A patient with hypertension is prescribed lisinopril. What side effect should the nurse monitor for?

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Question 1 of 5

A patient with hypertension is prescribed lisinopril. What side effect should the nurse monitor for?

Correct Answer: A

Rationale: The correct answer is A: Hyperkalemia. Lisinopril is an ACE inhibitor that can cause potassium retention, leading to hyperkalemia. Monitoring potassium levels is crucial to prevent serious complications like cardiac arrhythmias. Hypoglycemia (B) is not a common side effect of lisinopril. Bradycardia (C) and constipation (D) are also not typically associated with lisinopril use. Hyperkalemia is the most critical side effect to monitor in this case.

Question 2 of 5

A patient with chronic heart failure is prescribed furosemide. What is the primary action of this medication?

Correct Answer: B

Rationale: The correct answer is B: Reduce fluid retention. Furosemide is a loop diuretic that works by increasing urine production, leading to the removal of excess fluid and sodium from the body. This helps reduce fluid volume overload in conditions like heart failure. Choice A is incorrect because while reducing fluid retention may indirectly improve cardiac output by reducing preload, furosemide itself does not directly increase cardiac output. Choice C is incorrect as furosemide does not have a direct effect on heart rate. Choice D is incorrect because while furosemide may lower blood pressure as a result of reducing fluid volume, its primary action is to reduce fluid retention, not specifically lower blood pressure.

Question 3 of 5

A patient with rheumatoid arthritis is taking prednisone. What is an important side effect for the nurse to monitor?

Correct Answer: A

Rationale: The correct answer is A: Hyperglycemia. Prednisone is a corticosteroid that can cause an increase in blood glucose levels by promoting gluconeogenesis and decreasing insulin sensitivity. Monitoring for hyperglycemia is crucial as it can lead to serious complications such as diabetic ketoacidosis. Bradycardia (B) and hypotension (C) are not typical side effects of prednisone, as it tends to cause fluid retention and hypertension. Hyperkalemia (D) is also unlikely as prednisone can actually cause hypokalemia due to increased renal potassium excretion.

Question 4 of 5

A patient with atrial fibrillation is prescribed warfarin. Which laboratory test should the nurse monitor to assess the effectiveness of the medication?

Correct Answer: B

Rationale: The correct answer is B: Prothrombin time (PT)/INR. This is because warfarin is a medication that affects the clotting ability of the blood by inhibiting vitamin K-dependent clotting factors. PT/INR is the specific laboratory test used to monitor the effectiveness of warfarin therapy. PT measures how long it takes for blood to clot, while INR standardizes the PT results. Monitoring PT/INR helps to ensure that the patient is within the target therapeutic range for anticoagulation. Incorrect choices: A: Complete blood count (CBC) - CBC does not directly assess the effectiveness of warfarin therapy. C: Partial thromboplastin time (PTT) - PTT is used to monitor the effectiveness of heparin therapy, not warfarin. D: Serum potassium level - Monitoring serum potassium level is not directly related to assessing the effectiveness of warfarin therapy.

Question 5 of 5

What should the nurse include in patient teaching for a patient prescribed ceftriaxone for bacterial pneumonia?

Correct Answer: C

Rationale: Rationale: Ceftriaxone is an antibiotic used for bacterial pneumonia. Completing the full course is essential to completely eradicate the infection and prevent antibiotic resistance. Taking medication as prescribed is a general principle, but not specific to this medication. Urine color changes are not associated with ceftriaxone. Dairy products do not interact with ceftriaxone.

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