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PHARMACOLOGY SAUNDERS LATEST FINAL EXAM UPDATED FOR 2025-2026 TOP SCORE COMPREHENSIVE QUESTIONS WITH 100% CERTIFIED, ELABORATED & VERIFIED SOLUTIONS, ACE YOUR EXAMS- DEFINITE SUCCESS!!! The nurse reinforces discharge instructions to a postoperative client who is taking warfarin sodium (Coumadin). Which statement made by the client reflects the need for further teaching? "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated." A client is receiving digoxin (Lanoxin) daily. The nurse suspects digoxin toxicity after collecting data noting which signs and symptoms? Select all that apply. Visual disturbances
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The nurse reinforces discharge instructions to a postoperative client who is taking warfarin sodium (Coumadin). Which statement made by the client reflects the need for further teaching? "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated." A client is receiving digoxin (Lanoxin) daily. The nurse suspects digoxin toxicity after collecting data noting which signs and symptoms? Select all that apply. Visual disturbances
Nausea and vomiting
Serum digoxin level of 2.3 ng/mL Heparin sodium is prescribed for the client. Which laboratory result indicates that the heparin is prescribed at a therapeutic level? Activated partial thromboplastin time (aPTT) of 55 seconds The nurse is monitoring a client who is taking propranolol (Inderal LA). Which data collection finding would indicate a potential serious complication associated with propranolol? The development of audible expiratory wheezes Isosorbide mononitrate (Imdur) is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a chronic headache. Which action should the nurse suggest to the client? Take the medication with food.
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which action is a priority nursing intervention? Monitor for signs of bleeding. A client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Which appropriate actions should the nurse should take? Select all that apply. Contact the registered nurse. Collect more data on the client's pain level. Check the client's blood pressure. Administer a second nitroglycerin, 0.4 mg, sublingually. The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL. The client is taking cholestyramine (Questran). Which statement made by the client indicates the need for further teaching? "I'll continue my nicotinic acid from the health food store." A client is on nicotinic acid (niacin) for hyperlipidemia, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions? "Ibuprofen (Motrin IB) taken 30 minutes before the nicotinic acid should decrease the flushing." The nurse is planning to administer hydrochlorothiazide (HydroDIURIL) to a client. Which are concerns related to the administration of this medication? Hypokalemia, hyperglycemia, sulfa allergy
Tinnitus Hypotension. Hypokalemia The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of lisinopril (Prinivil) orally daily. The nurse evaluates the need for further teaching when the client makes which statement? "I can skip a dose once a week." A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a beta blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which assessment data supports this diagnosis? Double vision, loss of appetite, and nausea A client is being treated for acute heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats per minute; and respirations, 24 breaths per minute. After the initial dose, which is the priority assessment? Monitoring blood pressure A client is diagnosed with pulmonary embolism and is to be treated with thrombolytic therapy. The nurse should report which priority data collection finding to the registered nurse before initiating this therapy? Blood pressure of 198/110 mm Hg Atenolol hydrochloride (Tenormin) is prescribed for a hospitalized client. The nurse should perform which as a priority action before administering the medication? Check the client's blood pressure. The nurse is preparing to administer furosemide (Lasix) to a client with a diagnosis of heart failure. Which is the most important laboratory test result for the nurse to review before administering this medication? Potassium level
The nurse reinforces dietary instructions to a client who will be taking warfarin sodium (Coumadin). The nurse tells the client to avoid which food item? Spinach A health care provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to do which? Withhold the medication and call the HCP if the pulse is less than 60 beats per minute. A client is taking ticlopidine hydrochloride. The nurse tells the client to avoid which substance while taking this medication? Acetylsalicylic acid (asp