NCLEX Q’s Flashcards
- Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders?
A. Calcium level 9 mg/L
**B. Potassium level 1.5 mEq/L
C. Blood pressure 102/78
D. Sodium level 144
- You’re developing a plan of care for a patient with fluid volume overload related to heart failure exacerbation. The physician has prescribed an IV loop diuretic. What nursing interventions will you include in the patient’s plan of care? Select all that apply:
**A. Perform and assess daily weights.
B. Educate the patient about consuming a low potassium diet.
**C. Strict measuring of the patient’s daily intake and output.
D. Encourage the patient to drink 2 L of fluids per day.
**E. Assess lung sounds every shift.
- Your patient is prescribed hydrochlorothiazide. The patient’s potassium level is 2 mEq/L. What medication below should the nurse hold and notify the physician for further orders?
A. Dilantin
**B. Digoxin
C. Warfarin
D. Lithium
- You’re providing discharge teaching to a patient who will be taking a thiazide diuretic for the treatment of hypertension. You note that the patient has type I diabetes. What statement by the patient represents they misunderstood your teaching points about this medication and requires you reinforce some of the education pieces?
A. “I must monitor my blood glucose closely while taking this medication.”
**B.” This medication can cause sudden and severe drops in my blood glucose.”
C. “I will try my best to eat a diet that includes foods rich in potassium.”
D. “I will report to my physician if I experience excessive thirst, little or no urination, and extreme fatigue.”
- A patient is currently taking a potassium-sparing diuretic. The patient is experiencing EKG changes with tall-peaked T-waves, nausea, diarrhea, and paresthesia. The patient’s morning lab results are back and the nurse makes it priority to check what lab result?
A. Calcium
**B. Potassium
C. Magnesium
D. Sodium
- Your patient is prescribed to take Lisinopril. As the nurse you know that this medication increase a patient’s risk for developing?
**A. Hyperkalemia
B. Hypertension
C. Hypernatremia
D. Renal failure
- You’re providing discharge teaching to a patient who will be taking spirolactone. Which items below should the patient limit in their diet? Select all that apply:
**A. Salt-substitutes
**B. Spinach
**C. Bananas
D. Rice
E. Cheese
- Which potassium-sparing diuretic can cause antiandrogenic effects in a patient, such as menstrual irregularities, gynecomastia, and decreased sex drive?
A. Triamterene
**B. Spironolactone
C. Amiloride
D. Eplerenone
- A patient is taking Digoxin. What medication on the patient’s medication list increases the patient’s risk of experiencing Digoxin toxicity?
**A. Furosemide
B. Metformin
C. Nitroglycerin
D. Coumadin
- What EARLY signs and symptoms should the nurse assess for in a patient taking Digoxin that could indicate toxicity of this drug? Select all that apply:
A. Dysrhythmias
**B. Anorexia
C. Drowsiness
**D. Nausea
**E. Vomiting
- Which patient below is at MOST risk for developing Digoxin toxicity?
A. A 30-year-old male patient with heart failure and hyperglycemia
**B. A 82-year-old male patient with atrial fibrillation and magnesium level of 1 mg/dL.
C. A 45-year-old female with potassium level of 4.2 mEq/L.
D. A 50-year-old female with a calcium level of 9 mg/dL.
- An adult patient is being discharged home on Digoxin. Which statements below verbalized by the patient demonstrates they understand how to properly take this medication? Select all that apply:
A. “I will limit by intake of foods high in potassium.”
B. “I will not take this medication and notify the physician if my heart rate is less than 70 bpm.”
**C. “I will measure my pulse rate before every dose I take.”
**D. “It is important that I immediately report any vision changes I may experience while taking this medication.”
- A patient taking Digoxin is experiencing severe bradycardia, nausea, and vomiting. A lab draw shows that their Digoxin level is 4 ng/mL. What medication do you anticipate the physician to order for this patient?
A. Narcan
B. Aminophylline
**C. Digibind
D. No medication because this is a normal Digoxin level.
- During your morning assessment of a patient with heart failure, the patient complains of sudden vision changes that include seeing yellowish-green halos around the lights. Which of the following medications do you suspect is causing this issue?
A. Lisinopril
B. Losartan
C. Lasix
**D. Digoxin
