LPN Pharmacology

LPN Pharmacology Related

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A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the client's record for which sign or symptom that differentiates pericarditis from other cardiopulmonary problems?

  • A. Anterior chest pain
  • B. Pericardial friction rub
  • C. Weakness and irritability
  • D. Chest pain that worsens with inspiration
Correct Answer: B

Rationale: Pericardial friction rub is a distinctive sign of pericarditis, characterized by a scraping or grating sound heard on auscultation, which helps differentiate pericarditis from other cardiopulmonary conditions. Anterior chest pain may be present in various cardiopulmonary issues. Weakness and irritability are nonspecific symptoms, and chest pain worsening with inspiration is more indicative of pleuritic conditions.

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A client with peripheral arterial disease complains of leg pain while walking. The nurse should reinforce which teaching point with the client?

  • A. Wear compression stockings daily.
  • B. Increase daily walking distance gradually.
  • C. Elevate legs above heart level when resting.
  • D. Use a heating pad to soothe leg muscles.
Correct Answer: B

Rationale: For clients with peripheral arterial disease experiencing leg pain while walking, gradually increasing daily walking distance is beneficial. This approach helps improve circulation, build tolerance, and reduce symptoms over time. Compression stockings can also be recommended for some clients to assist with circulation, but the priority teaching point in this scenario is to promote gradual increases in walking distance to enhance vascular health and symptom management.

The client is receiving intravenous heparin for treatment of a pulmonary embolism. Which medication should the nurse ensure is readily available?

  • A. Protamine sulfate
  • B. Vitamin K
  • C. Calcium gluconate
  • D. Magnesium sulfate
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The LPN/LVN is assisting in caring for a client in the telemetry unit and is monitoring the client for cardiac changes indicative of hypokalemia. Which occurrence noted on the cardiac monitor indicates the presence of hypokalemia?

  • A. Tall, peaked T waves
  • B. ST-segment depression
  • C. Prolonged P-R interval
  • D. Widening of the QRS complex
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client receives discharge teaching for a new prescription of lithium. Which instruction should be included?

  • A. Take the medication with food.
  • B. Increase your intake of sodium.
  • C. Monitor for signs of hypercalcemia.
  • D. Avoid consuming dairy products.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is caring for a client with a diagnosis of myocardial infarction (MI) and is assisting the client in completing the diet menu. Which beverage does the nurse instruct the client to select from the menu?

  • A. Tea
  • B. Cola
  • C. Coffee
  • D. Lemonade
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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