A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy?

A nurse is caring for a 65-year-old male client in a cardiac clinic. The client was recently discharged from an acute hospital stay for worsening heart failure. Below are the exhibits related to the client’s condition:

Exhibit 1: Nurses’ Notes 2 Weeks Ago

The client was admitted to the hospital two weeks ago with worsening heart failure. He was experiencing significant shortness of breath, fatigue, and 2+ edema on bilateral lower extremities. Upon auscultation, an S3 heart sound was noted, and occasional expiratory wheezing was present. The client was managed with furosemide, captopril, and metoprolol at home, but these medications were not sufficient to control his symptoms.

Exhibit 2: Nurses’ Notes Today

The client reports some improvement in shortness of breath with exertion but continues to feel fatigued. Upon auscultation, an S3 heart sound is still noted, and lung sounds are clear. The client has 1+ edema on the ankles and reports nausea, constipation, and blurred vision.

Exhibit 3: History and Physical

The client was discharged from the hospital two days ago after being treated for worsening heart failure. During the hospitalization, he was prescribed digoxin and a potassium supplement in addition to his existing medications. The client will return to the office in two weeks to review lab work and medication management.

Exhibit 4: Laboratory Results Today

• Digoxin: 2.2 ng/mL (0.8 to 2 ng/mL)
• Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)

Exhibit 5: Vital Signs Today

• Temperature: 36.8°C (98.2°F)
• Heart rate: 55/min
• Respiratory rate: 16/min
• Blood pressure: 110/80 mm Hg
• Oxygen saturation: 96% on room air

Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again.

A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider?

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

A nurse is caring for a client who has been taking lisinopril for several months. The nurse should plan to check which of the following laboratory values to monitor for adverse effects of the medication?

A nurse is teaching a client who has a new prescription for benzonatate. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan. Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan?

A nurse is completing an admission assessment for a client who has been taking St. John’s wort. The nurse should identify that which of the following medications can interact with St. John’s wort?

A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)

A nurse is performing an assessment on a client who has been taking verapamil as prescribed for two months. Which of the following findings should the nurse identify as adverse effects of this medication? (Select all that apply.)

A nurse is caring for a 40-year-old male client in the postanesthesia care unit (PACU) following abdominal surgery.

Complete the following sentence by using the list of options provided.

The nurse should first address the client’s: