Pharm 201: cardiovascular questions

a nurse is collecting data from an older adult client who has been taking digoxin for the past several months. for which of the following manifestations of digoxin toxicity should the nurse monitor?

anorexia

your 55 yr old pt is receiving both digoxin (lanoxin) and potassium supplements along with hydrochlorothiazide. when monitoring daily laboratory values, you know it is important for your pt to maintain which serum potassium level?

3.5 to 5.0 mEq/L

a nurse reviews a client's med hx for drugs that might interact with the client prescribed nitrate therapy. which of the following if administered with nitrates would the nurse identify as causing severe hypotension and possible cardiovascular collapse (SATA)

antihypertensive drugs, alcohol, Viagra beta blocker & calcium channel

A nurse is reviewing the morning laboratory results of electrolytes for four clients who are receiving digoxin. Which of the following clients should the nurse identify as being at risk for developing digoxin toxicity?

A client taking furosemide for chronic hypertension

A nurse is talking with a client who says she knows someone who take metoprolol for b/p and asks if the medication would be appropriate for her as well. which of the following data from the client medical record should the nurse identify as a contraindication to metoprolol?

a history of sinus bradycardia

the nurse is reinforcing discharge teaching with a client about a new prescription for furosemide. which of the following client statements indicates an understanding of the teaching?

I need to limit my sun exposure and wear sunscreen while on this medication

a nurse is reinforcing teaching with a client who has a prescription for Lisinopril. which of the following statements indicates an understanding of the teaching?

I will contact my provider if I become pregnant while taking this med

a nurse is preparing to administer spironolactone to a client. when reviewing the clients medical record, the nurse would be alert for the development of hyperkalemia if the client was also receiving which of the following?

Lisinopril (prinivil)

a nurse is preparing to administer digoxin to a client who has heart failure for which of the following findings should the nurse withhold the medication and report to the provider?

report of blurred vision

A nurse is collecting data from a client who is to start taking digoxin for heart failure. The nurse should instruct the client to avoid taking which of the following herbal supplements?

St. John's Wort

you're caring for a client with severe heart failure that has been started on a low-dose dopamine IV infusion. which of the following is an adverse effect of dopamine?

angina

you're reviewing the chart of a client that is asking about a prescription for propranolol to tx hypertension. You note which of the following conditions in the patients chart that is a contraindication to taking a non-selective beta blocker?

asthma

a nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client serum potassium level is 6.8 mEq/L. the nurse notifies the provider and anticipates that the provider will provide which of the following instructions?

avoid concurrent use cardiac monitoring

a nurse is collecting data from a client who has heart failure, prior to the administration of furosemide for which of the following findings should the nurse withhold the medication?

b/p of 80/40 mm/hg

a nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. which of the following foods should the nurse instruct the client to include in his daily diet?

bananas

a nurse is reinforcing teaching with a client who has hyperlipidemia and is taking atorvastatin daily. which of the following statements by the client indicates understanding?

baseline cholesterol, HDL, LDL and triglyceride levels, as well as liver and kidney function tests and monitoring them periodically during tx

the client receiving metoprolol at home for management of a ventricular dysrhythmia should monitor which of the following parameters?

blood pressure daily

A nurse is caring for a client who has hypertension and it to start taking atenolol. the nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

bradycardia

a nurse is collecting data from a client prior to the administration of digoxin. which of the following findings should the nurse report to the provider?

check pulse rate & rhythm before administering & document HR less than 60/min in adults, 70/min in child, 90/min in babies

A nurse is caring for a client who has heart failure and has been taking digoxin 0.25mg daily. The client refuses breakfast and reports nausea, which of the following actions should the nurse take first?

check the client's vital signs

nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. which of the following is the priority nursing action?

check the client's vital signs

you're caring for a pt prescribed Lisinopril for hypertension. you'll monitor the patient for which of the following adverse effects?

dry cough, hyperkalemia, hypotension

a female pt reports that she has frequent muscle cramps while on hydrochlorothiazide therapy. the nurse will advise her to..

eat potassium rich foods

a nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. which of the following instructions should the nurse give the client?

