A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."

For which of the following medications should the nurse withhold the dose and notify the provider?

Propranolol.

Isosorbide mononitrate.

Pantoprazole.

Montelukast.

Answer and Explanation

The Correct Answer is A

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

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Correct Answer is A

Explanation

Spironolactone is a potassium-sparing diuretic that can increase potassium levels in the blood.

It is important for clients taking spironolactone to limit their intake of potassium-rich foods to prevent hyperkalemia (high potassium levels).

Choice B is wrong because “I will take the medication on an empty stomach,” is not the correct answer because spironolactone can be taken with or without food.

Choice C is wrong because “I will use salt substitutes in place of table salt,” is not the correct answer because many salt substitutes contain potassium and can increase the risk of hyperkalemia.

Choice D is wrong because “I will double up on my medication if I miss a dose,” is not the correct answer because it is not recommended to double up on medication if a dose is missed.

A. "I can take two aspirin to treat headaches.” B. "I should not take an antacid within 1 hour of taking this medication.” C. "l can expect fine hand tremors when taking this medication.” D. "I should avoid dairy products when taking this medication.”

Correct Answer is B

Explanation

Ranitidine is a histamine H2-receptor antagonist that blocks histamine-mediated gastric acid secretion.

Antacids can interfere with the absorption of ranitidine, so it is important to separate their administration by at least 1 hour.
Choice A is wrong because aspirin is a type of nonsteroidal anti-inflammatory drug (NSAID) which can increase the risk of peptic ulcers.
Choice C is wrong because fine hand tremors are not a known side effect of ranitidine.
Choice D is wrong because there is no need to avoid dairy products when taking ranitidine.

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A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

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A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering?

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?

A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."

For which of the following medications should the nurse withhold the dose and notify the provider?