Cardiac medication quiz
A nurse is providing medication teaching to a client prescribed captopril. Which statements should be included to describe potential adverse effects? Select all that apply. "You can be expected to urinate more frequently." "Your diabetes medication will interfere with the effectiveness of captopril." "A decrease of blood pressure is expected." "Decreased heart rate warrants a call to the prescriber." "A persistent cough may develop."
"A decrease of blood pressure is expected." "A persistent cough may develop."
A client with a history of trans-ischemic attacks (TIAs) was prescribed aspirin several weeks ago. Which assessment question should the nurse ask to monitor the client for the medication's adverse effects? (Select all that apply.) "Have you experienced any dizziness?" Are you experiencing any heartburn or indigestion?" "Would you say your hearing has been affected?" "How have you been sleeping?" "Have you been testing your stool for occult blood?"
"Have you experienced any dizziness?" Are you experiencing any heartburn or indigestion?" "Would you say your hearing has been affected?" "Have you been testing your stool for occult blood?"
The nurse teaches the client how to use topical nitroglycerin and includes what points in the teaching plan? Select all that apply. "Rotate application sites." "Do not shower with the patch in place." "Increase fluid intake to avoid low blood pressure." "Make sure no one touches the side with the medication." "Assess the skin for signs of breakdown."
"Rotate application sites." "Make sure no one touches the side with the medication." "Assess the skin for signs of breakdown."
A client, diagnosed with heart failure, asks the nurse for further details about heart failure. Which statement is most accurate? "The use of digoxin will slow the heart rate to make your heart more efficient." "The administration of diuretics increases blood volume, causing symptoms to abate." "Heart failure can be caused by atherosclerotic plaque because of high-fat diets." "Hypothyroidism will result in decreased heart rate and development of heart failure."
"The use of digoxin will slow the heart rate to make your heart more efficient."
A male client presents to the health care provider's office for a regular visit. He takes nitrates on a regular schedule for his anginal episodes and has done so for 3 years. Which statement would the nurse expect from the client about the action of the nitrates? "They're causing dizziness, which I haven't experienced in the past." "They're causing increased chest pain and discomfort." "They do not work as well to manage my chest pain as they used to." "They eliminate my chest pain as they always have."
"They do not work as well to manage my chest pain as they used to."
A client presenting with which clinical situation is a candidate for enoxaparin therapy? A post-surgical hip replacement A post-surgical gastric resection Post non-Q-wave myocardial infarction History of atrial fibrillation History of unstable angina
A post-surgical hip replacement A post-surgical gastric resection Post non-Q-wave myocardial infarction History of unstable angina
A client has been diagnosed with hypertension following several elevated blood pressure readings. The nurse should prepare to educate the client regarding which likely drug regimen? Monotherapy with a loop diuretic Monotherapy with an ACE inhibitor A thiazide diuretic combined with a beta-blocker A beta-blocker combined with a calcium channel blocker
A thiazide diuretic combined with a beta-blocker
The nurse is caring for a male client in the emergency department who is experiencing a sudden onset of angina, rated as 8/10 on pain scale with blood pressure 88/50 mm Hg. Which is the priority action? Obtain cardiac isoenzymes. Assess if the client has taken sildenafil. Provide nitroglycerin 0.4 mg sublingual. Obtain vital signs.
Assess if the client has taken sildenafil.
A client of African descent is being treated for hypertension. What antihypertensive agent would the nurse expect to be prescribed? Calcium channel blocker Angiotensin II receptor blocker Beta-adrenergic blocker ACE inhibitor
Calcium channel blocker
What should the nurse educate the client and family about prior to discharge on warfarin (Coumadin)? Select all that apply: Do not take or stop taking other medication except on the advice of the health care provider. Take the drug at the same time every evening. Do not change brands of warfarin without consulting the health care provider. Consistent vitamin K intake is important. Inform the dentist of therapy with warfarin prior to any treatment or procedure.
Do not take or stop taking other medication except on the advice of the health care provider. Take the drug at the same time every evening. Do not change brands of warfarin without consulting the health care provider. Consistent vitamin K intake is important. Inform the dentist of therapy with warfarin prior to any treatment or procedure.
