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pharm test 3

Terms in this set (80)

The nurse is reviewing discharge instructions with a 57 year old client who has a history of bronchial asthma and is being discharge with a prescription for metoprolol (Lopressor) to control hypertension. Which of the following statements indicates a need for futher teaching?
I will skip my medication for a week if my heart rate is is below 60 beats per minute.
Which of the following statements explains why furosemide (Lasix) is administered to treat hypertension?
It inhibits reabsorption of sodium and water in the loop of Henle.
The nurse is preparing to administer medication to the following clients. Which client would it be most important that the nurse question adminstration of the medication?
The client receiving hydrochlorothiazide with a potassium level of 2.8 mEQ/L.
The ICU patient is receiving bumetanide (Bumex) continuous IV infusion. Which of the following data is most indicative that the medication is effective?
The patient had a weight loss of 3 Kg (6.6lbs) in 24 hours.
A nurse is providing health teaching for clients with hypertension. Which of the following statements by the client indicates a need for additional teaching?
"when my blood pressure is normal I can decrease my meds"
Abruptly stopping alpha2 agonists such as clonidine (Catapres) can result in which of the following conditions?
Rebound hypertension
A client is receiving lovastatin (Lipitor), which of the following warrants the immediate contacting of the healthcare provider?
muscle aches
Osmotic diuretics are primarily used for:
Decreasing intracranial pressure.
Which lab test should be monitored in the patient who is taking the medication simvastatin (Zocor)?
liver enzymes
Which of the following patients should not receive the beta adrenergic blocker carvedilol (Coreg)?
A 56 year old male with a B/P of 183/94 and a history of emphysema.
A client is diagnosed with peripheral arterial disease (PAD). He is prescribed isoxsuprine (Vasodilan). The nurse acknowledges that isoxsuprine (Vasodilan) does which of the following?
Relaxes the arterial walls within the skeletal muscles and increases blood flow to the extremities. Complaints of the neck, face, and ears.
A client is taking nicotinic acid (Niacin). Which of the following statements best describes common side effects of this drug?
Complaints of flushing of the neck, face, and ears.
A nurse is teaching the client about lifestyle changes needed when taking an angiotensin converting enzyme (ACE) inhibitor such as lisinopril (Prinivil). Which of the following statements indicates a need for more teaching?
I need to eat more foods in high in potassium like bananas and spinach.
Thiazide diuretics are contraindicated in which of the following conditions?
Renal failure.
Which of the following patients taking the angiotension II receptor blocking agent (ARB) losartan (Cozaar) would most likely see better results if switched to the calcium channel blocker amlodipine (Norvasc)?
The 53 year old African American attorney who has COPD.
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