A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?

Overweight

Migraine headaches

Eczema

Hypertension

Answer and Explanation

The Correct Answer is D

A. Overweight. While weight can affect medication metabolism, it does not specifically increase risk with pseudoephedrine.

B. Migraine headaches. Migraine headaches are not contraindicated with pseudoephedrine, although some stimulants can increase headaches.

C. Eczema. Pseudoephedrine does not typically affect eczema.

D. Hypertension. Pseudoephedrine is a decongestant that can increase blood pressure, so it should be used with caution in clients with hypertension.

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Correct Answer is B

Explanation

A. "I am constipated." Constipation is not a common indicator of digoxin toxicity; it may be more related to diet or other medications.

B. "My vision seems yellow." Yellow or blurred vision, also called xanthopsia, is a classic sign of digoxin toxicity and should be reported immediately.

C. "My tongue is red and beefy." A red and beefy tongue may indicate vitamin B12 deficiency, not digoxin toxicity.

D. "I am gaining weight." Weight gain is usually a sign of fluid retention or worsening heart failure, not specifically digoxin toxicity.

A. "Your heart condition is caused from stiffening of the walls of the ventricles." B. "Your heart condition is caused by excessive stretching of the ventricles." C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." D. "Your heart condition is caused by thickening of the ventricular walls and septum."

Correct Answer is B

Explanation

A. "Your heart condition is caused from stiffening of the walls of the ventricles." Stiffening of the ventricular walls describes restrictive cardiomyopathy, not DCM.

B. "Your heart condition is caused by excessive stretching of the ventricles." DCM involves excessive stretching and thinning of the ventricular walls, leading to impaired contraction.

C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." This describes arrhythmogenic right ventricular dysplasia, not DCM.

D. "Your heart condition is caused by thickening of the ventricular walls and septum." This describes hypertrophic cardiomyopathy, not DCM.

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A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Correct Answer is B

Explanation

A nurse is reinforcing teaching to a client who has dilated cardiomyopathy (DCM). Which of the following statements by the nurse should be included in the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

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A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?

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