Which tasks should a nurse assist a client with in the ambulatory setting in regards to hypertensive management? (Select all that apply.) Schedules an appointment to see a cardiologist Finds local resources in the community for taking blood pressure Teaches client how to properly record weight and blood pressure Schedules regular monitoring of weight and blood pressure Schedules an appointment to see a nephrologist
Finds local resources in the community for taking blood pressure Teaches client how to properly record weight and blood pressure Schedules regular monitoring of weight and blood pressure
A patient newly diagnosed with hypertension has just been given a prescription for medication. What would be the most important outcome for this patient? A blood pressure of 120/80 A discussion with the client's insurance company about the cost of the drug Verbalization of why the client should take blood pressure medication Having taken the first dose of medication
Having taken the first dose of medication
The nurse is preparing to administer a scheduled dose of oral atenolol. Which assessment finding would prompt the nurse to withhold the medication? Select all that apply. Heart rate of 65 beats/min Blood pressure of 141/92 mm Hg Oxygen saturation of 90% on room air Heart rate of 54 beats/min Blood pressure of 88/49 mm Hg
Heart rate of 54 beats/min Blood pressure of 88/49 mm Hg
A client, age 55 years, is started on calcium channel blockers for anginal attacks. The nurse would assess the client for which reaction? Select all that apply. Jugular vein distention Loss of weight Breathing difficulty Increase in the pulse rate Peripheral edema
Jugular vein distention Breathing difficulty Peripheral edema
A nurse caring for a client with diabetes controlled on metformin (Glucophage) has recently begun taking a drug for edema. The nurse notices that the client's blood glucoses are increasing. Which of the following diuretics are likely to cause hyperglycemia? Select all that apply: Metolazone (Zaroxolyn) Furosemide (Lasix) Acetazolamide (Diamox) Chlorthalidone (Thalitone) Hydrochlorothiazide (Microzide)
Metolazone (Zaroxolyn) Chlorthalidone (Thalitone) Hydrochlorothiazide (Microzide)
When describing nitrates, which explanation of mechanisms would the nurse expect to include? Select all that apply. Nitrates depress myocardial contractility. Nitrates increase the lumen of the artery or arteriole. Nitrates increase the amount of blood flowing through the vessel. Nitrates slow the conduction velocity of the cardiac impulse. Nitrates relax the smooth muscle layer of blood vessels.
Nitrates increase the lumen of the artery or arteriole. Nitrates increase the amount of blood flowing through the vessel. Nitrates relax the smooth muscle layer of blood vessels.
Which nursing interventions should a nurse specifically perform for a client prescribed losartan? Select all that apply. Obtain blood pressure. Discuss lifestyle changes. Assess laboratory values. Review family history for seizures. Keep the head of bed elevated. Review allergy history.
Obtain blood pressure. Discuss lifestyle changes. Assess laboratory values. Review allergy history.
Indications for the nurse to administer heparin include what? Select all that apply. Prevention and treatment of venous thrombosis Prevention and treatment of pulmonary emboli Diagnosis and treatment of disseminated intravascular coagulation (DIC) Treatment of atrial fibrillation with embolization Treatment of hemophilia
Prevention and treatment of venous thrombosis Prevention and treatment of pulmonary emboli Diagnosis and treatment of disseminated intravascular coagulation (DIC) Treatment of atrial fibrillation with embolization
What drug is used for long-term management of angina pectoris caused by atherosclerosis? Diltiazem (Cardizem) Nifedipine (Procardia) Isosorbide dinitrate (Isordil) Propranolol (Inderal)
Propranolol (Inderal)
Prior to the administration of furosemide, a nurse should include which in the pre-administration assessment? Select all that apply: Pulse Urine specific gravity Complete blood count Weight Respiratory rate
Pulse Weight Respiratory rate
A nurse is caring for a client who has been diagnosed with hypertension. Which risks should be included in the teaching plan? Risk for heart attack Risk for hypothyroidism Risk for gastroesophageal reflux disease Risk for stroke Risk for diabetes Rick for kidney failure
Risk for stroke Risk for heart attack Rick for kidney failure
The nurse is providing education to a client recently diagnosed with hypertension. What event will the nurse identify as occurring with hypertension? Cardiac output increases and in turn causes an increase in blood pressure. Fluid loss increases blood volume in the client with hypertension. Decreased blood volume increases blood pressure. The kidneys excrete more fluid in response to increased blood pressure.
