A nurse is caring for a client who has a new prescription for enalapril. The nurse should

monitor the client for which of the following adverse effects of this medication

hypotension

rationale: ACE drug, used to lower BP, can cause hypotension and postural hypotension, especially

during the first 3 hours of the initial dose

2.

A nurse is reinforcing teaching with a client who has a urinary tract infection and new

prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by

the client indicates a need for further teaching?

" I should notify my provider immediately if my urine turns orange"

rationale : phenazopyridine is a urinary tract analgesic used to relieve pain and burning

during urination. Medication can cause the client's urine to turn a reddish-orange color.

coloration can stain clothing this finding does not need to be reported to the provider.

3.

A nurse is caring for a client who has new diagnosis of oral candidiasis after taking

tetracycline for 7 days. The nurse should recognize that candidasis is a manifestation of

which of the following adverse effect ?

Superinfection

Rationale: superinfection can develop from the overgrowth of fungus due to the

antibacterial effect of tetracycline. The nurse should monitor the client for manifestations

of a superinfection, such as soreness of the mouth and a swollen tongue.

4.

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should

recognize that tamoxifen has which of the following therapeutic effects?

Antiestrogenic

Rationale: Tamoxifen is an antiestrogen medication used to treat cancer of the breast in

both pre-and postmenopausal women who are at an increased risk

5.

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which

of the following medications should the nurse plan to administer?

acetaminophen

rationale: Acetaminophen is an analgesic used for mild to moderate pain. It can be

administered to a client who has peptic ulcer disease because it does not affect blood

coagulation and does not increase the risk of GI bleeding.

6.

A nurse is caring for a client who has a prescription for chlorothiazide to treat

hypertension. The nurse should plan to monitor the client for which of the following

adverse effect?

muscle weakness

Rationale: Cholorthiazide is a thiazide diuretic used to treat hypertension and CHF. It

promotes excretion of water and sodium, and potassium, and can cause hypokalemia.

Manifestations of hypokalemia include muscle weakness, muscle cramps, and

dysrhythmias.

7.

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should

recognize that ergotamine is administered to treat which of the following conditions?

migraine headaches

rationale: ergotamine prevents or stops a migraine headache by blocking alpha-adrenergic

receptors in the cranial peripheral vascular smooth muscle, causes vasoconstriction of

dilated cerebral blood vessels.