A nursing student who is preparing to care for a client with a DVT post surgery asks the nurse why the
client must take heparin instead of warfarin. Which response is correct?
A. Heparin has a longer half-life
B. Warfarin prevents platelet aggregation
C. Heparin has fewer adverse effects
D. The onset of warfarin is delayed
A client begins taking nifedipine, along with metoprolol, to treat hypertension. Why was metoprolol
added?
A. Prevent constipation
BReduce flushing
C. Prevent reflex tachycardia
D. Minimize gingival hyperplasia
Which statement by the client indicates an understanding of teaching regarding the side effects of
verapamil?
A. I may have swelling of the hands and feet but that will subside
B. I may need to increase my digoxin dose while taking this
C. I do not need to stop drinking my morning grapefruit juice
D. I may become constipated so I should increase my fiber and fluids
Before administering hydrochlorothiazide, the nurse checks the client's chart. Which of the following
laboratory values cause the most concern?
A. High serum potassium levels
B. Low levels of LDL
C. Elevated creatinine
D. Normal blood glucose
, A nurse administers an ACE inhibitor to a client for the first time. What must the nurse include in the
education?
A. Report any diarrhea to your provider immediately
B. Instruct client to change positions slowly
C. Make sure to take daily potassium supplement
D. Don't take this medication with aspirin
A client who recently started therapy with a HMG-COA reductase inhibitor asks the nurse "how long will
it take until I see an effect on my LDL cholesterol?" Which is the nurse's best response?
It will take 6 months to see the change
Cholesterol will not be affected but triglycerides will decrease in the first week
A reduction is usually seen within 2 weeks
Blood levels normalize immediately after beginning the medication
A client with heart failure has been taking an ACE inhibitor, a thiazide diuretic, and a beta blocker comes
to the clinic for evaluation. As part of the ongoing assessment, the nurse will expect the health provider
to order which of these?
Maximal exercise capacity
Complete blood count
Serum electrolytes
Ejection Fraction
A client receiving warfarin has an INR of 2.7 seconds. What is the nurse's best action before giving the
next dose?
Request an order to decrease warfarin
Administer Vitamin K
Request an order to increase warfarin
Administer medication as prescribed
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