The kidneys excrete more fluid in response to increased blood pressure.
Prior to administering an anti-anginal drug, what should the nurse assess the client for? (Select all that apply.) Auscultates the heart Vital signs Physical appearance Auscultates the lungs Pain assessment
Vital signs Physical appearance Auscultates the lungs Pain assessment
When a nurse is obtaining a history from a client regarding anginal pain, what should be included? (Select all that apply.) Whether the pain radiates Events that relieve anginal pain Description of the pain Events that trigger anginal pain Duration of the pain
Whether the pain radiates Events that relieve anginal pain Description of the pain Events that trigger anginal pain
Each of the following clients has been prescribed an antihypertensive medication. Which clients should be given information about minimizing the risk of falls? Select all the apply. a client who exercises on a stationary bike 4 days a week a client who prefers showering to taking baths a client who began initial treatment 2 days ago a client who is currently having an adjustment made to medication dosage a client who sleeps with the head of the bed slightly elevated
a client who began initial treatment 2 days ago a client who is currently having an adjustment made to medication dosage
Which classes of medications are currently used as first-line treatments for heart failure? Select all that apply. angiotensin-converting enzyme inhibitors (ACEIS) beta blockers cardiotonics loop diuretics angiotensin II receptor blockers (ARBs)
angiotensin-converting enzyme inhibitors (ACEIS) beta blockers loop diuretics
A 51-year-old man is being discharged from the hospital following treatment with anticoagulants for a deep vein thrombosis. The nurse will instruct the client to: change the route of administration to intravenous if oral proves ineffective. alternate between the types of anticoagulant drugs in the therapy. consider safety measures to prevent bleeding and be alert for signs of bleeding. eat small amounts of food during drug administration.
consider safety measures to prevent bleeding and be alert for signs of bleeding.
A 71-year-old male client is hospitalized with pulmonary edema; he is discharged with a prescription for a loop diuretic. He presents to the health care provider's office 1 week later with symptoms indicating excessive diuresis. The nurse knows that this client is also at risk for which condition? Rebound hypertension Hypervolemia Embolism Gastric ulcer disease
embolism
A patient is receiving an ACE inhibitor. The nurse ensures that the patient's hydration status is maintained to prevent: ACE inhibitor toxicity Cardiac arrhythmias Excessive hypotension Renal failure
excessive hypotension
After administering a nitrate, the nurse would be alert for which reactions? Select all that apply. Flushing Blurred vision Headache Diarrhea Hypotension
flushing hypotension headache
A client is prescribed warfarin. Before administering the drug, the nurse checks the client's history for use of herbal remedies. Which herbal remedy if used by the client would increase the effects of warfarin? Select all that apply. green tea gingko biloba St. John's wort garlic ginseng
green tea gingko biloba garlic
The client has been taking hydrochlorothiazide for hypertension. Which manifestations would indicate the client is experiencing hyponatremia? Select all that apply. Confusion Lethargy Tachycardia Hypertension Hypotension
hypotension tachycardia confusion
A client has been prescribed metoprolol. The nurse should caution the client against abrupt cessation of treatment to avoid which undesired result? Select all that apply. pulmonary hypertension myocardial infarction a type IV hypersensitivity reaction angina ventricular hyperplasia
myocaridal infarction angina
Several forms of nitroglycerin have been developed to relieve acute angina pectoris, prevent exercise-induced angina, and decrease anginal episodes in frequency and severity. What characteristic of nitrate therapy can contribute to the ineffectiveness of the medication when prescribed via the oral route? Select all that apply. short duration of action rapid metabolism by the liver large doses reaching systemic circulation delayed pain relief slow onset of action
slow onset of action delayed pain relief rapid metabolism by the liver
The nurse is interviewing a client with a history of diabetes mellitus, obesity, and a recent myocardial infarction. What relevant assessment data should the nurse discuss with the client associated with coronary artery disease (CAD)? Select all that apply. typical A1C results cholesterol consumption history of insomnia experience of angina pain nicotine use
typical A1C results cholesterol consumption experience of angina pain nicotine use
