A nurse is about to administer Lanoxin to a patient whose apical pulse is 48 beats/min. He or she should:

A 70-year-old man is being treated for chronic obstructive pulmonary disease (COPD) with theophylline (Theo-Dur). What will be a priority assessment by the nurse?

The nurse is caring for a client who has been taking an OTC cold remedy containing pseudoephedrine for the past 2 days. What assessment finding should the nurse most likely attribute to this medication?

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1.5 L IV to infuse over 6 hr.  The drop factor of the manual IV tubing is 20 gtt/mL.  The nurse should set the manual IV infusion to deliver how many gtt/min? Type numeric answer only, no label.

A resident of a long-term care facility has been prescribed furosemide 40 mg PO daily. When beginning this drug therapy, what are appropriate nursing actions? Select all that apply.

A pregnant patient has just been diagnosed with chlamydia at her 32 week check up.  It is determined that the benefits of treatment in pregnancy outweigh the risks of non-treatment. When the patient sees the prescription she states, “When I had a chlamydia infection before pregnancy I was treated with tetracycline and it worked really well.  I’d rather take tetracycline again since I know that it worked well instead of this new medication.”  What response by the nurse would be most appropriate?

A client with hypertension has been started on losartan. After 6 weeks of therapy, it is decided that the losartan alone is not controlling the client’s hypertension. What does the nurse anticipate will be added to the losartan regimen for better control of this client’s hypertension?

A nurse is preparing to administer famotidine 20 mg by intermitten IV bolus over 15 minutes. Available is famotidine 20 mg in 100 mL dextrose 5% (D5W).  The nurse should set the IV pump to deliver how many mL/hr? Type numeric answer only, do not label.

The nurse is caring for a client who is receiving IV gentamicin (an aminoglycoside) and who reports difficulty hearing this morning. What should the nurse do?

A client’s hypertension has not responded significantly to first-line therapies so the client has been prescribed aliskiren and spironolactone. In addition to blood pressure monitoring, what assessment should the nurse prioritize?