The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Clopidogrel [Plavix]

Warfarin [Coumadin]

Enoxaparin [Lovenox]

Heparin

Answer and Explanation

The Correct Answer is D

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

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Correct Answer is B

Explanation

A. Hypercalcemia is not a typical side effect associated with the combination of digoxin and furosemide.
B. Hypokalemia is a significant concern when administering digoxin with furosemide because furosemide is a loop diuretic that can lead to potassium loss. Low potassium levels increase the risk of digoxin toxicity.
C. Hypocalcemia is not a typical concern with these medications.
D. Hyponatremia can occur with furosemide, but it is not the primary concern when monitoring the effects of digoxin.

A. Clients with new onset signs and symptoms of schizophrenia. B. Clients who have not responded to SSRIS and TCAs. C. In combination with an SSRI for clients with increased symptoms. D. Postpartum depression and lactating clients.

Correct Answer is B

Explanation

A. Phenelzine is not indicated for the treatment of schizophrenia.
B. Phenelzine, a monoamine oxidase inhibitor (MAOI), is typically reserved for clients with depression who have not responded to first-line treatments such as SSRIs and TCAs.
C. Combining an SSRI with an MAOI like phenelzine is contraindicated due to the risk of serotonin syndrome.
D. Phenelzine is generally not recommended for postpartum depression, especially in lactating clients, due to potential risks to the infant.

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The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer the client's daily digoxin with furosemide. The nurse should closely monitor laboratory values for which of the following?

Correct Answer is B

Explanation

The nurse understands which of the following clients with depression are appropriate for phenelzine [Nardil]?

Correct Answer is B

Explanation

The nurse is preparing a client for discharge with a medical prescription for the HMG-CoA inhibitor, lovastatin [Mevacor]. Which statements from the client demonstrate a clear understanding of the teaching provided by the nurse?

The nurse is teaching the client prescribed verapamil to avoid which of the following foods?

The nurse is performing teaching with a client being discharged with a prescription for dabigatran. Which of the following is a priority in client education?

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

The nurse is preparing instructions for a client with a new prescription for colesevelam [Welchol]. Which of the following will the nurse include in medication teaching?

A client has been diagnosed with a life-threatening recurrent ventricular fibrillation that has not responded to other medications or defibrillation. Which of the following does the nurse anticipate will be prescribed next?

A client has been prescribed zolpidem (Ambien) for insomnia. The client's spouse reports that the patient drives at night but does not remember it in the morning. Which of the following explains this behavior?