fold used patch with med area to the inside and discard in a closed receptable

A nurse is collecting data from a client prior to administering atenolol for which of the following findings should the nurse withhold the medication?

heart rate 50/min

a nurse is caring for an older adult client who has a prescription for captopril. for which of the following possible adverse effects should the nurse instruct the client to notify the provider immediately?

hyperkalemia, neutropenia, angioedema

a nurse is caring for a client who is taking furosemide. for which of the following adverse effects should the nurse monitor?

hypokalemia

You are administering lidocaine to a client with ventricular tachycardia. you know that you must observe for adverse effects including

hypotension

a nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. which of the following information should the nurse include in the teaching?

increase daily intake of foods high in potassium

you are reinforcing teaching with a client prescribed verapamil to control hypertension. you would include which of the following instructions?

increase the amount of fiber in the patient diet

a nurse is reinforcing teaching with a client who has a new prescription for sublingual nitroglycerin. which of the following instructions should the nurse include in the teaching?

lie down upon onset of chest pain

a nurse is reinforcing teaching with a client who is to start taking atorvastatin. the nurse should instruct the client that she will need which of the following baseline examinations prior to starting therapy?

liver function tests

a nurse is preparing to administer digoxin to a client who has heart failure. before administering this medication, which of the following actions should the nurse take?

measure the client's apical pulse

a nurse in a providers office is collecting data from a client who takes furosemide daily for heart failure. which of the following findings is a manifestation of hypokalemia?

reports of fatigue

a nurse is caring for a client who is receiving furosemide to tx heart failure. which of the following laboratory values should the nurse monitor for this client?

serum potassium

nurse is reinforcing discharge teaching with a client prescribed verapamil to tx angina. Which of the following instructions should the nurse include?

monitor for increased heart rate while taking this medication

a nurse is reinforcing teaching to a client who is to start using a nitroglycerine transdermal unit for angina. which of the following instructions should the nurse include?

monitor vital signs frequently and monitor adverse reactions

a nurse in a clinic is caring for a client who has heart failure and is taking digoxin. which of the following statements by the client indicates the client is experiencing digoxin toxicity?

my vision seems yellow

a nurse is collecting data from a client prior to administer nifedipine, for which of the following findings should the nurse contact the provider?

peripheral edema of the ankles

a nurse is reinforcing teaching for a client who has a new prescription for sublingual nitroglycerin. which of the following instructions should the nurse include?

place tab under tongue and allow to dissolve, store tab in their bottles in a cool dark place

a nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. which of the following laboratory values is a priority for the nurse to check before administering this medication?

potassium

nurse is caring for an older adult client who has a new prescription for spironolactone. which of the following laboratory values should the nurse monitor for this client?

potassium

a nurse is planning to administer digoxin to a client who has heart failure. which of the following laboratory results is the priority for the nurse to review prior to administering the medication?

potassium level

a nurse is reviewing the laboratory findings of a client who has liver failure with ascites. the client take spironolactone, which of the following findings is an adverse effect of the medication?

serum potassium 5.2

a nurse is reinforcing teaching with a client who has a prescription for simvastatin. which of the following instructions should the nurse provide?

take the med in the evening hours

a nurse is reinforcing teaching with a client who is about to start taking captopril to tx hypertension. which of the following instructions should the nurse include to help the client manage this medications adverse effects?

take the med on an empty stomach

a nurse is reinforcing teaching with a client who uses a nitroglycerin patch to tx angina. the client now has a new prescription for nitroglycerin sublingual tabs. which of the following instructions should the nurse include?

take the medication at the first indication of chest pain

a nurse is reviewing the medical record of a client who has been taking simvastatin for 9 months. the client has an alanine aminotransferase (ALT) 120 units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following data from the client's dietary hx should the nurse report to the provider?

the client drinks grapefruit juice every evening

a nurse is caring for a client who has a prescription for metoprolol. the nurse measures the clients vital signs and notes that the client apical heart rate is 49/min. the nurse should prepare to administer which of the following medications?

withhold med and notify provider

a nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily for heart failure. the client's current v/s are: Bp: 144/96, HR: 54/min, RR: 18/min, & temp: 98.6 degrees. which of the following actions should the nurse take?

withhold the digoxin dose for decreased heart rate