a nurse is caring for a client who has a prescription for hydrochlorothiazide to treat hypertension the nurse should monitor the client for which of t

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Proctored Pharmacology ATI

1. A client has a prescription for hydrochlorothiazide to treat hypertension. The nurse should monitor the client for which of the following adverse effects?

A. Hypokalemia
B. Hypertension
C. Hyperglycemia
D. Hypercalcemia

Correct answer: A

Rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss, leading to hypokalemia. Monitoring potassium levels is crucial to prevent potential adverse effects such as cardiac arrhythmias and muscle weakness.

2. Which of the following is the antidote for benzodiazepine toxicity?

A. Flumazenil
B. Methylene blue
C. Deferoxamine
D. Alkalinize urine

Correct answer: A

Rationale: Flumazenil is the specific antidote for benzodiazepine toxicity. It acts as a competitive antagonist at the benzodiazepine binding site on the GABA receptor, reversing the sedative effects of benzodiazepines. Administration of flumazenil is indicated in cases of benzodiazepine overdose or toxicity to rapidly reverse the central nervous system depression caused by these drugs. It is important to note that flumazenil should be used cautiously in patients with a history of seizures or those who are physically dependent on benzodiazepines, as it can precipitate withdrawal symptoms or seizures.

3. When a client is discharged with nitroglycerin (Nitrostat), what should the nurse include in client education?

A. “Your chest pain should go away with one tablet.”
B. “If your chest pain doesn’t go away after three tablets, call 911; you might be having a heart attack.”
C. “If your chest pain doesn’t go away with one tablet, you can repeat the dose as many times as you need to.”
D. “Be sure to call 911 before you take any tablets.”

Correct answer: B

Rationale: The correct answer instructs the client on the appropriate use of nitroglycerin. Nitroglycerin is used to relieve chest pain or angina. If the chest pain does not subside after taking one tablet, the client should take a maximum of three tablets at 5-minute intervals. If the pain persists after three tablets, it could indicate a heart attack, and emergency medical help should be sought. This education is crucial to ensure the client knows when to seek immediate medical attention.

4. A nurse is teaching a client who has a new prescription for Prednisone. Which of the following instructions should the nurse include?

A. Increase your intake of vitamin
B. Take this medication on an empty stomach.
C. Avoid drinking grapefruit juice.
D. Take this medication every other day.

Correct answer: A

Rationale: Prednisone can lead to bone loss, so clients should increase their intake of vitamin D and calcium to help maintain bone health.

5. Which of the following is commonly used to treat migraine headaches?

A. Beta-blockers
B. Cholinesterase Inhibitors
C. ACE inhibitors
D. Anti-epileptic drugs (AEDs)

Correct answer: D

Rationale: Anti-epileptic drugs (AEDs) are often used in the management of migraine headaches due to their ability to help prevent or reduce the frequency and intensity of migraines. They work by stabilizing electrical activity in the brain, which can help in controlling migraine symptoms. While beta-blockers are also sometimes used in migraine prevention, anti-epileptic drugs are more commonly associated with migraine treatment. Cholinesterase Inhibitors are not typically used for migraine headaches, as they are more commonly associated with conditions like Alzheimer's disease. ACE inhibitors are a type of medication used to treat conditions like high blood pressure and heart failure, but they are not a first-line treatment for migraines.