Review Questions Flashcards
•The nurse is reviewing the medications that have been ordered for a
patient who is taking a loop diuretic. The loop diuretic may have a
possible interaction with which of the following? SELECT ALL THAT
APPLY.
• A. vitamin D
• B. antidiabetic drugs
• C. penicillins
• D. NSAIDs
• E. corticosteroids
• F. warfarin
B. antidiabetic drugs
D. NSAIDs
E. corticosteroids
F. warfarin
In monitoring laboratory results for patients receiving loop and
thiazide diuretics, the nurse knows to look for which of the following?
• A. decreased serum levels of potassium
• B. increased serum levels of calcium
• C. decreased serum levels of glucose
• D. increased serum levels of sodium
A. decreased serum levels of potassium
When the nurse is checking the laboratory data for a patient taking
spironolactone (Aldactone), which result would be a potential
concern?
• A. serum sodium level of 140 mEq/L
• B. serum calcium level of 10.2 mEq/L
• C. serum potassium level of 5.8 mEq/L
• D. serum magnesium level of 2.0 mEq/L
C. serum potassium level of 5.8 mEq/L
Normal ranges:
K+ 3.5-5.0
Na+ 135-145
When teaching the patient about the signs and symptoms of cardiac
glycoside toxicity (digoxin), the nurse should alert the patient to watch for
which of these? SELECT ALL THAT APPLY.
• A. Dizziness
• B. Visual changes such as halos around lights
• C. Headaches
• D. Increased urine output
• E. Dark stools
A. Dizziness
B. Visual changes such as halos around lights
C. Headaches
The nurse is assessing a patient who is receiving a milrinone
(Primacor) infusion and checks the patient’s cardiac rhythm on the
heart monitor. What adverse cardiac effect is most likely to occur in a
patient who is receiving intravenous (IV) milrinone (Primacor)?
• A. tachycardia
• B. bradycardia
• C. atrial fibrillation
• D. ventricular dysrhythmia
D. ventricular dysrhythmia
During assessment of a patient who is receiving digoxin (Lanoxin), the
nurse monitors for findings that would indicate an increased
possibility of toxicity, such as?
• A. apical pulse rate of 62 beats/min
• B. digoxin level of 1.5 ng/mL
• C. serum potassium level of 2.0 mEq/L
• D. serum calcium level of 9.9 mEq/L
C. serum potassium level of 2.0 mEq/L
A patient with a rapid, irregular heart rhythm is being treated in the
emergency department (ED) with adenosine (Adenocard). During
administration of this drug, the nurse will be prepared to monitor the
patient for which effect?
• A. nausea and vomiting
• B. a brief period of asystole
• C. muscle tetany
• D. hypertension
B. a brief period of asystole
In assessing a patient who has been taking amiodarone (Cordarone)
for 6 months, the nurse monitors for which potential adverse effect?
• A. hyperglycemia
• B. dysphagia
• C. photophobia
• D. urticaria
C. photophobia
The nurse is assessing a patient who has been taking quinidine
(Quinide) who asks about adverse effects. Which of these are
potential adverse effects? SELECT ALL THAT APPLY.
• A. muscle pain
• B. tinnitus
• C. dyspnea
• D. diarrhea
• E. anorexia
B. tinnitus
D. diarrhea
E. anorexia
A patient has a new prescription for transdermal nitroglycerin
patches. The nurse teaches the patient that these patches are most
appropriately used for which reason?
• A. To relieve exertional angina
• B. To prevent palpitations
• C. To prevent the occurrence of angina
• D. To stop an episode of angina
C. To prevent the occurrence of angina
A nurse with adequate knowledge about the administration of
intravenous (IV) nitroglycerin will recognize that which statement is
correct?
• A. The intravenous (IV) form is given by IV push injection.
• B. Because the intravenous (IV) forms are short-lived, the dosing must be
every 2 hours.
• C. Intravenous (IV) nitroglycerin must be protected from exposure to light
through the use of special tubing
• D. Intravenous (IV) nitroglycerin can be given via gravity drip infusions
C. Intravenous (IV) nitroglycerin must be protected from exposure to light
through the use of special tubing
A 68-year-old male patient has been taking a nitrate for angina for the last 2 years. He recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra). Which response would the nurse most likely hear from the prescriber?
• A. “He will have to be switched to a different antianginal if he wants to take sildenafil.”
• B. “Taking sildenafil with the nitrate may result in severe hypotension, so a contraindication exists.”
• C. “I’ll write a prescription, but if he uses it, he needs to stop taking the nitrate for one dose.”
• D. “These drugs are compatible with each other, and so I’ll write a prescription.”
B. “Taking sildenafil with the nitrate may result in severe hypotension, so a contraindication exists.”
A patient is receiving instructions regarding warfarin (Coumadin)
therapy and asks the nurse about what medications she can take for
headaches. The nurse will tell her to avoid which type of medication?
SELECT ALL THAT APPLY.
• A. aspirin
• B. acetaminophen
• C. NSAIDs
• D. the herbal product Gingko
• E. caffeine
A. aspirin
• B. acetaminophen
• C. NSAIDs
• D. the herbal product Gingko
The nurse is teaching a patient about self-administration of
enoxaparin (Lovenox). Which statement will be included in this
teaching session?
• A. “We will need to teach a family member how to give this drug in your
arm.”
• B. “This drug is given in the folds of your abdomen, but at least 2 inches away
from your navel.”
• C. “This drug needs to be taken at the same time every day with a full glass of
water.”
• D. “Be sure to massage the injection site thoroughly after administering the
drug.”
B. “This drug is given in the folds of your abdomen, but at least 2 inches away
from your navel.”
A patient received a double dose of heparin during surgery and is
bleeding through the incision site. While the surgeons are working to
stop the bleeding at the incision site, the nurse will prepare to take
what action?
• A. Give IV vitamin K as an antidote
• B. Give IV protamine sulfate as an antidote
• C. Call the blood bank for an immediate platelet transfusion
• D. Obtain an order for packed red blood cells (PRBC’s)
B. Give IV protamine sulfate as an antidote
