Thi Mot Flashcards
A cleint is taking diltiazem for treatment of hypertension. A home health nurse is reviewing the medication with the client. Which client statement indicates that the client needs teaching about this medication?
A.
“ I will take my pulse prior to taking my medication”
B.
“ Because ibuprofen interferes with this medication i will take acetaminophen instead.”
C.
“ I make sure that I eat foods high in potassium everyday”
D.
“ I take my medication with a healthy breakfast of eggs, toast, grapefruit juice and milk.”
” I take my medication with a healthy breakfast of eggs, toast, grapefruit juice and milk.”
Which points should the nurse plan to include when teaching a client receiving a thiazide diuretic? Select all that apply
A.
Self-administer the last dose at bedtime when fluid tends to be at the highest levels.
B.
Keep appointments for laboratory monitoring.
C.
Include fruits such as melons and bananas in the diet.
D.
Take the radial pulse before setting up the medication.
E.
Report side effects such s muscle cramps, nausea or a skin rash.
B.
Keep appointments for laboratory monitoring.
C.
Include fruits such as melons and bananas in the diet.
E.
Report side effects such s muscle cramps, nausea or a skin rash.
A nurse provides discharge instructions to a client who is taking warfarin sodium. Which statement, if made by the client, reflects the need for further teaching?
” I will take my pills everyday at the same time.”
“I will avoid alcohol comsumption”
“I have already called my family to pick up a medic- alert bracelet”
” I will take enteric-coated aspirin for my headaches because it is coated.”
” I will take enteric-coated aspirin for my headaches because it is coated.”
A nurse is monitoring a client taking propanolol. Which assessment data would indicate a potential serious complication associated with propanolol?
The development of complaints of insomnia
the development of audible expiratory wheezes
the development of hyperglycemia
the development of a resting heart rate of 72
the development of audible expiratory wheezes
A client is receiving tissue plasminogen activator, alteplase. Which of the following is a priority nursing intervention?
monitor for renal failure
monitor psychosocial status
monitor for signs of bleeding
have heparin sodium available
monitor for signs of bleeding
A pregnant patient has received a prescription for atorvastatin (Lipitor), a cholesterol lowering drug. The nurse recognizes that atorvastatin is labeled Pregnancy Category X. The BEST action for the nurse to perform is to:
Go over the possible side effects of the drug with the patient and instruct to take as prescribed
Call the provider to discuss the pregnancy category rating, as fetal harm in humans has been demonstrated in studies
Tell the patient that the drug is safe to take as there haven’t been any animal studies to show otherwise
Give her information about the medication and advise her to do what she thinks is best after reviewing it
Call the provider to discuss the pregnancy category rating, as fetal harm in humans has been demonstrated in studies
A client has begun a medication therapy that includes Atorvastatin. What patient education should be included in the teaching?
take the medication 1 to 2 hours before other medications
liver damage may occur so liver labs need to be checked every three months
this medication is safe during pregnancy
this is a form on vitamin B
liver damage may occur so liver labs need to be checked every three months
A patient is being discharged home on Hydrochlorothiazide for treatment of hypertension. Which of the following statements by the patient indicates they understood your discharge teaching about this medication?
I understand a dry cough is a common side effect with this medication
I will monitor my glucose levels closely because this medication may mask symptoms of hypoglycemia
I will make sure that I consume food high in potassium
I will only take this medication if my blood pressure is high
I will make sure that I consume food high in postassium
A patient is prescribed Spiranolactone for treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include?
Take this medication each day with a large glass of water
Be sure to limit the number of foods rich in potassium in your diet.
Stop taking this medication if you notice changes in how much you urinate
i”ll teach you how to take your radial pulse before taking this medication
Be sure to limit the number of foods rich in potassium in your diet.
