Page 1803 - Saunders Comprehensive Review For NCLEX-RN

2. Osteoporosis
3. Hypokalemia

4. Hypouricemia

5. Hyperglycemia

6. Hypercalcemia

633. The home health care nurse is visiting a client with coronary artery disease
with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL
(10 mmol/L). The client is taking cholestyramine, and the nurse teaches the
client about the medication. Which statement by the client indicates the need
for further teaching?
1. “Constipation and bloating might be a problem.”
2. “I’ll continue to watch my diet and reduce my fats.”
3. “Walking a mile each day will help the whole process.”
4. “I’ll continue my nicotinic acid from the health food store.”
634. The nurse is monitoring a client with heart failure who is taking digoxin.
Which findings are characteristic of digoxin toxicity? Select all that apply.
1. Tremors
2. Diarrhea

3. Irritability

4. Blurred vision

5. Nausea and vomiting

635. Prior to administering a client’s daily dose of digoxin to treat heart failure,
the nurse reviews the client’s laboratory data and notes the following results:
serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L
(0.4 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine,
0.9 mg/dL (79.5 mcmol/L). Which result should alert the nurse that the client
is at risk for digoxin toxicity?
1. Serum calcium level
2. Serum potassium level
3. Serum creatinine level
4. Serum magnesium level
636. The nurse administered intravenous bumetanide to a client being treated for
heart failure. Which outcome indicates that the medication has achieved the
expected effect?
1. Cough becomes productive of frothy pink sputum.
2. Urine output increases from 10 mL/hr to greater than 50 mL
hourly.
3. The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8 to
3.1 mmol/L).
4. B-type natriuretic peptide (BNP) factor increases from 200 to
262 ng/mL (200 to 262 mcg/L).
637. Intravenous heparin therapy is prescribed for a client with atrial fibrillation.

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