pharm chapter 17,18,19
fats are necessary in the development of the fetus
a patient who has recently become pregnant asked why she must stop taking her prescribe statin drugs. What is your best response
hold the dragon notify the prescriber
a patient who is prescribed digoxin is experiencing nausea, vomiting, and blurred vision. What is the nurses best action
blocks the number of electrical impulses passing through the AV node, increases the strength of heart contractions
a patient with an irregular and rapid heart rate is dizzy, lightheaded, and short of breath. How will administration of digoxin treat this dysrhythmia
a heart transplant
a patient with heart failure asks the nurse what treatment would cure the failure. What comment by the nurse is correct
Simvastatin (Zocor) 5mg by mouth every evening
a patient's LDL level is very high. Which drug and drug dosage would you teach the patient is best to correct this very high LDL level
Cholestyramine (Questran)
a pediatric nurse is caring for a child prescribed a lipid-lowering medication. What lipid-lowering medication can cause intestinal obstructions in children
tachycardia
after administration of a true pain to a patient, what common side effect associated with this drug would the nurse expect
take your magnesium with a full glass of water, you can take your magnesium right after a meal to decrease the nausea, always take your magnesium with food or snack to avoid gastrointestinal symptoms, good food sources of magnesium include green leafy vegetables and almonds
an adult patient prescribed magnesium 400 mg by mouth daily tells you he has nausea after taking this drug. What should you teach the patient about taking this drug
Amiodarone (Cordarane)
an emergency department nurse is caring for a patient with ventricular tachycardia. What drug is the first-line drug that would be given to this patient
hold the drug and notify the prescriber immediately
an older adult patient who is prescribed atorvastatin (Lipitor) tells you that she is experiencing more muscle aches and states, I'm just getting old. What should you do
hold the drug and notify the prescriber immediately
an older adult prescribed atorvastatin (Lipitor) for familial hyperlipidemia tells you that he is having leg cramps. What is your best action
fibrates
avoid grapefruit juice while taking
take with food, avoid salt substitutes, call the prescriber if muscle twitching or weakness occurs
the nurse is discharging a patient with a prescription of potassium supplement. what points are important for the nurse to teach this patient
decrease the blood sugar levels, increase the blood sugar levels, mask symptoms of hypoglycemia
the nurse is giving a beta blocker to a patient with diabetes. What actions do beta blockers have on glucose in patients with diabetes
Ezetimibe (Zetia)
the nurse is giving a cholesterol absorption inhibitor to a patient who is also taking a Statin. Which cholesterol absorption inhibitor can be taken with statins, but at least two hours before or 4 hours after bile acid sequestrants
they are given when ACE inhibitors cannot be given
the nurse is giving a patient with heart failure a vasodilator. What is the reason why this medication is being given
fatigue, decreased appetite or anorexia, nausea vomiting
the nurse is giving digoxin to a newly admitted Telemetry patient with heart failure. What are possible side effects of digoxin
dyspnea, breathlessness
the nurse is performing an assessment on a patient admitted with left heart failure. What symptoms the nurse most likely to find
bile acid sequestrants
the nurse is reviewing a different class of lipid-lowering drug. What class Works directly on fats in the intestines
St John's Wort
the nurse is reviewing a patient's current list of Home medications. What over-the-counter herbal supplement can cause decreased blood levels of quinidine (Quinidine Sulfate)
instruct the patient to take aspirin 325 mg 15 to 60 minutes before taking the drug
the outpatient prescribed niacin one gram 3 times a day experiences flushing and hot flashes when taking this drug. What is your best action
give the drug as prescribed
what action must you take for a patient who is prescribed flecainide (Tambocor) 100 mg orally every 12 hours and whose heart rate is 72 beats per minute
notify the dental surgeon that the patient is taking niacin on a daily basis
what action should you take for a patient prescribed niacin who needs dental surgery
itching and nasal inflammation
what are the most common side effects of nicotinic acid drugs
make positive Lifestyle Changes
a patient prescribed lipid-lowering drug is being discharged. Which important information is essential for the nurse to teach this patient
hold the drug and notify the prescriber immediately
a patient taking a Statin drug has elevated liver function test. What is your best first action
GI symptoms
a patient was given a class Ia sodium channel blocker. The nurse knows that what side effect is expected in 30% to 50% of all patients who take this truck
