A client who has just experienced a pulmonary embolism is administered alteplase (Activase). Which of the following side effects associated with this medication would the nurse assess for?

Hypokalemia

Internal bleeding

pancytopenia

Hypertension

Answer and Explanation

The Correct Answer is B

A. Hypokalemia is not a common side effect of alteplase; instead, it may result from other factors.

B. Internal bleeding is a significant risk associated with thrombolytics like alteplase, as they promote the breakdown of clots but can also affect hemostasis.

C. Pancytopenia is not directly associated with alteplase use; it may occur with other medications or conditions.

D. Hypertension is not a common side effect of alteplase; instead, blood pressure may fluctuate but is not typically increased as a direct result of the medication.

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Correct Answer is A

Explanation

A. Losartan is an angiotensin receptor blocker (ARB) that serves as an effective alternative to ACE inhibitors, particularly for patients who experience cough as a side effect.

B. Metoprolol is a beta-blocker, which is not a direct alternative to ACE inhibitors and is used for different indications such as heart rate and blood pressure control.

C. Furosemide is a diuretic that does not directly substitute for the actions of ACE inhibitors.

D. Hydralazine is a direct vasodilator used for hypertension but does not share the same mechanism as ACE inhibitors or serve as a direct alternative.

Correct Answer is ["675"]

Explanation

To calculate the dosage of vancomycin, we first convert the client's weight from pounds to kilograms, knowing that 1 kilogram is approximately 2.2 pounds. The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2). The prescribed dose is 15 mg/kg/day, so for a 90 kg individual, this would be 1350 mg/day (15 mg/kg * 90 kg). Since the dose is divided equally every 12 hours, the nurse would administer half of the daily dose every 12 hours, resulting in 675 mg per dose (1350 mg/day / 2). Therefore, the nurse should administer 675 mg of vancomycin with each dose.

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A client who has just experienced a pulmonary embolism is administered alteplase (Activase). Which of the following side effects associated with this medication would the nurse assess for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who experienced a dry-non productive cough associated with an ACE inhibitor. Which of the following drugs is an alternative to ACE inhibitors?

Correct Answer is A

Explanation

A nurse prepares to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

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