cardio pharm ati questions

2) A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? A. Remove the patch each evening B. Cut each pathch in half if angina attacks are under control C. Take off the nitroglycerin patch for 30 min if a headache occur. D. Apply a new patch every 48 hr.

A

2) A nurse is caring for a client who received IV verapamil to treat supraventricular tachycardia (SVT). The client pulse rate is now 98/min and his blood pressure is 74/44 mg Hg. The nurse should anticipate a prescription for which of the following IV medicatoins? A. Calcium gluconate B. Sodium bicatbonate C. Potassium Chloride D. Magnesium sulfate

A

1) A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nures include in the teaching A. Take this medication in the evening B. Change position slowly when rising from chair. C. Maintian a steady intake of green leafy veg D. Consume no more than 1L/day of fluid

A

5) A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? A. Contract provider if heart rate is less than 60/min B. Check pulse rate for 30 seconds and multiply results by 2 C. increase intake of sodium. D. take wiht food if nausea occurs.

A

5) A nurse is teaching a client who has angina how to use nitrogulcerin transdermal ointment. The nurse should include which of the following instructions? A. "remove the prior dose before applying a new dose." B. "Rub the ointment directly into your skin until it is no longer visible." C. "Cover the applied ointment wiht a clean gauze pad." D. "Apply the ointment to the same skin area each time."

A

3) A nurse is taking a med history form a client who has angina and is to begin taking ranolazine. The nurse should report which of the following medications in the client's history that can interact with ranolazine? (Select all that apply) A. Digoxin B. Simvastatin C. Verapamil D. Amlodipine E. Nitroglucerin transdermal patch

A , B , C,

4) A nurse is providing teaching to a client who has a new precription for digoxin. The nurse should instruct the clinet to monitor and report which of the following aderse effects that is a manifestation digoxin toxicity? (Selcet all that apply) A. Fatigue B. Constipatoin C. Anorexia D. Rash E. Diplopia

A , C , and E

1) A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is condtraindication for taking propranolol. A. Asthma B. Glaucoma C. Hypertension D. Tachycardia

A -- Propranolol is a nonselective beta-adrenergic blocker. These recptors in the lungs causes bronchoconstriction.

2) A nurse is teaching a client who has a new prescription for verapamil to control hypertention. Which of the following instructions should the nurse include? A. Increase the amount of dietary fiber in the diet B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet D. Withhold food for 1hr after the medication is taken

A -- increasing dietary fiber intake can help prevent constipation.

5) A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension (select all that apply) A. Simvastatin B. Hydrochlorothiaszide C. Phenytoin D. Clonidine E. Aliskiren

B , D , and E

3) A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication A. Lowered heart rate B. increased myocardial contractility C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessels

B --

2) A nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognuze that concurrent use of which of the following medications places the client at risk for digoxin toxicity. A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide

B -- this is a calcium-channel blocker, can increase levels of digoxin

5) A nurse is caring for a clinet who has a new presctiption for niacin to reduce cholesterol. The nurse should monitor for which of the following finding as an adverse effects of niacin (select all that apply) A. Muscle aches B. Hyperglycemia C. Hearing loss D. Flushing of the skin E. Jaundice.

B, D, E

4) A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication (select all that apply) A. Hypertension B. Windened QRS complex C. Narrowed QT interval D. Easy bruising E. Swollen jounts

B, D, and E

1) A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toxicity? A. Light yellow urine B. Report of tinnitus C. Productive cough D. Blue-gray skin discoloration

C

2) A nurse is collecting data from a client who is taking gemfibrizil. Which of the following assesssment findings should the nurse ID as an adverse reaction to the medication? A. mental status chanages B. Tremor C. Jaundice D. Pneumonia

C

4) A nures is completing a nursing history for a client who takes simvastatin. The nurse should ID which of the following disorders as a contraindication to adding ezetimibe to the client's meds? A. History of severe constipation B. History of hypertension C. Acive hepatitis C D. Type 2 diabetes mellitus

C

5) A nurse preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take? A. Hold propranolol for an apical pulse greater than 100/min B. Administer propranolol to increase the clinet's bp C. Assist the cilent when she sits up or stands after taking this medication. D. Check for hypokalemia frequenly due to the risk for propranolol toxicity.

C

1) A nurse is a provider's office is monitoring serum electrolutes for four older adult client who take digoxin. Which of the following electrolute values increase a client's risk for digoxin toxicity A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq/L

C -- below the expected reference range

4) A nurse is an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensice crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia

C -- can alter mental status changes can occur with this drug when high does are given via IV

3) A nurse is caring for a client who a new prescription for captopril for hypertension. The nurse should monitor the clinet for which of the following adverse effects of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia

C -- is a serious adverse effect that can occur in clinets taking an ACE inhibitor.

1) A nurse is teaching a client who has angina pectoris and is learnign how to treat acute anginal attacks. The clinet asks "What is my next step if I take one tablet, wait 5 min, but still have anginal pain?" Which of the following presponses should the nurse make? A. "Take two more sublingual tablet at the same time." B. "Call the emergency response team" C. "Take a sustained-release nitrogulcerin capsule." D. "Wait another 5 min then take a second sublingual tablet."

D

3) A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following finding is a manifestation of digoxin toxicity? A.Bruising B. Report of metallic taste C. Muscle pain D. Report of anorexia

D

3) A nurse is teaching a client who is taking digoxin and has a new prescription for colesevelam. Which of the following instruction should the nurse include in the teaching? A. "Taking digoxin with your morning dose of colesevelam." B. "Your sodium and potassium levles will be monitored periodically while taking colesevelam C. "Watch for bleeding or bruising while taking colesevelam." D. " Take colesevelam with food and at least one glass of water."

D

4) A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medication should the nurse expect to administer? A. Furosemide B. Captoril C. Ranolazine D. Metoprolol

D