Nokea
The nurse is caring for a client experiencing digoxin toxicity. The nurse anticipates a prescription for which medication?
- A. digoxin immune fab
- B. milrinone
- C. amrinone
- D. flecainide
Correct Answer: A
Rationale: Digoxin immune fab is the specific antidote for digoxin toxicity. Milrinone, amrinone, and flecainide are not used for this purpose.
You may also like to solve these questions
The clinic nurse is caring for a 38-year-old male
Item 6 of 6
Physician Progress Notes
1355 - One-week follow-up appointment with a 38-year-old male. Labs show serious metabolic derangements, including high fasting blood glucose and hyperlipidemia. VS shows essential hypertension. Diagnosis - 1. essential hypertension 2. metabolic syndrome. Will perform additional diagnostics and follow up with the client in six weeks.
Physician Orders
• 12-lead electrocardiogram (ECG)
• atenolol 25 mg by mouth daily
• pitavastatin 1 mg by mouth daily
• fenofibrate 45 mg by mouth daily with food
The nurse performs education regarding metabolic syndrome and reminds the client to return in six weeks for a follow-up appointment. Click to specify the self-management goals for this client. Note: Each row must have one (1) response option selected
- A. Reduction in the HDL cholesterol
- B. Moderate exercise at least 150 minutes a week
- C. Reduce the consumption of complex carbohydrates
- D. Increase the intake of fiber-containing foods
- E. Reduction in psychosocial stressors
Correct Answer: B,D,E
Rationale: Moderate exercise (150 minutes/week), increased fiber intake, and stress reduction are appropriate goals for managing metabolic syndrome. Reducing HDL is undesirable, and complex carbohydrates should not be broadly reduced.
The nurse is teaching a client who has hypertension about the newly prescribed medication, furosemide. Which of the following should the nurse include in the teaching?
- A. Limit intake of bananas, cantaloupe, and potatoes.
- B. Avoid taking the medication with grapefruit juice.
- C. Take this medication in the early part of the day.
- D. A nagging cough can occur as a side effect of the medication.
Correct Answer: A,C
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so limiting potassium-rich foods (bananas, cantaloupe, potatoes) is advised, and taking it early prevents nocturia. Grapefruit juice and cough are not concerns.
The nurse has taught a client who has been prescribed clonidine via a transdermal patch. Which of the following statements by the client would indicate a need for further teaching?
- A. I can wear this patch while I shower.
- B. I should keep this patch on for five days.
- C. This medication may make me drowsy.
- D. If I ever have to have a magnetic resonance imaging (MRI), I will need to remove the patch before the test.
Correct Answer: B
Rationale: Clonidine transdermal patches are typically changed every 7 days, not 5 days, so the statement about keeping the patch on for five days indicates a need for further teaching. The other statements are correct: clonidine patches are water-resistant, can cause drowsiness, and must be removed before an MRI due to potential metal content.
The nurse is providing discharge instructions to a client prescribed lisinopril. Which of the following instructions should the nurse include? Select all that apply.
- A. You will need to take your pulse for one minute before each dose.
- B. You may notice the need to go to the bathroom more often.
- C. Limit your intake of foods such as avocados and apricots.
- D. You may notice a decrease in your ability to taste foods.
- E. The goal of this medication is to lower your cholesterol.
Correct Answer: B,C
Rationale: Lisinopril, an ACE inhibitor, may increase urination due to its blood pressure-lowering effects and requires limiting potassium-rich foods (e.g., avocados, apricots) to prevent hyperkalemia. Pulse monitoring, taste changes, and cholesterol reduction are not associated with lisinopril.
The nurse is teaching a client about newly prescribed nitroglycerin (NTG) sublingual tablets. Which statement, if made by the client, would indicate a correct understanding of the teaching?
- A. I should allow this tablet to dissolve in my cheek.
- B. I should keep the tablets in the dark bottle.
- C. I should take this medication standing up to prevent indigestion.
- D. I should take one tablet every 7 to 10 minutes if I get chest pain.
Correct Answer: B
Rationale: Nitroglycerin sublingual tablets should be kept in a dark bottle to protect from light degradation, indicating correct understanding. They dissolve under the tongue, not in the cheek, are taken every 5 minutes for chest pain (up to 3 doses), and standing is not required.