The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Check the pulse rate for 30 seconds and multiply the result by 2

Increase intake of sodium

Contact the health care provider for heart rate less than 60/min

Take the medication with food if you develop nausea

Answer and Explanation

The Correct Answer is C

A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Green, leafy vegetables do not need to be restricted with simvastatin; this advice is more relevant to medications like warfarin.
B. Changing positions slowly is important for medications that affect blood pressure, but simvastatin does not typically cause orthostatic hypotension.
C. Simvastatin is most effective when taken in the evening because the body's production of cholesterol is higher at night.
D. There is no specific fluid restriction required for simvastatin; hydration should be maintained according to individual needs.

A. Serum potassium level of 4.8 mEq/L B. Serum sodium level of 140 mEq/L C. Oxygen saturation of 95% D. Blood pressure of 80/40 mm/Hg

Correct Answer is D

Explanation

A. A serum potassium level of 4.8 mEq/L is within the normal range and would not warrant withholding furosemide.
B. A serum sodium level of 140 mEq/L is within the normal range and would not warrant withholding furosemide.
C. An oxygen saturation of 95% is normal and would not warrant withholding furosemide.
D. A blood pressure of 80/40 mm/Hg is very low and administering furosemide, a diuretic, could further decrease blood pressure, posing a risk to the client. The nurse should withhold the medication and consult the provider.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

Correct Answer is D

Explanation

A nurse is assisting with teaching a client about a new medication. Which of the following actions should the nurse take?

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

A patient weighs 198lbs. The nurse correctly records his weight in kilograms as:

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

A nurse is receiving a telephone prescription for a client and documents it as atorvastatin 80 PO BID. Which of the following elements should the nurse identify is missing from the prescription?

A nurse is evaluating the documentation of a newly licensed nurse. The nurse should identify that which of the following entries requires intervention?

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?