UTA NURS3365 2021 October Module 5 Quiz Latest

NURS3365 Pharmacology in Nursing Practice

Module 5 Quiz

Question 1What are the side effects associated with amlodipine? SELECT ALL THAT APPLY

  Diarrhea

  Bradycardia

  Reflex tachycardia

  Flushing

  Hypotension

  Ankle edema

Question 2What information should the nurse include when providing education to a client newly prescribed furosemide? SELECT ALL THAT APPLY

  “When standing up ,rise slowly ,in stages.”

  “Increase dietary intake of potassium rich foods.”

  “Increase salt intake to prevent low sodium levels.”

  “Take the furosemide in the evening hours.”

  “Weigh yourself every day,in the same clothes and on the same scale.”

Question 3When providing education about  antihypertensive medications. What information should the nurse provide to the patient that is true for ALL antihypertensive medications? SELECT ALL THAT APPLY

  “Rise slowly from sitting to standing.”

  “Avoid grapefruit juice.”

  “Increase potassium rich foods in diet.”

  “Avoid the use of salt substitutes.”

  “Check your blood pressure prior to taking  your medication each morning.”

  “Do not stop the medication abruptly.”

Question 4A young female client of child-bearing age with hypertension is started on losartan. What information about family planning should the nurse include in the teaching plan?

  “Losartan is ineffective in controlling blood pressure in pregnancy and should be stopped prior to pregnancy for this reason.”

  “Losartan is a common medication used for hypertension in pregnant women, but fetal growth should be monitored.”

  “Losartan can cause birth defects in the developing fetus and should be stopped prior to becoming pregnant if possible.”

  “Losartan interacts with oral birth-control pills, making them less effect. Be sure to use a secondary birth control option.”

Question 5A client with hypertension and benign prostatic hyperplasia is prescribed tamsulosin. What data demonstrates the medication has achieved the therapeutic response?

  Client has less calf tenderness

  Client heart rate is 80 beats per minute.

  Client’s blood pressure is 110/76 mm/Hg

  Client is able to fully empty bladder.

Question 6The nurse is about to administer a prescribed dose of metoprolol to a client with a cardiac dysrhythmia.  What assessment data would be of most concern to the nurse?

  Blood pressure 104/68 mm/Hg.

  Past medication history of diabetes

  Past medical history of asthma

  Heart rate at 50 beats per minutes.

Question 7The nurse administered epinephrine to a client with a severe case of angioedema related to administration of ACE inhibitors. What side effects should the nurse monitor for in this client? SELECT ALL THAT APPLY

  Tremors

  Palpitations

  Bradycardia

  Agitation

  Impaired renal tissue perfusion

  Urinary retention

  Hypotension

Question 8The nurse is administering 80 mg of furosemide by intravenous push per the health care providers orders. The nurse will administer the furosemide over [blank1] minutes based on the recommended rate of administration. (Enter a number only in the blank)

Question 9A client received epinephrine for an anaphylactic reaction in the emergency department 6 hours ago. Since that time, the client has been unable to void. What priority assessment should the nurse perform to determine the cause of this urinary issue?

  Assess blood pressure to determine vasoconstriction

  Palpate peripheral pulse to determine adequate perfusion.

  Assess oral fluid intake for the last 24 hours

  Palpate the area above the symphysis pubis bone

Question 10Prior to assuming care on a client, you review the client’s medical records found below.

Admitting diagnosis: Hypertensive crisis, tachycardia

Past medical history: Hypertension, atrial fibrillation

Past surgical history: None

Admitting Medication orders:

Lisinopril 20 mg PO daily

Aspirin 81 mg PO daily

Spironolactone 50 mg PO every morning

Metoprolol 25 mg PO BID

Lab data and Vital Signs:

Vital signs

Temperature     98.5

Blood pressure 210/120

Pulse     130

Respiratory Rate              18

Chemistry Panel

Sodium 141 mEq/ L

Potassium           5.5 mEq/ L

Chloride               104 mEq/ L

Bicarbonate        20 mEq

BUN       55 mg/ dL

Creatinine           2.5 mg/dL

Calcium                8.7 mEq/L

Glucose                105 mg/dL

Based on the data listed above, what medication orders should the nurse question? SELECT ALL THAT APPLY

  Lisinopril

  Aspirin

  Metoprolol

  Spironolactone

Question 11A client with heart failure is receiving furosemide and digoxin at 0900. What assessment findings would indicate a need to withhold the morning dose of digoxin and furosemide? SELECT ALL THAT APPLY

  No bowel movement in 2 days

  Potassium level 2.8mEq/L

  100% of breakfast eaten

  Apical pulse 58 beats per minute

  Digoxin level 2.5 ng/mL

Question 12The nurse is providing education to a client being discharge on digoxin. What information should the nurse provide about symptoms to report to the healthcare provider? SELECT ALL THAT APPLY

  Blood pressure of 100/60 mm/Hg

  Heart rate greater than 120 beats per minute

  Visual disturbances of yellow, green, or purple halos

  Weight gain of 5 pounds in 2 days

  Shortness of breath and worsening ankle edema

Question 13A client diagnosed with heart failure is being taught about drug interactions that can occur with digoxin. Match the medication or herbal supplement with the resulting interaction. 

Potassium wasting diuretics

Saint John’s Wort

Beta blockers

Amiodarone

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