Extract:

Question 1 of 5

A nurse is caring for a patient who has a new prescription for lisinopril. Which of the following laboratory values should the nurse monitor? Which lab value should the nurse monitor for lisinopril?

A. Serum potassiumB. Serum calciumC. Serum magnesiumD. Serum chloride

Correct Answer: A

Rationale: Lisinopril can cause hyperkalemia, requiring potassium monitoring. Other electrolytes are less affected.

Question 2 of 5

A nurse is evaluating a patient who is suffering from prostatic hypertrophy. What symptoms associated with urinary retention should the nurse anticipate? What symptoms of urinary retention should the nurse anticipate?

A. Sensation of pressureB. DysuriaC. Bladder distensionD. Tenderness over the symphysis pubis

Correct Answer: A,B,C,D

Rationale: All listed symptoms (pressure, dysuria, distension, tenderness) are associated with urinary retention due to prostatic hypertrophy.

Question 3 of 5

A nurse is caring for a patient who has a new prescription for atorvastatin. Which of the following instructions should the nurse include? What instructions should the nurse include for atorvastatin?

A. Take the medication in the morning.B. Report muscle pain or weakness.C. Avoid foods high in vitamin K.D. Take the medication with grapefruit juice.

Correct Answer: B

Rationale: Reporting muscle pain or weakness is critical due to potential myopathy. Morning dosing, vitamin K, or grapefruit juice are incorrect.

Question 4 of 5

A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available? Which solution should the nurse infuse during TPN delay?

A. Lactated Ringer's.B. 0.9% sodium chloride.C. Sodium chloride.D. Dextrose 10% in water.

Correct Answer: D

Rationale: Dextrose 10% prevents hypoglycemia during TPN delay. Other solutions lack glucose.

Question 5 of 5

A nurse is providing discharge teaching for a patient who has a new prescription for warfarin. Which of the following instructions should the nurse include? What instructions should the nurse include for warfarin?

A. Avoid foods high in vitamin K.B. Take the medication in the morning.C. Increase intake of vitamin C.D. Use a hard-bristled toothbrush.

Correct Answer: A

Rationale: Avoiding vitamin K-rich foods prevents interference with warfarin's anticoagulant effect. Morning dosing, vitamin C, or hard toothbrushes are irrelevant.