Nokea
The nurse is caring for a client who received a prescription for amlodipine for hypertension and was advised to lose weight. Which of the following statements by the client would require follow-up?
- A. I have enrolled myself at a gym and I am receiving dietary counseling from a nutritionist.
- B. I should drink grapefruit juice while taking the amlodipine.
- C. What is the best way for me to follow my treatment regimen with diet and exercise?
- D. Sometimes I feel dizzy after taking the amlodipine pills.
Correct Answer: B,D
Rationale: Grapefruit juice can increase amlodipine levels, leading to toxicity, and dizziness may indicate hypotension, both requiring follow-up. Gym enrollment and questions about regimen compliance are appropriate.
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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 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.
The nurse is counseling a client with congestive heart failure (CHF) about newly prescribed torsemide. The nurse determines that the teaching has been effective when the client plans to
- A. decreases their dietary potassium.
- B. record their daily urinary output.
- C. measure their weight daily.
- D. take their blood pressure and pulse daily.
Correct Answer: C
Rationale: Torsemide, a loop diuretic, requires daily weight monitoring to assess fluid status in CHF. Decreasing potassium is incorrect (risk of hypokalemia), and urinary output or vital signs monitoring is less critical.
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.
The nurse has received a prescription for rivaroxaban. The nurse understands that this medication is prescribed to treat which condition?
- A. Pulmonary Hypertension
- B. Venous Thromboembolism (VTE)
- C. Congestive Heart Failure
- D. Hyperlipidemia
Correct Answer: B
Rationale: Rivaroxaban, a direct oral anticoagulant, is used to treat venous thromboembolism (VTE). It is not indicated for pulmonary hypertension, CHF, or hyperlipidemia.