take a mild headache pain relievers such as acetaminophen
a patient who has been taking a nitroglycerin patch for several days reports a headache. What is the best advice the nurse should give this patient
it will decrease the fluid and sodium in your blood and tissues
a patient who has just been prescribed enalapril (Vasotec) for heart failure ask you how the drug will work. What is your best response
Nesiritide (Natrecor)
a heart failure patient with shortness of breath and edema is prescribed a naturally occurring hormone. What hormone medication is most often given
it blocks the effects of adrenaline on the heart
a nurse is administering a beta blocker to a patient admitted with heart failure. What is the primary action of this drug
it allows more time for The ventricle to fill
a nurse is administering digoxin to a patient recently admitted with heart failure. What action best describes how this drug works in the body
notify your surgeon or dentist that you are taking Niacor before any surgery or dental work
a nurse is discharging a patient with a prescription for an immediate release from niacin Niacor. What instructions is most important to teach this patient
ventricular fibrillation
a nurse on a Telemetry unit is reviewing patient rhythms. Which dysrhythmia will cause death within minutes if not corrected
they decrease the absorption of cholesterol by the body
a patient asks you how ezetimibe (Zetia) lowers blood lipid levels. What is your best response
it will keep your heart in a normal rhythm
a patient asks you why amiodarone (Cordarane) has been prescribed for atrial fibrillation. What is your best response
by rapid IV push
a patient has a new order for adenosine (Adenocard). the nurse knows that this drug is most effective when administered by what route
this drug loses its Effectiveness when it is used continuously
a patient has recently started on nitroglycerin ointment one in every 6 hours. The patient asked you why the patch is removed at night. What is your best response
bile acid sequestrants
a patient is being discharged with a prescription for a lipid lowering drug. What class of lipid lowering drugs may require a daily vitamin supplement to be taken along with them
wear gloves, use a special ruled paper, tape the special ruled paper in place
a patient is being discharged with a prescription of nitroglycerin ointment. Which actions are important for the nurse to teach the patient about this medication
take the dose now
a patient is concerned about forgetting to take the morning dose of digoxin and it is now lunch time. What should you tell the patient
pain at the IV site, redness at the site, warm at site, swelling at the site
a patient is receiving dobutamine (Dobutrex) 0.5 mcg/kg/ min by IV. which manifestations indicate an infection at the IV site
listen to the apical heart rate for a full minute
before administering a dose of digoxin, which action is essential
hold the medication
before administering a patient's dose of digoxin, you assess an apical heart rate of 56. What should you do next
liver
besides the food we eat, from where does our body get cholesterol
IV, intra-osseous, endotracheal tube
by which routes made the antidysrhythmic drug atropine be given
symptomatic bradycardia
for which dysrhythmia does the nurse anticipate administration of IV atropine
dizziness
for which side effect do you monitor after giving the class IC antidysrhythmic drug propafenone (Rythmol)
confusion
for which symptom do you monitor for an older adult patient receiving intravenous lidocaine for frequent premature ventricular contractions
it slows down a heart rate that is too fast, it increases the force of contraction of each heartbeat
how does the cardiac glycoside digoxin work to improve cardiac output
Digoxin (Lanoxin®)
older adults are more sensitive to the effects of many heart failure drugs. Which drug is more likely to cause toxicity in older adults
Torsades de pointes
pt's taking (Quinidine Sulfate) Quinidine can develop what abnormal life-threatening ventricular rhythm
bronchospasms
the ER nurse is about to administer propafenone (Rythmol) to a patient. What important condition should the nurse assess for before giving this drug to the patient
it treats symptomatic bradycardia
the Telemetry nurse just administer day Japan to a patient. What is the effect of atropine on the heart
60 to 100 electrical pulses per minute to the heart
the normal pacemaker of the heart is the SA node, which initiates
apnea
the nurse is administering nesiritide (Natrecor) to a patient. What life-threatening adverse effect must the nurse watch for after administering this drug
obtaining a complete list of all medications the patient is taking, observing for a heart rate below 60 beats per minute, asking the monitor Watcher to describe the patient's heart rhythm
the nurse is assessing a patient who has been prescribed an anti dysrhythmic drug. What interventions are most important before giving this type of drug
increased heart rate, increased stroke volume
