Question

Seg aharstory test Mon Q17. A 39-year-old client comes to the hospital complaining of shortness of breath and chest pain. EKG shows no changes. Further diagnostic tests indicate pulmonary embolism. Alteplase is ordered by the emergency physician. The nurse demonstrates an understanding of how the medication works by saying which of the following? A. "The medication prevents blood clot formation B. "The medication prevents the extension of the blood clot" C. "The medication breaks up the blood clot" D. "The medication is an anti-coagulant" Q18. A client with ascites due to liver cirrhosis is prescribed spironolactone. Which statement made by the client reflects the need for further teaching? A. "I will consume food high in potassium" B. "I will not spend a lot of time at the beach this summer C. "I will call the HCP if I see any sign of bleeding D. "I will the HCP office if I feel dizzy" Q19. A male client with hypertension was prescribed amlodipine. Which of these adverse effects is most important to teach the client to watch for? A. Erectile dysfunction B. Dizziness C. Dry cough D. Leg edema prescribed digoxin 0.25 mg orally. Which of the following client statements show that further teaching is needed? Q20. The home health nurse visits a client with atrial fibrillation who is newly A. "I need to call the health care provider if I have a trouble reading." B. "I need to check my blood pressure before taking my medicine." C. "I should call the HCP if I don't feel like eating." D. "I should check my heart rate prior to taking this medication."

Answer 1

Ans:- 17.

C,

The medication breaks up the blood clot because alteplase is a thrombolytic drug.

18.

A,

If client say that I will consume food high in potassium then this statement reflects that he need further teaching because spironolactone is a potassium sparing diuretic that spares potassium inside the body already.

19.

D,

Leg edema is the most important adverse effect amlodipine that need attention so we will teach the client to watch for it.

20.

B,

I need to check my blood pressure before taking my medicine, this statement shows that further teaching is needed because before giving digoxin heart rate should be checked because it causes bradycardia so it should not be given if pulse is less than 60.