A nurse is preparing to administer lisinopril to a client with hypertension. Which assessment finding would require the nurse to hold the medication and notify the provider?

• Serum potassium 6.0 mEq/L

• Blood pressure 150/88 mmHg

• Pulse 64 beats/min

• Serum sodium 138 mEq/L

A patient prescribed warfarin asks the nurse about foods to avoid. Which statement indicates correct teaching?

• I should avoid eating large amounts of leafy green vegetables.

• I should limit my intake of foods high in potassium.

• I should avoid dairy products.

• I should avoid foods containing vitamin D.

A client with asthma is prescribed albuterol. What is the primary expected outcome of this medication?

• Relief of acute bronchospasm

• Reduction of airway inflammation

• Long-term prevention of asthma attacks

• Suppression of immune response

Which instruction should the nurse include when teaching a client about nitroglycerin sublingual tablets?

• Take up to 3 tablets in 15 minutes if chest pain persists.

• Store tablets in a pill organizer for easy access.

• Swallow the tablet whole with water.

• Take medication on a full stomach to prevent nausea.

5. A client is receiving digoxin. Which assessment finding indicates the medication may need to be withheld?

• Apical pulse of 52 beats per minute

• Blood pressure of 130/80 mmHg

• Respiratory rate of 18 breaths per minute

• Temperature of 37°C (98.6°F)

A nurse is reviewing discharge instructions with a client prescribed furosemide. Which statement requires further teaching?

• I will weigh myself daily.

• I will take the medication at bedtime.

• I will report muscle weakness to my provider.

• I will increase potassium-rich foods in my diet.

A patient receiving morphine for pain reports difficulty breathing and severe itching. What is the nurse’s priority action?

• Administer naloxone as prescribed.

• Apply a warm compress to the injection site.

• Offer diphenhydramine for the itching.

• Reassure the patient that this is expected.

A client on phenytoin for seizure control should be taught which important oral care practice?

• Brush and floss regularly to prevent gum overgrowth.

• Avoid fluoride toothpaste to prevent drug interaction.

• Chew sugar-free gum to prevent dry mouth.

• Rinse with hydrogen peroxide after each meal.

A patient prescribed insulin lispro should be instructed to administer the injection:

• Within 15 minutes of a meal

• At bedtime

• 2 hours after meals

• Once weekly

Tags

NGSS.HS-LS1-3

Which lab value indicates a client on heparin therapy is achieving a therapeutic effect?

• aPTT 65 seconds

• Platelets 100,000/mm³

• Hemoglobin 9 g/dL

• INR 1.0