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    Exam Review

    1. The nurse is caring for a client who experienced a dry-non productive cough associated with an ACE inhibitor. Which of the following drugs is an alternative to ACE inhibitors?
      A)losartan (Cozaar)
      B)metoprolol (Lopressor)
      C)furosemide (Lasix)
      D)hydralazine HCL (Apresoline)
      E)hydralazine HCL (Apresoline)
    2. A client presents to the healthcare setting after beginning treatment with an Angiotensin Converting Enzyme (ACE) inhibitor. Which of the following side- effects will the nurse be sure to assess for?
      A)Hypokalemia and vomiting
      B)Dry, non productive cough
      C)Epistaxis and headache
      D)Nausea and vomiting
    3. The nurse is educating a client on the possible side effects associated with quinapril (Accupril). Which of the following side effects are associated with this medication classification? (Select All that Apply)(SATA)
      A)hypokalemia
      B)first dose phenomenon
      C)hepatotoxicity
      D)dry nonproductive cough
      E)orthostatic hypotension
    4. A nurse is taking care of a client with diagnosis of deep vein thrombosis (DVT) receiving anticoagulant therapy. Exhibits Complete the following sentence by using the following options. Based on the patient's current medications, the nurse knows to monitor ▾ aPTT for heparin and ▾ PT-INR for warfarin sodium.
      Dropdown 1:
      Option 1: aPTT
      Option 2: no lab monitoring is needed
      Option 3: CBC
      Option 4: PT-INR
      Dropdown 2:
      Option 1: aPTT
      Option 2: no lab monitoring is needed
      Option 3: CBC
      Option 4: PT-INR
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    Exam Review

    1. The nurse is caring for a client who suffers from frequent blood clots and currently taking argatroban (Hospira). Which of the following conditions in the client's medical history would require them to take argatroban (Hospira)?
      A)Heparin induced thrombocytopenia.
      B)Myocardial infarction
      C)Gastrointestinal Bleeding
      D)Hepatotoxicity
    2. A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?
      A)"Weigh yourself daily, and report any weight loss to your prescriber."
      B)"Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy."
      C)"The impaired taste associated with this medication usually goes away in 2 to 3 weeks."
      D)"Increase your potassium intake by eating more bananas and apricots."
    3. A client who suffers from hypertension and headaches is prescribed esmolol (Brevibloc). The nurse would educate the client on which side effects associated with this medication? (Select All that Apply.)(SATA)
      A)rebound hypotension.
      B)vomiting
      C)bradycardia
      D)masking of hypoglycemia
    4. A client who has just experienced a pulmonary embolism is administered alteplase (Activase). Which of the following side effects associated with this medication would the nurse assess for?
      A)Hypokalemia
      B)Internal bleeding
      C)pancytopenia
      D)Hypertension
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    Exam Review

    1. The nurse is preparing to administer digoxin (Lanoxin) to a client experiencing atrial fibrillation. Which of the following electrolyte imbalances would the nurse assess to reduce the incidence of toxicity with digoxin (Lanoxin)?
      A)hypocalcemia
      B)hypokalemia
      C)hyperkalemia
      D)hypernatremia
    2. A client presents to the emergency healthcare setting and diagnosed with a life-threatening ventricular dysrhythmia. Which of the following medications would the nurse begin to prepare?
      A)Atenolol
      B)Lisinopril
      C)Procainamide
      D)Adenosine
    3. A client is started on gemfibrozil (Lopid) to assist in the lowering of triglyceride level. Which of the following side effects is associated with gemfibrozil (Lopid)?
      A)Increased creatinine clearance
      B)decreased PT time
      C)hyperkalemia
      D)gallstones
    4. The nurse is caring for a client following a myocardial infarction (MI) and prescribed asprin 325mg PO daily. Which of following effects of this medication would this client benefit from following a MI?
      A)Anti-inflammatory properties
      B)Anti-pyretic
      C)Antiemetic
      D)Inhibits platelet aggregation
    Page 3 of 5

    Exam Review

    1. The nurse is caring for a client who is taking atorvastatin (Lipitor) to assist in lowering his LDL cholesterol. Which lab value must be routinely done with this medication to prevent complications?
      A)Lung function test
      B)Platelet counts
      C)Liver function test
      D)Hemoglobin levels
    2. The nurse is caring for a client who currently has a deep vein thrombosis. Which of the following medications would be administered to lyse existing clots? (Select All that Apply.)(SATA)
      A)Aspirin
      B)Low-molecular weight Heparin
      C)Heparin
      D)alteplase (Activase)
      E)warfarin (Coumadin)
      F)anistreplase (Eminase)
    3. A client newly prescribed niacin (Nicotonic Acid) presents to the healthcare setting with complaints of flushing following doses. Which of the following medications would the nurse anticipate being administered?
      A)Calcium Channel Blockers
      B)NSAIDS
      C)Beta Blockers
      D)Fibric Acid Derivatives
    4. A nurse is caring for a client who is diagnosed with a deep vein thrombosis (DVT) and is receiving heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot, which of the following responses should the nurse give?
      A)"Depending on the level of your PT/INR, the clot will begin to dissolve."
      B)"Heparin goes not dissolve clots. It stops new clots from forming"
      C)"It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
      D)"After the first dose, the clot will begin to dissolve."
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    Exam Review

    1. A nurse prepares to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A client presents to the healthcare setting and ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?
      A)Pulse oximetry of 92%
      B)Respiratory rate of 12
      C)History of an myocardial infarction a week ago
      D)Pulse of 78
    3. A client arrives to the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?
      A)bradycardia
      B)elevated HDL cholesterol
      C)migraine headache
      D)dark-red urine
    4. The nurse is caring for a client newly diagnosed with hypertension and requires medication therapy. Which of the following medications below is considered a first line treatment for hypertension?
      A)doxazosin
      B)carvedilol
      C)lisinopril
      D)Clonidine
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