The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Clopidogrel [Plavix]

Warfarin [Coumadin]

Enoxaparin [Lovenox]

Heparin

Answer and Explanation

The Correct Answer is D

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

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Correct Answer is ["B","D"]

Explanation

A. Losartan is an antihypertensive, so it is intended to lower blood pressure, not cause hypertension.
B. Dizziness is a common side effect due to the blood pressure-lowering effects of losartan, especially when the client changes positions quickly.
C. Hyperglycemia is not a common side effect associated with losartan.
D. Hypotension is a possible side effect, as losartan lowers blood pressure. The nurse should monitor for signs of low blood pressure, especially if the dose is too high or the client is volume depleted.
E. Tachycardia is not a common side effect of losartan.

A. Lovastatin (Mevacor) B. Pioglitazone (Actos) C. Spironolactone (Aldactone) D. Nitrofurantoin (Macrodantin)

Correct Answer is A

Explanation

A. Lovastatin (Mevacor) is a statin medication used to manage hyperlipidemia by lowering cholesterol levels.
B. Pioglitazone (Actos) is an antidiabetic medication used for type 2 diabetes, not for hyperlipidemia.
C. Spironolactone (Aldactone) is a diuretic used primarily for conditions like heart failure and hypertension, not hyperlipidemia.
D. Nitrofurantoin (Macrodantin) is an antibiotic used for urinary tract infections, not for hyperlipidemia.

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The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with hypertension and taking losartan. The nurse should monitor the client for which of the following common side effects of this medication?

Correct Answer is ["B","D"]

Explanation

The nurse is teaching a client who has been diagnosed with hyperlipidemia about medication therapy. Which of the following medications should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?

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