Rasmussen NUR2407 Module 9 Quiz Latest 2021 August

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 9 Quiz 

Question 1A client, who has been seeing multiple doctors, reports that she is taking lisinopril and another antihypertensive medication, the name of which she can’t recall. What type of antihypertensive is contraindicated when people are taking angiotensin-converting enzyme (ACE) inhibitors due to risk of compound effects?

 Beta blockers

 Potassium-sparing diuretics

 Calcium channel blockers

 Thiazide diuretics

Question 2A client with stable angina is starting treatment with nifedipine. The client’s spouse asks how nifedipine alleviates chest pain. How should the nurse respond?

 “It increases the heart rate and contractility.”

 “It helps the heart propel blood forward by reducing aortic blood pressure.”

 “It improves cardiac circulation through vasoconstriction.”

 “It reduces platelet aggregation.”

Question 3While preparing to administer a scheduled dose of digoxin, the nurse finds a new lab result showing a digoxin level of 0.7 ng/mL. What action should the nurse take?

 Check the patient’s apical pulse, and if it is within a safe range, administer the digoxin.

 Withhold the drug and notify the prescriber immediately.

 Administer Digibind to counteract the toxicity.

 Hold the drug for an hour and reassess the level.

Question 4A client has been taking digoxin 0.25 mg, and furosemide 40 mg, daily. Upon routine assessment by the nurse, the client states, “I see yellow halos around the lights.” The nurse should perform which of the following actions based on this assessment?

 Consult the provider then request a digoxin and potassium level check.

 Document the findings and reassess in 1 hour.

 Continue to monitor the patient for heart failure.

 Withhold the next dose of furosemide.

Question 5A client is brought to the emergency department for an accidental warfarin overdose. The nurse determines that the client has no apparent signs of bleeding. Which action should the nurse take next?

 Obtain a stat prothrombin time (PT) or international normalized ratio (INR).

 Administer protamine sulfate.

 Type and cross-match the client’s blood.

 Obtain a stat partial thromboplastin time (PTT).

Question 6The nurse is providing patient education to a client who has just been given a new prescription for sublingual nitroglycerin tablets. Which statement by the client would indicate a need for additional teaching?

 “I can take one tablet every 5 minutes, up to three times unless I get dizzy.”

 “I should store my nitroglycerin in its original dark bottle to protect it from light.”

 “I should dissolve the tablet under my tongue and be careful not to swallow it.”

 “I should take the nitro every 2 to 3 minutes until my pain goes away.”

Question 7A client has had hypertension for approximately 7 years and now is interested in becoming pregnant. What is the safest anti-hypertensive for a women in the early stages of pregnancy?

 Methyldopa

 Valsartan

 Amlodipine

 Lisinopril

Question 8A client with angina is preparing to go home with a prescription for a calcium channel blocker. What should the client be taught?

 Use salt substitute to replenish potassium losses due to diuretic effects.

 Elevate the feet when sitting to avoid edema side effects.

 Eat cheese regularly to restore calcium and manage loose stools.

 Drink grapefruit juice with breakfast to reduce the risk of plaque.

Question 9A client is starting sildenafil for the treatment of pulmonary hypertension. Which of these medications could cause a serious reaction if they are taken with sildenafil? (Select all that apply.)

 CoEnzyme Q-10

 Nitroglycerin

 Clopidigrel

 Doxazosin

 Simvastatin

Question 10A client is being discharged to his home on enoxaparin injections for treatment of deep vein thrombosis (DVT). Which of the following statements made by the client indicates a need for further discharge teaching by the nurse?

 “I will go to the clinic every day to have my partial thromboplastin time (PTT) drawn."

 “I will inject the enoxaparin into the fatty tissue of my abdomen.”

 “I will call my physician if I pass black tarry stools or pink urine.”

 “I hate needles, but I know enoxaparin doesn’t come in pill form.”

Question 11A client with stable angina asks why the physician told her to put her nitro patch on at 8am and take it off at 8pm. What explanation should he be given?

 The patch should be replaced, not removed at bedtime.

 Patch-free intervals are needed to sustain medication effectiveness.

 You should follow this advice for any patch medications you use.

 The doctor is trying to reduce your risk of night falls.

Question 12In which of the following situations should the nurse prepare to administer protamine sulfate?

 A client on warfarin with a prothrombin time (PT) of 12 seconds and bleeding from a laceration.

 A client on warfarin with an international normaized ratio (INR) of 4 and tarry stools

 A client on a heparin drip with a partial thromboplastin time (PTT) of 60 seconds and pink-tinged urine.

 A client on a heparin drip with a patial thromboplastin time (PTT) >120 seconds and active gastrointentional (GI) bleeding.

Question 13A client presents in the clinic with concerns of having taken his dabigitran twice this morning. Realizing that this is a new oral anticoagulant (NOAC), what should the nurse do next? (Select all that apply.)

 Assess for signs of active bleeding

 Seek advice from the provider

 Have the lab check a stat international normalized ration (INR)

 Insist that the client receive fresh frozen plasma immediately

 Ask the client to share how the overdose happened

 Have the client eat a spinach salad

Question 14A client who has been taking lisinopril complains of a dry cough. How should the nurse respond to this complaint?

 The cough is a result of immune suppression. The client should stop the medicine immediately.

 The cough is a sign of impending angioedema. The client should stop the medicine immediately.

 The cough will subside within 5 to 7 days when the body becomes accustomed to the medicine.

 The cough is a common side effect lisinopril. Angiotensin II receptor blockers (ARBs) may be prescribed as an alternative, if the cough becomes disruptive.

Question 15A client is experiencing edema. Which over-the-counter medication might be reducing the diuretic effects of her lisinopril?

 Vitamin C

 St John's Wort

 Ibuprofen

 Glucosamine

Question 16If a client is taking carvedilol, a beta blocker, which adverse effect should the nurse watch for?

 Dizziness

 Hyperglycemia

 Sinus tachycardia

 Hypoventilation

Question 17Potassium chloride 10 mEq intravenously has been ordered for a client whose potassium is 2.9 following diuretics. How will the nurse administer the potassium dose?

 Ask to inject the dose in a large muscle since the intravenously route is too dangerous

 Dilute the dose in a 50 ml intravenous fluids and infuse over a minimum of 30 minutes

 Push the dose as a rapid intravenous push because of the patient’s dangerously low potassium level

 Push the dose intravenously in increments over 10 minutes

Question 18A client presents to the emergency department with chest pain. On a scale of 1:10 he rates the pain as a 6. His respiratory rate is 22 breaths/minute. His blood pressure is 156/92 mm Hg. His heart rate is 110 beats/minute. He is afebrile. What other information should the nurse obtain before administering nitroglycerin?

 Has the client used any alcohol or drugs for erectile dysfunction recently?

 Has the client experienced any dizziness or nausea within the last two weeks?

 Has the client had a previous heart attack?

 Has the client taken any drugs within the past 12 hours?

Question 19Atenolol has been prescribed for a client who is recovering from a recent heart attack. The nurse would consult the provider before giving the medicine in which of these situations? (Select all that apply.)

 Blood pressure 110/86 mm Hg

 Respirations 32 breaths/minute with wheezes

 Tension headache

 Parkinsonian tremors

 Blood glucose 50 mg/dL

 Pulse 52 beats/minute

Question 20In preparing discharge education for a client who has just begun hydrochlorothiazide therapy, a nurse reviews the client's lab results. Which finding should the nurse be concerned about in relationship to the discharge prescription?

 Potassium level of 3.1 mEq/L

 Potassium level of 4.8 mEq/L

 Hemoglobin of 15 g/dL

 Blood sugar level of 80 mg/dL