ATI Cardiovascular

A nurse is teaching client who has a new prescription for quinidine. Which of the following statements should the nurse include?

"Monitor your pulse rate and report changes." -- (Sodium channel blockers, like quinidine, can worsen dysrhythmias, or cause new ones. The nurse should teach the client to monitor their pulse rate and report changes from prescribed parameters. It can be helpful to instruct the client to keep a written record of their pulse0 rate for the provider.)

Nurses caring for a client was about to be in captopril therapy. Which of the following adverse effects should the nurse instructed client to report because it can indicate a need to discontinue drug therapy?

(ACE inhibitor): - Rash - Distorted taste - Swelling of the tongue - Dry cough

Nurses caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug which of the following instructions should the nurse include?

- "Apply the patch to a hairless area and rotate sites." - "Apply a new patch when you start your day." - "Remove patches for 10 to 12 hours each day."

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should she include?

- Because gemfibrozil, a fibrate, can cause gallstones, clients should monitor and report any new intolerance to fried foods, as well as any bloating or upper abdominal discomfort. - Because gemfibrozil, a fibrate, can cause myopathy, clients should monitor and report any unexplained muscle or joint pain. - Because gemfibrozil, a fibrate, increases the risk for liver toxicity, clients will require liver function testing while taking this drug.

A nurses caring for client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for watching the following findings as an adverse effect of the drug?

- Hyperkalemia -Aliskiren, a direct renin inhibitor, can cause elevated potassium levels, especially when taken in combination with an ACE inhibitor, potassium supplements, or potassium-sparing diuretics. The nurse should obtain a potassium level at baseline and periodically monitor the client's potassium level thereafter. - Aliskiren can cause angioedema, which is swelling of the mouth and throat. Clients who develop this adverse effect should stop taking the drug and seek medical attention. - Aliskiren, a direct renin inhibitor, can cause a cough.

Under should recognize that milrinone is contraindicated for a client who has which of the following conditions?

Acute myocardial infarction -- (a phosphodiesterase inhibitor, is contraindicated for clients who have had an allergic reaction to phosphodiesterase inhibitors and for clients who have an acute myocardial infarction and aortic or pulmonary valve disorders.)

Just came for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drug should the nurse expect to administer to treat this complication?

Antigen-binding fragments -- (also called digoxin immune Fab, binds to digoxin and blocks its action. The nurse should prepare to administer this antidote IV to clients who have severe digoxin toxicity.)

A nurses caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instructed the client to avoid taking this drug? - grapefruid juice - milk - foods high in Vit. K - NSAIDs

Grapefruit juice -- (in large amounts, can cause toxicity of potassium channel blockers, such as amiodarone.)

A nurse is administering hydrochlorothiazide to a client who is gouty arthritis. The nursing module client for which of the following findings that indicate an adverse effect of the drug? - hyperuricemia - hypernatremia - hyperkalemia - hypoglycemia

Hyperuricemia -- (Hyperuricemia, or increased uric acid levels, along with gouty arthritis, can occur in clients who have a history of these conditions and are taking hydrochlorothiazide.)

Nurses caring for a client whose taking carvedilol and has a prescription for an oral antidiabetic drug to manage the new diagnosis of type II diabetes mellitus.Are Taking both drugs concurrently, the nurse should identify that the client is and add an increased risk for which of the following conditions? - hyperglycemia - bradycardia - hypotension - hypoglycemia

Hypoglycemia -- (There are two factors that increase the client's risk for hypoglycemia. Alpha/beta blockers, such as carvedilol, potentiate the hypoglycemic effects of insulin and oral hypoglycemic drugs. Also, carvedilol can mask tachycardia in clients who have hypoglycemia. Carvedilol should be used with caution by clients who have diabetes mellitus.)

A nurse is assessing a client who is taking a loop diuretic and is experiencing thready, the regular pulse, orthostatic hypotension, and confusion.The nurse should identify that these manifestations indicate which of the following adverse effects? - hypokalemia - hypoglycemia - hypouricemia - hyponatremia

Hypokalemia -- (Manifestations of hypokalemia include a thready, irregular pulse, orthostatic hypotension, anxiety, confusion, skeletal muscle weakness, hypoactive bowel sounds, polyuria, nausea, and vomiting.)

