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NUR 114 Final Exam Prep Questions and Answers Rated A+

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NUR 114 Final Exam Prep Questions and Answers Rated A+ The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac dysrhythmia. The patient takes hydrochlorothiazide (HydroDIURIL) and reports regular use of over-the-counter laxatives. Before administering the first dose of digoxin, the nurse will review the patient's electrolytes with careful attention to the levels of which electrolytes? ✔✔potassium and magnesium (potassium is the key) **(Yes, hydrochlorothiazide does alter sodium and calcium, but it's not the most appropriate answer for what the question is asking.) Sulfa drug allergic reaction ✔✔facial swelling, rash, itchy eyes and breathing problems A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX) calls to report developing an all-over rash. The nurse will instruct the patient to perform which action? ✔✔Stop taking immediately A patient who has recently begun taking captopril (Capoten) to treat hypertension calls a clinic to report a persistent cough. The nurse will perform which action? ✔✔Have the patient stop taking the medication. **A cough is a side effect that warrants a change in medication because it will only go away when an ACEI is stopped. A child who weighs 10 kg will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The liquid preparation contains 40 mg of TMP and 200 mg of SMX per 5 mL. The nurse determines that the child's dose should be 8 mg of TMP and 40 mg of SMX/kg/day divided into two doses. Which order for this child is correct? ✔✔5mL BID The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient indicates a need for further teaching? ✔✔"I may need extra calcium while taking this drug" because this medication can cause hypercalcemia. what type of drug is hydrochlorothiazide? what is it used to treat? ✔✔is a thiazide diuretic "water pills" used to treat high blood pressure and fluid retention (edema) by making your body create more urine to get rid of excess salts. **people with fluid retention typically have heart failure, liver disease, and kidney disease** Hydrochlorothiazide can cause what? ✔✔hypokalemia (low potassium) hyponatremia (low sodium) hypercalcemia (high calcium) For Healthy people what is the typical range of INR? ✔✔1.1 or lower for people taking warfarin for conditions such as atrial fibrillation or a blood clot what is the normal therapeutic range for INR? ✔✔2-3 A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. What with the nurse do first? ✔✔Assess the patient for any bleeding **The very first thing a nurse should do when seeing an elevated INR is to assess the patient. Remember your prioritization frameworks. This one uses the nursing process—assess first. A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving furosemide. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3 mEq/L. Which of the following actions should the nurse take? ✔✔give the KCL as prescribed because the serum level is low. **If the serum level was high, then the nurse will hold the dose and notify the provider.** What is the range of someone with normal blood potassium level? ✔✔3.6 to 5.2 millimoles per liter (mmol/L). A nurse is caring for a client who asks how albuterol

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