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The nurse is reviewing discharge teaching with a client who was newly prescribed digoxin. Which statement, if made by the client, would require follow-up? Select all that apply.
- A. I should take my pulse before taking each dose.
- B. This medication will require me to take my weight daily.
- C. This medication will require me to have periodic blood work.
- D. I will ensure I get plenty of potassium in my diet.
- E. If I notice visual changes, I will call my eye doctor.
Correct Answer: B,E
Rationale: Daily weighing (B) is not required for digoxin but for diuretics in heart failure. Visual changes (E) should be reported to the prescriber, not an eye doctor, as they indicate digoxin toxicity. Pulse monitoring, blood work, and potassium intake are appropriate.
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The nurse in the emergency department (ED) is caring for a client with a myocardial infarction. The nurse anticipates a prescription for which medications? Select all that apply.
- A. labetalol
- B. morphine sulfate
- C. nitroglycerin
- D. enalapril
- E. isosorbide
- F. diltiazem
Correct Answer: B,C,E
Rationale: Morphine sulfate (for pain), nitroglycerin (for vasodilation), and isosorbide (for preload reduction) are used in myocardial infarction. Labetalol, enalapril, and diltiazem are not first-line treatments.
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 following scenario applies to the next 1 items.
The medical-surgical nurse is performing an admission assessment
Item 1 of 1
Current Medications
losartan 25 mg by mouth daily
spironolactone 25 mg by mouth daily
multivitamin 1 tablet by mouth daily
acetaminophen 500 mg by mouth daily, as needed for pain
pantoprazole 40 mg by mouth daily
warfarin 2 mg by mouth daily
aspirin 81 mg by mouth daily
The nurse performs medication reconciliation for this client. Which four (4) medications does the nurse recognize as a potential drug interaction?
- A. losartan
- B. spironolactone
- C. multivitamin
- D. acetaminophen
- E. pantoprazole
- F. warfarin
- G. aspirin
Correct Answer: A,B,F,G
Rationale: Losartan and spironolactone can increase hyperkalemia risk when combined. Warfarin and aspirin together increase bleeding risk due to their anticoagulant and antiplatelet effects, respectively. Multivitamin, acetaminophen, and pantoprazole are less likely to cause significant interactions in this context.
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 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.