NR 293 Week 8 Final Exam - 50 Questions and Answers

D. Naproxen What are the therapeutic serum digoxin levels? A. 0.5-2 ng/mL B. 1-3 ng/mL C. 3.5-5 ng/mL D. 5-7 ng/mL Which of the following are early signs of digoxin toxicity? A.Tinnitus, GI upset, and respiratory alkalosis B. GI upset, fatigue, and vision changes C. Hypertension, tachycardia, and agitation D.Angioedema, dry cough, and hyperkalemia What is the antidote for heparin overdose? A.Vitamin K B. Naloxone C. Protamine sulfate D. Digoxin immune fab Which antihypertensive medication should be used with caution in asthmatic patients? A. Lisinopril B. Metoprolol C. Propranolol D.Atenolol What is the Black Box warning for ACE inhibitors? A. Hepatotoxicity B. Fetal toxicity C. Bradycardia D. Stevens-Johnson syndrome What condition is a contraindication for spironolactone? A. Heart failure B. Hypertension C. Severe kidney failure D. Hypokalemia What is the mechanism of action for omeprazole? A. Decrease gastric acid secretion B. Neutralizes stomach acid C. Increase gastric motility D. Blocks H2 receptors What should a client taking lithium report to the healthcare provider? A. Constipation B. Muscle cramps C. Nausea, vomiting, diarrhea D. Drowsiness Which antibiotic requires the nurse to monitor for red man syndrome? A. Ciprofloxacin B. Vancomycin C.Azithromycin D. Gentamicin Which medication is used for acute gout attacks? A.Allopurinol B. Colchicine C. Simvastatin D.Acetaminophen Which medication can cause tooth discoloration in children under 8? A.Vancomycin B. Doxycycline C.Azithromycin D. Rifampin Which electrolyte imbalance increases the risk of digoxin toxicity? A. Hyperkalemia B. Hypokalemia C. Hyponatremia D. Hypernatremia What is a primary concern when administering metoprolol? A. Hyperkalemia B. Bradycardia C. Hypertension D. Hypocalcemia Which of the following requires monitoring for serotonin syndrome? A. Ibuprofen B. St. John’s Wort C. Hydrocodone D. Nitroglycerin Which food should be avoided by a client taking levothyroxine? A. Dairy B. Iodine-rich foods C. Grapefruit juice D. Green leafy vegetables Which medication is used to prevent heart failure exacerbations? A. Furosemide B. Milrinone C. Hydralazine D. Spironolactone What should be monitored in a client on simvastatin? A. Blood glucose B. Liver function C. Serum calcium D. Serum potassium A client taking buspirone should avoid which of the following? A. Grapefruit juice B. High-fat meals C. Calcium supplements D. Salt substitutes What lab value is most important to monitor in a client on enoxaparin? A. Platelet count B. INR C. aPTT D. Hemoglobin What medication is used for severe pain and requires naloxone as an antidote? A. Ibuprofen B. Fentanyl C.Acetaminophen D. Diazepam What is an adverse effect of rifampin therapy? A. Hepatotoxicity B. Ototoxicity C. Bradycardia D. Blurred vision Which medication is associated with a risk for serotonin syndrome? A. Phenelzine B. Buspirone C. Metoprolol D. Lithium What is the mechanism of action of aspirin? A. Inhibits platelet aggregation B. Decreases uric acid levels C. Stimulates insulin secretion D. Blocks calcium channels Which medication is used to treat increased intracranial pressure? A. Spironolactone B. Mannitol C. Furosemide D. Hydrochlorothiazide What condition is contraindicated for metoclopramide administration? A. Irregular heartbeat B. GI upset C. Renal failure D. Seizure disorders *Rationale*: The therapeutic range for digoxin