In addition to a cardiac glycoside and a diuretic, the provider prescribes an ACE inhibitor to treat the client's heart failure. The nurse should reinforce to the client that OTC medications can reduce the effectiveness of the ACE inhibitor. What other interactions with the ACE inhibitor should the nurse teach the client about?
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inhibitor. What other
interactions with the ACE
inhibitor should the nurse teach the client about?
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- The nurse is caring for a client who has diabetes mellitus and is also diagnosed with hypertension. Which of the following medications on the patient’s medication administration record will cause the most concern? Question 71 options: a) ACE inhibitor b) Beta-blocker c) Calcium channel blocker d) Angiotensin receptor blockerA client is prescribed furosemide and digoxin to manage their symptoms associated with heart failure. The nurse understands which of following is true when taking these medications together? Furosemide can cause a loss of potassium, creating a higher risk of digoxin-induced dysrhythmias Furosemide can cause an excess retention of potassium, creating a higher risk of digoxin-induced dysrhythmias. Furosemide can promote loss of potassium and thereby decrease the risk of digoxin-induced dysrhythmias. There is no concern for the concomitant use of these two medications.The nurse is reviewing the medications that have been ordered for a patient for whom a loop diuretic has just been prescribed. The loop diuretic may have a possible interaction with which of the following? a )Vitamin Db) warfarinc )Penicillinsd )NSAIDs
- The nurse is giving an intravenous dose of levothyroxine (Synthroid). The order reads: “Give 0.1 mg IV push now.” What is the ordered dose in micrograms?For a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? a) Monitor the gravity drip infusion closely, and adjust as needed. b) Assess the patient’s cardiac function by checking the radial pulse. c) Assess the intravenous site hourly for possible infiltration. d) Administer the drug by intravenous boluses according to the patient’s blood pressureThe nurse reviews the electronic health record (EHR) of a 16-year-old client admitted to the pediatric unit for treatment following an overdose of acetaminophen. In what order should the nurse perform these prescriptions, from first to last?Insert peripheral venous access deviceNormal saline 100 mL bolusN-acetylcysteine infusion 150 mg/kg over one hourN-acetylcysteine infusion 12.5 mg/kg over four hoursN-acetylcysteine infusion 6.25 mg/kg over sixteen hoursClear liquid diet as tolerated
- Mr. Reyes was admitted from the emergency department after receiving treatment for dysrhythmias and will be started on amiodarone (Cordarone, Pacerone) because of lack of therapeutic effects from his other antidysrhythmic therapy. When the nurse checks with him in the afternoon, he complains of feeling light-headed and dizzy. What will the nurse assess first? a.Whether the client’s pulse and blood pressure are within normal limits b.Whether there is the possibility of sleep deprivation from the stress of admission to the hospitalc.Whether the amiodarone level is not yet therapeutic enough to treat the dysrhythmias d. Whether an allergic reaction is occurring with anticholinergic-like symptomsWhy letter a is the right answer and why not the other options are considered to be wrong. Explain eachThe nurse is caring for a patient with "Ventricular tachycardia". The patient is stable, and the rhythm is non-sustained. In addition to administering oxygen, the nurse prioritizes the following orders and will plan to : 1. "obtain CBC, electrolyte panel, and cardiac markers first", 2. "administer Amiodarone (Cordarone) first", 3. "Initiate a Heparin drip as ordered", 4. "repeat the 12-lead EKG first"] .When administering any vasopressor during the treatment of shock, the nurse knows the assessment finding that best supports the goal of therapy is: a. Constriction of vessels to maintain BP b. Dilating vessels to improve tissue oxygenation c. Maintaining a MAP of, or greater than 65 mm Hg d. Increased urine output to 50 mL/hr
- The nurse is giving medications to a newly admitted patient who is to receive nothing by mouth (NPO status) and finds an order written as follows: “Digoxin, 250 mcg stat.” Which action is appropriate? a )Give the medication immediately (stat) by mouth because the patient has no intravenous (IV) access at this time. b )Clarify the order with the prescribing physician before giving the drug. c) Ask the charge nurse what route the physician meant to use. d )Start an IV line, then give the medication IV so that it will work faster, because the patient’s status is NPO at this timeThe RN has administered the following medications to the client with heart failure; metoprolol, lisinopril, spironolactone. What data collection and assessment parameters should the nurse perform prior to the administration of these medications? How will the RN evaluate the effectiveness of these medications? What would your teachings be for this patient?Order: Administer 7.5 mg of haloperidol IM STATAvailable: Haloperidol 5 mg/mLHow much medication will the nurse draw up in the syringe? How quickly does the nurse need to administer this medication?