Nokea
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.
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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.
While reviewing a client's medication list, the nurse understands which prescribed medication(s) is/are classified as calcium channel blockers. Select all that apply.
- A. Nifedipine
- B. Propranolol
- C. Verapamil
- D. Hydralazine
- E. Digoxin
Correct Answer: A,C
Rationale: Nifedipine and verapamil are calcium channel blockers used to treat hypertension and angina. Propranolol is a beta-blocker, hydralazine is a vasodilator, and digoxin is a cardiac glycoside.
The nurse has provided medication instruction to a client who has been prescribed enalapril. Which of the following statements, if made by the client, would indicate a correct understanding of the teaching?
- A. I will notify my prescriber if I develop swelling of the face.
- B. I will need to weigh myself every day while taking this medication.
- C. I should eat foods high in potassium while I am taking this medication.
- D. I will need lab work done every so often to evaluate my liver function.
Correct Answer: A
Rationale: Enalapril can cause angioedema, so notifying the prescriber about facial swelling indicates correct understanding. Daily weighing, high potassium intake, and liver function monitoring are not typically required.
The nurse is caring for a client with an exacerbation of congestive heart failure (CHF). The client has generalized edema, dyspnea, and jugular venous distention. The nurse should anticipate a prescription for which medication?
- A. Mannitol
- B. Furosemide
- C. Diltiazem
- D. Verapamil
Correct Answer: B
Rationale: Furosemide, a loop diuretic, is used to treat fluid overload in CHF, addressing edema, dyspnea, and jugular venous distention. Mannitol, diltiazem, and verapamil are not appropriate.
The nurse is caring for a client prescribed a calcium channel blocker to treat primary hypertension. When providing education about medication administration, which of these foods will the nurse advise the client to avoid?
- A. Eggs
- B. Milk
- C. Grapefruit
- D. Bananas
Correct Answer: C
Rationale: Grapefruit juice can inhibit the metabolism of calcium channel blockers, increasing drug levels and toxicity risk. Eggs, milk, and bananas do not interact significantly.