Nursing and Pharmacology Quiz

The nurse is caring for a client with chest pain who is prescribed nitroglycerin SL. Which instruction should the nurse give first?

• You may swallow the tablet with water.

• Lie or sit down before taking the medication.

• You may take up to five tablets in 5 minutes.

• Store the medication in a plastic container.

A client is receiving IV heparin for a DVT. Which lab value requires the nurse to hold the infusion and notify the provider?

• INR 2.4

• aPTT 95 seconds

• Platelets 300,000

• Hemoglobin 14 g/dL

The nurse provides discharge teaching to a client prescribed warfarin. Which statement indicates a need for further teaching?

• I will have my INR checked regularly.

• I will avoid leafy green vegetables.

• I will use an electric razor to prevent cuts.

• I will report any unusual bruising or bleeding.

A client taking atorvastatin reports severe muscle pain. What is the nurse’s priority action?

• Instruct the client to increase hydration.

• Document the finding as expected.

• Notify the provider immediately.

• Give acetaminophen for pain.

Which finding indicates digoxin toxicity?

• Increased appetite

• Constipation

• Yellow vision

• Hypertension

The nurse should withhold a beta-blocker if which assessment finding is present?

• Heart rate 58 bpm

• Blood pressure 130/70

• Temperature 99.2°F (37.3°C)

• Respirations 20/min

Which teaching should the nurse include for a client beginning ferrous sulfate therapy?

• Take this with milk to reduce stomach upset.

• This medication may cause your stools to become dark.

• You should lie down for 20 minutes after taking it.

• Limit vitamin C because it decreases absorption.

A client has been prescribed an ACE inhibitor. Which adverse effect requires the nurse to contact the provider?

• Dry cough

• Mild fatigue

• Elevated potassium

• Cold hands and feet

A nurse is caring for a client taking clopidogrel. The nurse should recognize which as the primary purpose of the medication?

• Dissolve existing clots

• Prevent platelet aggregation

• Promote fibrin formation

• Prevent bleeding during surgery

A client on enoxaparin asks why they cannot remove the 'air bubble' from the syringe. The best response is:

• The air bubble helps push all the medication into the muscle.

• The air bubble ensures full delivery of the medication into the fatty tissue.

• Removing the bubble could cause an allergic reaction.

• It prevents bruising at the injection site.