Nokea
The nurse is visiting a client who was recently prescribed antihypertensive medications. Which statement, if made by the client, requires follow-up?
- A. My pulse decreases after taking my metoprolol.
- B. I started taking my furosemide right before I went to sleep.
- C. I am seasoning my foods with salt substitutes while taking my hydrochlorothiazide.
- D. I wear my clonidine patch for seven days.
Correct Answer: B
Rationale: Taking furosemide, a diuretic, at bedtime can cause nocturia, disrupting sleep and increasing fall risk. It should be taken earlier.
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The nurse is caring for a client with the following clinical data. Based on the laboratory tests, which medication would the nurse clarify with the primary healthcare provider (PHCP) prior to administration? See the exhibit for additional client information.
- A. bupropion 150 mg XL PO Daily
- B. clonidine 0.1 mg PO Daily
- C. albuterol 2.5 mg via nebulizer Daily
- D. captopril 12.5 mg PO Daily
Correct Answer: D
Rationale: Captopril, an ACE inhibitor, requires clarification if renal function is impaired (e.g., elevated creatinine), as it can worsen kidney injury.
The nurse is caring for a client with Buerger's disease. The nurse plans on suggesting that the client receives a referral for
- A. occupational therapy.
- B. speech therapy.
- C. smoking cessation.
- D. group psychotherapy.
Correct Answer: C
Rationale: Buerger's disease is strongly linked to smoking, so cessation is critical to prevent disease progression.
Which of the following teaching topics should the nurse prioritize when educating staff about caring for a client with a pacemaker? Select all that apply.
- A. Understanding the indications for pacemaker placement.
- B. Recognizing signs of pacemaker malfunction.
- C. Explaining different types of pacemakers and how they function.
- D. Advising clients with pacemakers to avoid all sources of electromagnetic fields (EMFs).
- E. Discussing the importance of regular pacemaker check-ups and follow-up care.
- F. Providing guidelines on safe physical activities and exercise after pacemaker placement
Correct Answer: A,B,C,E,F
Rationale: Understanding indications helps staff anticipate client needs. Recognizing malfunction signs ensures timely intervention. C: Correct - Knowing pacemaker types aids in proper care. D: Incorrect - Avoiding all EMFs is overly restrictive; modern pacemakers are shielded. E: Correct - Regular check-ups ensure device functionality. F: Correct - Safe activity guidelines prevent complications.
The nurse is caring for a client with the below tracing on the electrocardiogram (ECG). The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?
- A. captopril
- B. atropine
- C. adenosine
- D. diltiazem
Correct Answer: B
Rationale: Atropine is used to treat bradycardia, which may be indicated by certain ECG tracings showing slow heart rates. Captopril is an ACE inhibitor for hypertension or heart failure, adenosine is used for supraventricular tachycardia, and diltiazem is a calcium channel blocker for rate control in atrial arrhythmias.
What is the correct documentation of the patient's peripheral pulse when the finding is that the posterior tibial pulse is weak and thready?
- A. Grade C posterior tibial pulse
- B. Posterior tibial pulse is Grade B
- C. The client's posterior tibial is 2
- D. Posterior tibial pulse is 1
Correct Answer: D
Rationale: A weak and thready pulse is documented as a 1+ on a 0-4 scale, where 1 indicates a barely palpable pulse.