A nurses caring for a client was a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client experience which of the following conditions? - tachycardia - dehydration - diarrhea - hypotension

Hypotension -- (Large amounts of grapefruit juice can increase blood levels of verapamil by inhibiting its metabolism. An excess amount of the drug in the body can intensify otherwise therapeutic effects like hypotension, causing serious risk for syncope and dizziness.)

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs?

MAOIs - can cause toxicity when clients take them while also taking dobutamine. This significantly increases the client's risk for tachydysrhythmias. General anesthetics - can cause dysrhythmias when clients take them while also taking dobutamine. Tricyclic antidepressants - can cause toxicity when clients take them while also taking dobutamine. This significantly increases the client's risk for tachydysrhythmias. Beta blockers (such as propranolol) - can decrease the effects of dobutamine.

A nurse is Providing teaching to a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reactions that could require discontinuing drug therapy?

Muscle pain -- (an HMG-CoA reductase inhibitor (statin), can cause myopathy or pain in muscles and joints that can progress to rhabdomyolysis. With this rare but serious adverse effect, muscle protein breaks down and is excreted, resulting in kidney damage.)

A nurses caring for a client who has a new prescription for propranolol to treated tachy-dysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over-the-counter drugs while taking propranolol?

NSAIDs -- (can interact with propranolol and decrease the anti-hypertensive action because vasoconstriction can occur in some COX-2 inhibitors. The nurse should instruct the client to avoid taking NSAIDs and propranolol at the same time.)

A nurses caring for a client was taking spironolactone to treat hypertension. The nurse should recognize that which of the following client lab values requires immediate intervention?

Potassium 5.2 mEq/L -- (Spironolactone is a diuretic and an aldosterone antagonist that can cause hyperkalemia and places the client at risk for cardiac dysrhythmias. This potassium level is outside the expected reference range of 3.5 to 5.0 mEq/L and requires immediate intervention.)

You should identify that which of the following drugs is used only for the short term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use?

Procainamide -- (a sodium channel blocker and a broad-spectrum antidysrhythmic. It should not be used for long-term treatment of dysrhythmias because of its risk for serious adverse effects, including cardiotoxicity and arterial embolism.)

A nurse is caring for a client who is taking a diuretic. The nurse instructed client to include which of the following foods in their diet to increase potassium intake? - raisins - cabbage - cheese - eggs

Raisins -- (Diuretics can deplete the body of potassium, so the nurse should instruct the client to include potassium-rich foods in their diet, such as raisins and other dried fruits.)

A nurses caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. the nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client?

Reserpine -- (Severe depression and an increased risk for suicide are adverse effects of adrenergic neuron blockers, such as reserpine. These adverse effects develop because of the depletion of serotonin and norepinephrine and can persist after clients discontinue taking the drug.)

A nurses caring for a client who is a new prescription for verapamil. The nurse should clarify this prescription with the provider if the client has a history of which of the following conditions?

Second-degree AV block -- (a calcium channel blocker, can affect AV conduction and is contraindicated for clients who have sick sinus syndrome or second- or third-degree AV block. Verapamil is indicated for hypertension, angina pectoris, and the management of atrial flutter and fibrillation. It is also prescribed for the management of migraine headaches.)

This Is reviewing new prescriptions with a client who has heart disease. The nurses and check the client that would do the following judges prescribed to treat hypercholesterolemia?

Simvastatin -- (an HMG-CoA reductase inhibitor. It blocks synthesis of cholesterol by the body to help lower cholesterol levels.)

A nurses is caring for a client who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug?

The drug does not promote diuresis for clients who have renal insufficiency. -- (Adequate kidney function is essential for clients who take hydrochlorothiazide, a thiazide diuretic, to promote urine production and effective excretion.)

A nurses providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to the drug and that's to be reported? - facial edema - sleepiness - peripheral edema - constipation

facial edema -- (Losartan, an angiotensin II receptor blocker, can cause angioedema, which often manifests as swelling around the eyes and lips. Clients who develop this adverse effect should stop taking the drug and seek medical attention.)

The nurses teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug?

headache -- (Adverse effects of nitrates, such as nitroglycerin, include headaches, which can be severe at the beginning of nitrate therapy but decrease in severity with continued exposure to nitrates.)

A nurses caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects?

myopathy -- (When taking a statin drug, it is important to know that concurrent use of fibric acid derivatives, such as gemfibrozil, or other drugs to lower cholesterol, can increase the risk for myopathy.)