While ambulating, a client takes a dose of nitroglycerin spray for angina. Which action does the nurse take first? Interview the client about the pain. Obtain the client’s blood pressure. Obtain an electrocardiogram. Ask the client to sit down in a chair.v. Ask the client to sit down in a chair. “ Asking the client to sit down would be the first priority to maintain safety. The nurse would ask the client to sit down because nitroglycerin can result in a rapid drop in blood pressure, increasing the risk for a fall from syncope. Once the client is safe the nurse should provide education about sitting down when taking the first dose of nitroglycerin to prevent injury.A client who accidentally ingested 2 doses of prescribed digoxin 4 hours ago has a heart rate of 84 beats/min, a blood pressure of 130/70 mmHg, and an electrocardiogram (ECG) showing atrial fibrillation with a controlled rate. The client is alert and oriented x3. Which action should the nurse take next for the client? Monitor the ECG. Administer atropine. Give activated charcoal. Give digoxin immune FAB.© Monitor the ECG. “ The client with digoxin overdose may present asymptomatic initially, with toxicity developing over time. Cardiovascular symptoms, such as bradycardia, premature ventricular contractions, and arrhythmias, are commonly seen with digoxin toxicity.A client prescribed ziprasidone has Parkinson-like symptoms. The nurse examines the medication record for what medication that could reduce the Parkinson-like symptoms? Bethanechol Benztropine Levodopa Ropinirole© Benztropine “ Benztropine is an anticholinergic used to treat extrapyramidal symptoms in clients with Parkinson disease or clients taking antipsychotics.The nurse cares for a client with Paget disease who is prescribed zoledronic acid, 5 mg IV infusion over 15 minutes. Prior to starting the infusion, the nurse performs a physical assessment. Which finding most concerns the nurse? The client reports chronic fatigue. The client’s skin is flushed and warm. The client reports a cracked, painful tooth. The client’s spine has a lateral curvature.v. The client reports a cracked, painful tooth. “ Zoledronic acid is associated with osteonecrosis of the jaw. Osteonecrosis of the jaw can occur in clients taking antiresorptive medications. Most cases occur after a dental extraction. Clients should be encouraged to maintain good oral hygiene and have a dental exam, with appropriate treatment as needed, before receiving zoledronic acid.The nurse provides discharge instructions to a client admitted with depression. The client is prescribed phenelzine sulfate, 20 mg, three times per day. Which meal choice by the client indicates further education is needed about phenelzine sulfate? x A yogurt dessert with strawberries and wheat toast x A slice of pepperoni pizza with a side salad x A steak platter with a side of kale and potato x A tomato and spinach omelet with cottage cheesev. Aslice of pepperoni pizza with a side salad “ High-tyramine foods include avocados, fermented soy, figs, fermented or smoked and processed meats (pepperoni), dried or cured fish, aged cheeses, imported beers and chianti wine, and protein supplements, overripe fruit, such as raspberries, bananas, raisins, or prunes.A client taking valproate reports hair loss. Which action taken by the nurse is appropriate? Notify the healthcare provider immediately. Contact the provider and ask for the client to be given a prescription shampoo. Explain that this is an expected side effect. Tell the client not to worry and that it will grow back.© Explain that this is an expected side effect. “~ Common side effects of valproate include nausea, vomiting, alopecia, tremors, vertigo, fatigue, and thrombocytopenia.A client is prescribed chemotherapy. Which action does the nurse take to reduce nausea and vomiting? Ensure the client eats immediately prior to chemotherapy treatment. Perform relaxation and distraction techniques during chemotherapy. Administer prehydration prior to starting chemotherapy. Administer an antiemetic about 30 minutes before chemotherapy.© Administer an antiemetic about 30 minutes before chemotherapy. The best nausea control can be achieved by administering the prescribed antiemetic before chemotherapy begins—usually 30 to 60 minutes before.A client who has been taking 25 mg metoprolol twice daily for the past two years receives a checkup to monitor the drug’s effectiveness. The nurse monitors the client for what symptom indicating a possible drug tolerance? hypertension oliguria bradycardia weight gain© hypertension “ Beta blockers decrease blood pressure. A steady increase in baseline blood pressure may indicate the client is developing a tolerance to metoprolol.A nurse cares for a client with hyperthyroidism on propylthiouracil (PTU) for three months. The nurse watches the client for which adverse effect associated with PTU? agranulocytosis seizures polyuria constipation© agranulocytosis “ PTU causes abnormalities in the blood, including agranulocytosis, leukopenia, and thrombocytopenia. This may increase the risk of infection or bleeding to the client taking PTU.A client presents with acute, decompensated left heart failure (L-HF). The nurse prepares to administer a prescription for which medication? Carvedilol Dobutamine Metoprolol Diltiazemv¥. Dobutamine “ Dobutamine, an inotropic medication, is used for acute heart failure because it increases contractility and therefore cardiac output.