Pharm Units 7-9

Which laboratory value will the nurse report to the health care provider as a potential adverse response to hydrochlorothiazide?

• Sodium level of 140 mEq/L

• Calcium level of 9 mg/dL

• Fasting blood glucose level of 140 mg/dL

• Chloride level of 100 mEq/L

Tags

NGSS.HS-LS1-3

A patient taking spironolactone has been taught about the medication. Which menu selection indicates that the patient understands teaching related to this medication?

• Chicken

• Strawberries

• Potatoes

• Lima beans

Which patient would the nurse need to assess first if the patient is receiving mannitol?

• A 67-year-old patient with type 1 diabetes mellitus

• A 55-year-old patient receiving cisplatin to treat ovarian cancer

• A 21-year-old patient with a head injury

• A 47-year-old patient with anuria

The nurse is reviewing a medication history on a patient taking an ACE inhibitor. The nurse plans to contact the health care provider if the patient is also taking which medication?

• Docusate sodium

• Morphine sulfate

• Spironolactone

• Furosemide

A patient is prescribed a noncardioselective beta blocker. What nursing intervention is a priority for this patient?

• Assessment of blood glucose levels

• Teaching about potential tachycardia

• Auscultation of the lungs

• Orthostatic blood pressure assessment

The nurse is caring for several patients who are all being treated for hypertension. Which patient will the nurse assess first?

• The patient who is taking a beta blocker and furosemide

• The patient who has been on beta blockers for 1 day

• The patient who has stopped taking a beta blocker due to cost

• The patient who is on a beta blocker and a thiazide diuretic

A patient taking prazosin has a blood pressure of 140/90 mm Hg and is complaining of swollen feet. What is the nurse’s best action?

• Determine the patient’s drug history with this medication.

• Weigh the patient.

• Call the health care provider to change to an alternative medication.

• Hold the medication.

A calcium channel blocker has been ordered for a patient. Which condition in the patient’s history is a contraindication to this medication?

• Hypokalemia

• Hypotension

• Dysrhythmias

• Increased intracranial pressure

What will the nurse teach a patient who is taking isoniazid (INH)?

• Multidrug therapy is necessary to prevent the occurrence of resistant bacteria.

• You should not be on that drug. I will check with the health care provider.

• Pyridoxine (vitamin B6) will prevent numbness and tingling that can occur when taking isoniazid.

• You will need to take vitamin C to potentiate the action of INH.

The nurse is caring for a patient who is taking rifampin. The patient has a heart rate of 90 beats/min, blood pressure of 100/89 mm Hg, and red-orange urine. What is the nurse’s best action?

• Call the health care provider.

• Collect a urine culture.

• Discard the first void and start a 24-hour urine collection.

• Document the findings and teach the patient.