A client is about to receive metolazone (Zaroxolyn). The nurse in charge understands which of the following laboratory results are related to the administration of the medication? A. Hyperkalemia and hypocalcemia B. Hyperkalemia and hypoglycemia C. Hypouricemia and hypoglycemia D. Hypokalemia and hyperglycemia Correct Answer: D. Hypokalemia… Read More »
A client with congestive heart failure is being treated with torsemide (Demadex). The nurse obtains the following vital signs: Blood pressure of 100/65 mm hg; pulse rate of 91 beats per minute; and respiration of 25 breaths per minute? Which of the following will be the priority assessment of the nurse after the initiation of… Read More »
A nurse is giving instruction to a client who is receiving cholestyramine (Questran) for the treatment of hyperlipidemia. Which of the following statements made by the client indicates the need for further instructions? A. “This medication comes in a powder that must be mixed with juice or water before administration”. B. “I will… Read More »
A nurse is providing instructions to a client who is on nicotinic acid for the treatment of hyperlipidemia. Which statement made by the nurse indicates a comprehension of the instructions? A. “I should take aspirin 30 minutes before nicotinic acid”. B. “I will drink alcohol in moderation”. C. “Yellowing of the skin… Read More »
A nurse is monitoring a client who is taking digoxin (Lanoxin). All of which are the side effects associated with the medication, except? A. Anorexia B. Blurred vision C. Diarrhea D. Tremors Correct Answer: D. Tremors Signs of digoxin toxicity are as follows, anorexia, nausea, vomiting, diarrhea, and… Read More »
A nurse is interviewing a patient who is about to receive bumetanide (Bumex). Which of the following is a concern related to the administration of the medication? A. Penicillin allergy B. Sulfa allergy C. Soy-containing allergy D. Cephalosporin allergy Correct Answer: B. Sulfa allergy Loop diuretics such… Read More »
Before giving milrinone (Primacor) by an IV infusion to a client with symptoms of CHF, which of the following nursing actions is necessary? A. Record sodium level. B. Administer loading dose over 15 minutes. C. Assess CV status. D. Review medication regimen to identify if the client is on IV furosemide… Read More »
A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates a further immediate action? A. Respiratory rate from 20 bpm to 12 bpm. B. Blood pressure from 120/70 to… Read More »
Johanna has ventricular ectopy, which of the following drugs is the first line used to treat her condition? A. quinidine (Cardioquin) B. digoxin (Lanoxin) C. procainamide ( Pronestyl) D. lidocaine (Xylocaine) Correct Answer: D. lidocaine (Xylocaine) Lidocaine is the only choice used to treat ventricular ectopy. Quinidine… Read More »
A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A. Use aseptic technique… Read More »