Nokea
The nurse is caring for a client who is receiving prescribed cilostazol. Which of the following client findings would indicate a therapeutic response?
- A. Absence of pain while ambulating
- B. Decreased total cholesterol
- C. Increased visual acuity
- D. Improved focus and attention
Correct Answer: A
Rationale: Cilostazol is used to treat intermittent claudication, so the absence of pain while ambulating indicates a therapeutic response. It does not directly affect cholesterol, visual acuity, or focus.
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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.
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 presenting at a staff development conference about medications used to treat heart failure. The nurse recognizes which medications are used to treat heart failure. Select all that apply.
- A. furosemide
- B. metformin
- C. lisinopril
- D. digoxin
- E. warfarin
- F. metoprolol
Correct Answer: A,C,D,F
Rationale: Furosemide (diuretic), lisinopril (ACE inhibitor), digoxin (cardiac glycoside), and metoprolol (beta-blocker) are used in heart failure. Metformin and warfarin are not standard treatments.
A nurse is caring for a client receiving nitroglycerin. It is essential to monitor the client's
- A. heart tones.
- B. respirations.
- C. urinary output.
- D. blood pressure.
Correct Answer: D
Rationale: Nitroglycerin, a vasodilator, can cause hypotension, so monitoring blood pressure is essential. Heart tones, respirations, and urinary output are less critical.
The nurse has provided teaching to a client regarding metoprolol. Which of the following statements by the client would indicate a correct understanding of the teaching?
- A. I should stop taking metoprolol immediately if I experience any dizziness or lightheadedness.
- B. Metoprolol works by increasing the production of angiotensin II to lower blood pressure.
- C. I should monitor my heart rate regularly as metoprolol can cause bradycardia.
- D. It's essential to take metoprolol with a high-fat meal to enhance its absorption.
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so monitoring heart rate is correct. Stopping abruptly, increasing angiotensin II, or requiring high-fat meals are incorrect.