diuretic, should be monitored for which of the following adverse effects? a. H/A b. hypotension c. drowsiness d. reflex tachycardia |
b
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Which of the following client findings suggest a need to call the primary care provider for a
possible reduction in a client’s ferrous sulfate dose? a. client reports constipation b. client reports intolerable nausea and heartburn c. cleint has a Hgb level of 9 g/dl d. client's stol is greenish black in color |
b.
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Dopamine (Intropin) is used to treat shock for which of the following pharmacologic actions?
a. decrease in the rate of conduction through the AV node b. inhibition of renin release c. decreased in heart rate. d. vasoconstriction of the blood vessels. |
d.
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A client is prescribed clonidine (Catapres) orally once a day for hypertension. Which of the
following client statements indicates effective teaching? a. I will sit at the side of the bed in the morning before getting up b. i will increase my intake of foods high in potassium like bananas c. I will take hte clonidine at bedtime because it may make me drowsy. d. i will change the medciation patch everyday. |
c
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Which of the following side effects should a client taking furosemide (Lasix) for hypertension be assessed for?
a. tremors b. visual disturbances c. restlessness d. hearing loss |
d
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Which of the following signs of toxicity should a client be monitored for when receiving
magnesium sulfate by the intravenous route? a. peripheral edema b. decreased deep tendon reflexes c. constipation. d. incraeased respiratory rates. |
b
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A nurse is providing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching?
a. follow a fixed-dosage schedule for long-term control of asthma b. effects such as tremors, restlessness, and palpitations c. do not crush or chew tablets d. expect to lose weight while taking this medication. |
a
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Identify the two major classes of medications that are used to treat asthma.
a. bronchoconstrictors and hemopoitic medications b. catecholamines and anxiolytic medciations c. alfa adrenergics and antibiotics d. bronchodilators and anti-inflammatory medications. |
d.
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The asthma patient is usually treated with a combination of bronchodilators and anti-inflammatory medications. The anti-inflammatory medications may be classified as__________, i.e., they are taken on a set schedule, but are not increased in the case of an exacerbation of symptoms.
a. dangerous medications b. chronic medications c. rescue medications d. controller medications. |
d
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Which of the following instructions should be given to a client who has been prescribed albuterol
(Proventil) and beclomethasone dipropionate (QVAR) inhalers for the control of asthma? a. alternate which inhaler is used so that both are not taken the same of the day b. only use of beclomethasone if experience an acute attack c. use the albuterol inhaler 5 min before usin the beclomethasone inhaler d. Use the albuterol inhaler first and immediately follow with the beclomethasone inhaler. |
c
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A client with hyperkalemia has been prescribed Kayexalate rectally. Which of the following is an
appropriate nursing intervention related to this route of administration? a. instruct the client to retain the enema for 10 min, then expel it. b. irrigate the colon after the Kayexalate solution has been expelled c. provide for a sodium incrases in the diet for two days after Kayexalate enema d. refrigerate the kayexalate prior to administration. |
b.
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Which of the following statements made by the client indicates that she has understood
discharge teaching in the proper use of salmeterol (Serevent)? a. I will take this medication regularly every 12 hours. b. I will use this medciation when I am having an asthma attack c. I will use this medication every 6 hours d. I will take a dose of this medicine when I notice I am wheezing. |
a
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A client starting oral prednisone for treatment of chronic asthma should report signs of..
a. weight gain and fluid retention. b. nervousness and insomnia c. chest pain and tachycardia d. drowsiness and activity and intolerance |
a
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A client who is taking spironolactone (Aldactone) and lisinopril (Zestril) should be observed for
which of the following additive effects? a. hypotension b. hyperglycemia c. hyponatremia d. hypercalcemia |
a
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Hydrochlorothiazide has just been prescribed for a client with hypertension. Which of the
following instructions should the nurse include in the client’s teaching? a. take the medciation right before bedtime b. avoid drinking liquids early in the morning c. you may notice some swelling in your feet d. your diet should include foods high in potassium |
d
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A client receiving IV magnesium sulfate is being evaluated for toxicity. Which of the following
medications should the nurse anticipate administering? a. potassium chloride b. sodium polystyrene c. sodium bicarbonate d. calcium gluconate. |
d
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A client who has a serum potassium of 3.6 mEq/L is receiving an oral potassium supplementation.
The client is having difficulty swallowing the large tablet. Which of the following is the most appropriate nursing intervention? a. notify the primary care provider that the dose will be withheld until swallowing improves b. instruct the client to allow the tablet to dissolve in the mouth c. contact the primary care provider to change the dose to an IV route d. to provide a powder formulation that can be mixed with fluid |
d.
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The asthma patient is usually treated with a combination of bronchodilators and anti-inflammatory medications. The bronchodilators may be classified as__________, i.e., they may be taken in the case of an exacerbation of symptoms.
a. rescue medications b. controller medications c. dangerous medications d. chronic medications. |
a.
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Albuterol (Proventil) is used in the treatment of asthma to
a. suppress the effects of leukotriene compounds b. promote broncholdilation c. decrease airway mucus production d. decrease inflammation |
b
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Which of the following statements made by the client indicates that she has understood
discharge teaching in the proper use of salmeterol (Serevent)? a. I will use this medication every 6 hours b. I will take a dose of this medicine when I notice I am wheezing c. I will use this medication when I am having an asthma attack d. I wil ltkae this medciation regularly every 12 hours |
d.
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Identify the two major classes of medications that are used to treat asthma.
a. which of the following should be included in the teaching plan for a client who is starting alendronate sodium (fosamax) to prevent osteoporosis. a. remain standing or sitting for 30 minutes after taking medication. b. take an extra dose if the prior dose was missed. c. take a nap immediately after adminitration since it causes sleepiness d. take the medication with breakfast. |
a
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Which of the following respiratory medications is associated with allergy to peanuts or soy products?
a. alupent b. acetadote c. theo-dur d. atrovent |
d
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