The nurse is preparing medications for a client with a history of hypertension who is post-op day 3 following hip replacement.

Meds: Atenolol 25 mg PO, Captopril 10 mg PO, Atorvastatin 40 mg PO, and Warfarin 4 mg PO.

Vital signs: blood pressure 138/90, heart rate 52, respiratory rate 18, temperature 99.7, O2 saturation 96% on room air.

Today’s labs: sodium- 143 meq/L, potassium 4.6 mmol/L, Hemoglobin 11.1 gm/dL, white blood count 10.8, INR 2.2

Which medication will the nurse hold?

Atenolol

Captopril

Warfarin

Glipizide

Answer and Explanation

The Correct Answer is A

Choice A reason: Atenolol is a beta blocker that lowers blood pressure and heart rate. The nurse should hold atenolol for this client because the client's heart rate is already low (52 beats per minute), and giving atenolol could cause bradycardia (slow heart rate), which can lead to dizziness, fainting, or heart failure. The nurse should notify the provider and monitor the client's vital signs and cardiac rhythm.

Choice B reason: Captopril is an ACE inhibitor that lowers blood pressure and prevents kidney damage. The nurse should not hold captopril for this client because the client's blood pressure is still high (138/90 mmHg), and captopril could help lower it to the target range. The nurse should administer captopril as prescribed and monitor the client's blood pressure and renal function.

Choice C reason: Warfarin is an anticoagulant that prevents blood clots and reduces the risk of stroke. The nurse should not hold warfarin for this client because the client's INR (a measure of blood clotting time) is within the therapeutic range (2.0 to 3.0), and warfarin could help prevent post-operative complications such as deep vein thrombosis or pulmonary embolism. The nurse should administer warfarin as prescribed and monitor the client's INR and bleeding signs.

Choice D reason: Glipizide is not a medication for this client. Glipizide is an oral hypoglycemic agent that lowers blood sugar levels in people with diabetes. This client does not have diabetes and does not need glipizide. The nurse should check the medication order and the client's medical history and clarify any discrepancies with the provider.

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Free Nursing Study Resources

Correct Answer is ["5"]

Explanation

To calculate the volume of hydrochlorothiazide oral solution that the nurse should administer per dose, we can use the following steps:

Determine the total daily dose:

The total daily dose is 150 mg.

Divide the total daily dose into 3 equally divided doses:

150 mg ÷ 3 = 50 mg per dose

Calculate the volume to be administered per dose:

The available oral solution has a concentration of 50 mg/5 mL.

50 mg ÷ 50 mg/5 mL = 5 mL

Therefore, the nurse should administer 5 mL of hydrochlorothiazide oral solution per dose.

A. Excessive urination B. Excessive thirst C. Diaphoresis D. Atrial fibrillation E. Excessive hunger

Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Excessive urination is a sign of hyperglycemia because the body tries to flush out the excess glucose in the blood through the urine. This can also lead to dehydration and electrolyte imbalance.

Choice B reason: Excessive thirst is a sign of hyperglycemia because the body loses fluid and becomes dehydrated due to frequent urination. The thirst mechanism is activated to replenish the fluid loss.

Choice C reason: Diaphoresis is not a sign of hyperglycemia, but rather a sign of hypoglycemia (low blood sugar). Hypoglycemia can cause sweating, shakiness, anxiety, and confusion.

Choice D reason: Atrial fibrillation is not a sign of hyperglycemia, but rather a possible complication of hyperglycemia. Hyperglycemia can damage the blood vessels and the heart, increasing the risk of arrhythmias, such as atrial fibrillation.

Choice E reason: Excessive hunger is a sign of hyperglycemia because the body is unable to use the glucose in the blood for energy. The cells are starved of fuel, and the hunger signal is triggered to stimulate food intake..

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["5"]

Explanation

A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY

Correct Answer is ["A","B","E"]

Explanation

A diabetic client has an order for a CT of the abdomen with contrast. The nurse should assess the client's medications for which drug prior to sending the client to radiology?

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The nurse would recognize which of the following as non-modifiable risk factors for hypertension? SELECT ALL THAT APPLY

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