ATI Week 13 Flashcards
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?
Digoxin toxicity
Digoxin is effective in treating heart failure due to which pharmacological actions?
Exerts positive inotropic action
Decreases sympathetic tone
Increases myocardial contractility
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?
Paresthesias
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?
Ibuprofen (Advil, Motrin)
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?
Digoxin toxicity
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?
Hypokalemia
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?
Hyponatremia
Hypokalemia
Dehydration
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?
Paresthesias
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?
Do not use salt substitutes to season your food
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?
Fetal injury
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?
Fatty foods
While instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following?
Alcohol
Beta adrenergic blocker that controls atrial and ventricular tachycardia
Propranolol (Inderal)
Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia:
Amiodarone (Cordarone)
Calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter:
Verapamil (Calan)
Sodium channel blocker that treats supraventricular and ventricular dysrhythmias:
Quinidine
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?
Cough
Blurred vision
Dizziness
Fever
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?
Flecainide (Tambocor)
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?
Headache
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?
Raisins
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?
Hyperuricemia
A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include?
Report any new intolerance to fried foods
Report muscle tenderness
Expect periodic liver function testing
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?
Antigen-binding fragments
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?
Procainamide
A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions?
Acute myocardial infarction
A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include?
Monitor your pulse rate and report changes
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?
Reserpine
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?
Hypoglycemia
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?
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
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?
Second-degree AV block
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?
The drug does not promote diuresis for clients who have renal insufficiency
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?
MAOI
General anesthetic
Tricyclic antidepressant
Beta blocker
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?
Hypokalemia
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?
Hyperkalemia
Throat swelling
Cough
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?
Muscle pain
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?
NSAIDs
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?
Rash
Distorted taste
Swelling of the tongue
Dry cough
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?
Simvastatin
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?
Potassium 5.2 mEq/ L
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?
Facial edema
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?
Myopathy
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>
Grape fruit juice
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?
Hypotension
