Nokea
The nurse is caring for a client who has an acute myocardial infarction (AMI). It would be a priority for the nurse to request a prescription for
- A. metoprolol
- B. amiodarone
- C. enalapril
- D. diltiazem
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, is a priority in AMI to reduce myocardial oxygen demand and prevent arrhythmias. Amiodarone, enalapril, and diltiazem are not first-line priorities.
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The nurse is preparing to administer prescribed medications to a client. After reviewing the client's vital signs below, the nurse plans on holding which prescribed medication? Click to view the exhibit for additional client information.
- A. Amlodipine 5 mg PO
- B. Diltiazem 60 mg PO
- C. Ibuprofen 500 mg PO
- D. Ciprofloxacin 500 mg PO
Correct Answer: A
Rationale: Without specific vital signs, amlodipine (a calcium channel blocker) may be held if the client has hypotension, as it lowers blood pressure. Diltiazem may also lower blood pressure but is less likely to be held unless bradycardia is present. Ibuprofen and ciprofloxacin are less dependent on vital signs.
The nurse is caring for a client with the following clinical data. Based on the vital signs, which medications would the nurse clarify with the primary healthcare provider (PHCP) prior to administration? See the exhibit. Select all that apply.
- A. Atenolol 50 mg PO Daily
- B. Spironolactone 50 mg PO Daily
- C. Albuterol 2.5 mg via nebulizer Daily
- D. Fentanyl 50 mcg IV Push q 6 hours PRN Pain
- E. Modafinil 100 mg PO Daily
Correct Answer: A
Rationale: Without specific vital signs provided, atenolol (a beta-blocker) may need clarification if the client has low heart rate (bradycardia) or low blood pressure, as it can exacerbate these conditions. Spironolactone, albuterol, fentanyl, and modafinil are less likely to require clarification based solely on vital signs unless specific contraindications (e.g., severe hypotension or respiratory distress) are present.
The nurse is caring for a client who is taking prescribed sildenafil. After reviewing the client's other medications, the nurse recognizes which medication would contraindicate sildenafil?
- A. furosemide
- B. isosorbide
- C. atorvastatin
- D. losartan
Correct Answer: B
Rationale: Sildenafil is contraindicated with nitrates like isosorbide due to the risk of severe hypotension. Furosemide, atorvastatin, and losartan do not have significant interactions with sildenafil.
This nurse is caring for a client who is receiving prescribed amlodipine. Which of the following findings would indicate a therapeutic response?
- A. Hemoglobin A1C 5.6% (5.7%)
- B. Blood pressure 119/79 mm Hg
- C. Capillary blood glucose 88 mg/dL (70-110 mg/dL)
- D. Total cholesterol 190 (<200 mg/dL)
Correct Answer: B
Rationale: Amlodipine, a calcium channel blocker, is used to treat hypertension. A blood pressure of 119/79 mm Hg indicates a therapeutic response. Hemoglobin A1C, blood glucose, and cholesterol are not directly affected by amlodipine.
The nurse is caring for a client receiving a continuous infusion of norepinephrine. The nurse should plan to monitor which of the following for the client? Select all that apply.
- A. Blood pressure
- B. Intracranial pressure
- C. Intravenous site
- D. Urine output
- E. Blood glucose
Correct Answer: A,C,D,E
Rationale: Norepinephrine, a vasopressor, requires monitoring blood pressure (to assess efficacy), IV site (for extravasation risk), urine output (to evaluate perfusion), and blood glucose (as it can cause hyperglycemia). Intracranial pressure is not typically monitored unless neurological issues are present.