Medicine Questions
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A nurse is caring for a client who is taking to digoxin and develops changes on the ECG tracing and other manifestations that indicates the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer To treat this complication?A. AcetylcysteineB. FlumazenilC. Antigen-Binding FragmentsD. Deferoxamine
A nurse is caring for a client with a 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?A. The drug can cause hypoglycemia in clients who have a low urine outputB. The drug does not reduce blood pressure for clients who have a low urine outputC. The drug can increase the risk of pulmonary edema for clients who have renal insufficiencyD. The drug does not promote diuresis for clients who have renal insufficiency
A nurse is caring for a client with a new prescription for dobutamine. The nurse should clarify the prescription with the if the client is receiving which of the following types of drugs? (Select all that apply.)A. ACE InhibitorB. MAOIC. General AnestheticD. Tricyclic AntidepressantE. Beta Blocker
A nurse is caring for a client with 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?A. TachycardiaB. DehydrationC. DiarrheaD. Hypotension
A nurse is caring for a client with a new prescription for propranolol to treat tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of overover-the-counter drugs while taking propranolol?A. AntihistaminesB. Potassium SupplementsC. NSAIDsD. Vitamin C
Digoxin is effective in treating heart failure due to which pharmacological actions? (Select all that apply.)A. Exerts positive inotropic actionB. Decreases cardiac outputC. Decreases sympathetic toneD. Increases vascular constrictionE. Increases myocardial contractility
A nurse is monitoring 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 adverse effects?A. HypokalemiaB. HypoglycemiaC. HyppouricemiaD. Hyponatremia
A primary care provider prescribes captopril to treat the client's hypertension and also help alleviate his heart failure. It is essential for a health care provider to make sure a client understands that he should not take which over-the-counter drugs while taking captopril?A. Ibuprofen (Advil, Motrin)B. Acetaminophen (Tylenol)C. Calcium carbonate (Tums)D. Diphenhydramine (Benadryl)
You are caring for a client who is taking oral amiodarone to treat atrial fibrillation.Recognizing the adverse effects of amiodarone, you advise the client to watch for and report which of the following? (Select all that apply.)A. CoughB. Blurred visionC. DizzinessD. Sore throatE. Fever
While instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following?A. MilkB. CaffeineC. AlcoholD. Grapefruit juice
A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instruction should the nurse include? (Select all that apply)A. Take the drug with foodB. Report any new intolerance to fried foodsC. Report muscle tenderness D. Expect periodic liver function testingE. Take the drug once each day
Recognizing the potential for a drug interaction between the diuretic, furosemide, and the cardiac glycoside, digoxin, the primary care provider plans to monitor this client for which adverse effect?A. HyperkalemiaB. Ototoxicity C. Digoxin ToxicityD. Hypoglycemia
While talking with a client who is taking captopril to treat hypertension, which instructions do you include to help her manage the drug's adverse effects?A. Check your heart rate prior to taking the drugB. Wear sunscreen and protective clothing while outdoorsC. Do not use salt substitutes to season your foodD. Take the drug with a meal
You are talking with a client who is taking losartan for hypertension. 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?A. MacrosomiaB. Fetal injuryC. Gestational diabetesD. Thromboembolic disease
A client is about to start taking aliskiren to treat hypertension. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug?A. Soy sauceB. Green, leafy vegetablesC. Fatty foodsD. Foods high in carbohydrates
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?A. Metabolic AlkalosisB. HypertensionC. TachycardiaD. Paresthesias
A primary care provider then 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 adverse effect?A. Liver toxicityB. Quinidine toxicityC. Digoxin toxicityD. Cardiotoxicity
A client is taking bumetanide and spironolactone. You explain to the client that using these drugs together may reduce the risk of which adverse effects?A. HypokalemiaB. HyponatremiaC. HyperglycemiaD. Hypochloremia
A client is about to start taking hydrochlorothiazide for hypertension. To assess for adverse effects of this drug, you monitor for which during drug therapy? (Select all that apply.)A. OtotoxicityB. HyponatremiaC. HypokalemiaD. DehydrationE. Hypoglycemia
A client starts drug therapy, but the following day he reports that he is having palpitations.His ECG at the emergency department indicates frequent premature ventricular contractions, so the primary care provider 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?A. Metabolic alkalosisB. HypertensionC. TachycardiaD. Paresthesias