ATI Week 13

Question 1

Recognizing the potential for a drug interaction between the diuretic, furosemide, and the cardiac glycoside, digoxin, the PCP plans to monitor this client for which A/E?

Answer 1

Digoxin toxicity

Question 2

Digoxin is effective in treating heart failure due to which pharmacological actions?

Answer 2

Exerts positive inotropic action
Decreases sympathetic tone
Increases myocardial contractility

Question 3

A client starts drug therapy, but the following day he reports that he is having palpitations. His ECG at the ED indicates frequent premature ventricular contractions, so the PCP prescribes a stat dose of lidocaine, 50 mg via IV bolus. A health care professional who administers the drug monitors the client for which adverse reactions to lidocaine?

Answer 3

Paresthesias

Question 4

A PCP prescribes captopril to treat the clients HTN and also help alleviate his heart failure. It is essential for a health care provider to make sure a client understands the he should not take which OTC while taking captopril?

Answer 4

Ibuprofen (Advil, Motrin)

Question 5

A PCP prescribes quinidine gluconate as an oral antidysrhythmic agent. A health care professional should question the use of quinidine for a client taking digoxin, due to a possible drug interaction that can result in which A/E?

Answer 5

Digoxin toxicity

Question 6

A client is taking bumetanide and spironolactone. You explain to the client that using these drugs together may reduce the risk of which A/E?

Answer 6

Hypokalemia

Question 7

A client is about to start taking hydrochlorothiazide for HTN. To assess for A/E of this drug, you monitor for which during drug therapy?

Answer 7

Hyponatremia
Hypokalemia
Dehydration

Question 8

You are administering lidocaine 50 mg via IV bolus, to a client with a ventricular dysrhythmia. You monitor the client for which adverse reactions to lidocaine?

Answer 8

Paresthesias

Question 9

While talking with a client who is taking captopril to treat HTN, which instructions do you include to help her manage the drugs A/E?

Answer 9

Do not use salt substitutes to season your food

Question 10

You are talking with a client who is taking losartan for HTN. She asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk?

Answer 10

Fetal injury

Question 11

A client is about to start taking aliskiren to treat HTN. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug?

Answer 11

Fatty foods

Question 12

While instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following?

Answer 12

Alcohol

Question 13

Beta adrenergic blocker that controls atrial and ventricular tachycardia

Answer 13

Propranolol (Inderal)

Question 14

Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia:

Answer 14

Amiodarone (Cordarone)

Question 15

Calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter:

Answer 15

Verapamil (Calan)

Question 16

Sodium channel blocker that treats supraventricular and ventricular dysrhythmias:

Answer 16

Quinidine

Question 17

You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the A/E of amiodarone, you advise the client to watch for and report which of the following?

Answer 17

Cough
Blurred vision
Dizziness
Fever

Question 18

You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You anticipate that the PCP might try which drugs whose off-label use includes refractory atrial dysrhythmias?

Answer 18

Flecainide (Tambocor)

Question 19

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential A/E of this drug?

Answer 19

Headache

Question 20

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?

Answer 20

Raisins

Question 21

A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an A/E of this drug?

Answer 21

Hyperuricemia

Question 22

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include?

Answer 22

Report any new intolerance to fried foods
Report muscle tenderness
Expect periodic liver function testing

Question 23

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has sever digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?

Answer 23

Antigen-binding fragments

Question 24

A nurse should identify that which of the following drugs is used only for the short-term treatment of cardiac dysrhythmia because of the serious A/E associated with long-term use?

Answer 24

Procainamide

Question 25

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions?

Answer 25

Acute myocardial infarction

Question 26

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include?

Answer 26

Monitor your pulse rate and report changes

Question 27

A nurse is caring for a client who has a depressive d/o and requires a prescription drug to treat HTN. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client?

Answer 27

Reserpine

Question 28

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new dx of DM2. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

Answer 28

Hypoglycemia

Question 29

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include?

Answer 29

Apply the patch to a hairless area and rotate sites
Apply a new patch when you start the day
Remove patches for 10 - 12 hours each day

Question 30

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a hx of which of the following conditions?

Answer 30

Second-degree AV block

Question 31

A nurse is caring for a client who has glomerular filtration rate of 10 mL/ min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug?

Answer 31

The drug does not promote diuresis for clients who have renal insufficiency

Question 32

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs?

Answer 32

MAOI
General anesthetic
Tricyclic antidepressant
Beta blocker

Question 33

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following A/E?

Answer 33

Hypokalemia

Question 34

A nurse is caring for a client who has a new prescription for alsikiren to treat HTN. The nurse should monitor the client for which of the following findings as an A/E of the drug?

Answer 34

Hyperkalemia
Throat swelling
Cough

Question 35

A nurse is providing teaching for a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy?

Answer 35

Muscle pain

Question 36

A nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of OTC drugs while taking propranolol?

Answer 36

NSAIDs

Question 37

A nurse is caring for a client who is about to begin captopril therapy. Which of the following A/E should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy?

Answer 37

Rash
Distorted taste
Swelling of the tongue
Dry cough

Question 38

A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia?

Answer 38

Simvastatin

Question 39

A nurse is caring for a client who is taking spironolactone to treat HTN. The nurse should recognize that which of the following client lab values requires immediate intervention?

Answer 39

Potassium 5.2 mEq/ L

Question 40

A nurse is providing teaching to a client who has a new prescription for losartan to treat HTN. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to the drug and needs to be reported?

Answer 40

Facial edema

Question 41

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following A/E?

Answer 41

Myopathy

Question 42

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug>

Answer 42

Grape fruit juice

Question 43

A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?

Answer 43

Hypotension