the nurse is assessing a patient's cardiac output. What factors can increase cardiac output
bradycardia, weakness and drowsiness, difficulty breathing and wheezing, mental depression
the nurse is caring for a patient who has been recently prescribed a beta blocker. What side effects or adverse effects are commonly associated with beta blockers
SA node
the nurse is caring for a patient with complete heart block and is reviewing the anatomy of the heart. Which cardiac pacemaker initiates a heart rate of 60-100 beats per minute
Angiotensin converting enzyme ACE inhibitors, vasodilators, Angiotensin II receptor blockers
the nurse is caring for a patient with heart failure who has a problem with increased afterload. What medication would the nurse expect the prescriber to order
listen apically with a stethoscope, feel the radio artery with two fingers, count the Beats for a full minute, use a clock or watch with a second hand
the nurse is discharging a patient who had a heart attack. What method should the nurse help the patient learn to accurately measure heart rate
shortness of breath develops
the nurse is discharging a patient who is taking amiodarone (Cordarone). the nurse should instruct the patient to contact the prescriber immediately if what symptoms occur
keep the tablet and place under your tongue until it dissolves, you should experience a tingling sensation, which indicates that the drug is potent, If you experience a headache, acetaminophen can be taken for Relief, a decrease in blood pressure can be a side effect of this drug
what are the most important teaching points for a patient what are the most important eating points for a patient who will go home with subliminal nitroglycerin to be used as needed for chest pain
this drug should not be taken while breastfeeding
what do you teach a woman prescribed niacin (Niacor) who is planning to become pregnant and breastfeed her baby
tachycardia
what is a common side effect of atropine
check the IV site for patency and signs of infection
what must you do before giving any antidysrhythmic drug by the IV route
a tingling sensation tells you that the drug is potent
what must you teach a patient about how to take sublingual nitroglycerin
monitor for changes in heart rate
what priority action do you take after giving a patient a dose of sotalok (Betapace) 80 mg orally every 12 hours
monitoring your intake and output is important while you are receiving this drug
what should you teach the patient who has recently been prescribed nesiritide by IV infusion
irregular heart rhythm, shortness of breath, heart rate less than 60 beats per minute
what symptoms would you teach patients to report to the prescriber immediately for a prescription for tocainide (Tonocard)
take his or her radio pulse for a full minute
what will you teach the patient to always do before taking his or her dose of digoxin
30 minutes before meals
when should you teach a patient to take a fibrate drug
increased risk for Falls
when you administer a vasodilator drug to an older adult, what is the primary risk
chest pain, lightheadedness, syncope, shortness of breath
which are common symptoms of dysrhythmias
birth defects, longer than usual pregnancy, poor bone development in the child, stillbirth
which conditions May develop when a pregnant woman takes a calcium channel blocker during pregnancy
Ezetimide
which drug is a cholesterol absorption inhibitor
Isosorbide
which drug produces more venous vasodilation than arterial vasodilation
baked potatoes, tomato puree, winter squash, lima beans
which foods are good sources of the electrolyte potassium
almonds, black beans, soybeans
which foods will you teach patients are good sources of magnesium
fibrates
which group of antihyperlipidemic drugs works best to lower triglycerides
radial
which pulse site should you teach the patient to use to monitor his or her heart rate
have you experienced any constipation
which question would you be sure to ask a patient before giving a bile acid sequestrant drug
constipation
which side effect is commonly developed by patients taking the class LA antidysrhythmic drug disopyramide (Norpace)
erectile dysfunction
which side effect of beta-blockers may cause a younger male to not take this dose
I take it along with breakfast in my morning medications
which statement made by patient about when he or she takes prescribed colestipol (Colestid) granules indicates a need for further teaching
brown urine
which symptom indicates an adverse effect of a Statin medication
weak peripheral pulse, pulmonary congestion, hacking cough that is worse at night, crackles in the lungs
which symptoms will you likely see in a patient with left heart failure
statin
which type of cholesterol-lowering drug may be prescribed with a cholesterol absorption inhibitor
nicotinic acid doses are usually started low and gradually increased
you are providing teaching to a patient who has been prescribed nicotinic acid (Niacor). what information should you be sure to include in the teaching plan
