life or death or both ppQ

_______ may occur with drugs that promote the dilation of veins or that prevent the veins from constricting.

postural hypotension

loss of ____ increases risk of digoxin induced dysrhymias

potassium

A patient is prescribed hydralazine. What is most important for the nurse to teach the patient? Precautions for postural hypotension Prevention of reflex tachycardia High initial dose for slow acetylators Recognition of hypertrichosis

prevention of reflex tachycardia

What is the antidote for heparin? Ferrous sulfate Atropine sulfate Protamine sulfate Magnesium sulfate

protamine sulfate

A patient is prescribed a medication that lowers the arterial blood pressure. The nurse should assess for which response by the body to restore the blood pressure? Orthostatic hypotension Fluid retention Reflex tachycardia Increased natriuresis

reflex tachycardia

A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate treatment with this medication? Activated partial thromboplastin time (aPTT) Prothrombin time (PT) Platelet count Hemoglobin and hematocrit

Activated partial thromboplastin time (aPTT)

During administration of alteplase [Activase], the patient's IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate? Discontinue the infusion of alteplase. Assess the patient's vital signs. Apply direct pressure over the puncture site. Administer aminocaproic acid [Amicar].

Apply direct pressure over the puncture site.

Cholestyramine has been prescribed for a patient. Which instruction should the nurse include in patient teaching? Cholestyramine can impair absorption of fat-soluble vitamins. Stop taking the drug if you develop constipation. Take cholestyramine with other drugs you are prescribed to enhance absorption. Do not take the medication if the formula is cloudy after mixing with water.

Cholestyramine can impair absorption of fat-soluble vitamins.

A patient with severe hypertension is prescribed minoxidil. Which medications will the nurse expect to be administered to reduce adverse responses to minoxidil? Adenosine [Adenocard] and ticlopidine [Ticlid] Furosemide [Lasix] and propranolol [Inderal] Digoxin [Lanoxin] and captopril [Capoten] Donepezil [Aricept] and clonidine [Catapres

Furosemide (lasix) and propranolol

the nurse cares for patient with asthma who uses an albuterol inhaler, the nurse is most concerned if the patient makes what statement?

I can use my inhaler as often as needed

A nurse instructs a patient about signs and symptoms of digoxin toxicity. The nurse determines that teaching is successful if the patient makes which statement? "If my heart is racing, the dose may be too high." "I should report any muscle weakness or nausea." "My doctor should be notified if diarrhea occurs." "The dose will be reduced if I develop memory loss."

I should report any muscle weakness or nausea

morphine oxygen nitorglycerin asprin

MONA

Which patient does the nurse identify as most likely needing an increased dose of warfarin [Coumadin] to have the same anticoagulant effect? Patient taking acetaminophen [Tylenol] for back pain Patient taking cimetidine [Tagamet] to prevent gastric ulcers Patient taking oral contraceptives to prevent pregnancy Patient taking prednisone [Deltasone] for rheumatoid arthritis

Patient taking oral contraceptives to prevent pregnancy

_____ causes selective activation of beta 1 adrenergic receptors. INDICATED ONLY FOR TREATMENT of heart failure

dobutamine

_____ dilates renal blood vessels and improves renal perfusion aka YOU SHOULD be peeing more

dopamine

Which patient is the most appropriate candidate for both lifestyle changes and drug therapy with an antihypertensive medication? A 47-year-old patient with blood pressure of 110/78 mm Hg and with type 2 diabetes mellitus A 76-year-old patient with blood pressure of 128/88 mm Hg and a history of dyslipidemia A 52-year-old patient with blood pressure of 136/89 mm Hg who smokes 1 pack of cigarettes per day A 32-year-old patient with blood pressure of 142/94 mm Hg who is sedentary

a 32 year old patient with blood pressure of 142/94mm hg who is sedentary

Which patient would the nurse expect to have the highest risk for postural hypotension? A patient who is prescribed a drug that acts primarily on the arterioles A patient who is prescribed a drug that blocks the renin-angiotensin-aldosterone system A patient who is prescribed a drug that triggers the baroreceptor reflex A patient who is prescribed a drug that promotes venous vasodilation

a patient who is prescribed a drug that promotes venous vasodilation

Which patient would most likely be prescribed sodium nitroprusside [Nitropress]? A patient with a recent diagnosis of essential hypertension A patient with heart failure who receives weekly home visits A patient who is hypotensive after a myocardial infarction A patient with a hypertensive crisis in the intensive care unit

a patient with hypertensive crisis in the intensive care unit

A patient with stage 2 hypertension has been prescribed a thiazide diuretic and an angiotensin-converting enzyme inhibitor. It is most appropriate for the nurse to do what? Contact the health care provider. Administer both drugs to the patient. Administer the thiazide diuretic at bedtime. Hold the medications if the blood pressure is normal.

administer both drugs to the patient

an increase in ______ (or arterial blood pressure) will decrease stroke volume and cardiac output.

afterload

drugs that lower the arterial pressure will trigger the _________

baroceptosr relex

A patient has hypertension, type 2 diabetes, and chronic kidney disease. Which blood pressure goal would be most beneficial for this patient? Blood pressure less than 140/90 mm Hg Diastolic blood pressure less than 100 mm Hg Blood pressure less than 130/80 mm Hg Systolic blood pressure less than 160 mm Hg

blood pressure less than 100mg hg

A patient diagnosed with heart failure has stage 1 hypertension. Which medication, if ordered by the health care provider, should the nurse question? Angiotensin-converting enzyme inhibitor Calcium channel blocker Thiazide diuretic Beta blocker

calcium channel blocker

a patient with heart failure should not receive

calcium channel blockers

After an intramuscular injection of penicillin, the patient develops severe difficulty breathing and a swollen tongue. Which medication should the nurse prepare to administer? A. Dopamine (Inotropin) B. Epinephrine (Adrenalin) C. Norepinephrine (Levophed) D. Pseudoephedrine (Sudafed)

epinephrine is the drug of choice for patient in anaphylactic shock

______ is usually combined with a beta blocker to protect against reflex tachycardia

hydralazine

The nurse cares for a patient receiving digoxin [Lanoxin]. What indicates to the nurse that treatment with this medication is effective? Improved cardiac output Reduced exercise tolerance Increased body weight Decreased cardiac contractility

improved cardiac output

a patient is receiving dopamine (inotropic) for the treatment of shock, what would indicate to the nurse the medication is effective?

increase urine output

A patient's cardiac output is 8 liters per minute. Which hemodynamic effect would the nurse expect? Decreased contractility Increased stroke volume Decreased preload Increased arterial pressure

increased stroke volume

MONA is used for

myocardial infarction/STEMI

a patient with type 2 diabetes is diagnosed with stable angina. which beta blocker if prescribed by a physican should the nurse question?

nadolol (cogard) because its a non selective betablocker

a patient is receiving a drug that blocks alpha adrenergic receptors, which adverse effect if experienced by the patient is of most concern to the nurse

orthostatic hypotension

A patient is prescribed a medication that causes venous dilation. It is most important for the nurse to teach the patient about what? B-natriuretic peptide Postural hypotension Increased urination Intermittent claudication

postural hypotension

A patient is prescribed digoxin [Lanoxin] and furosemide [Lasix]. It is most important for the nurse to assess which value before administering these medications? Serum sodium Blood urea nitrogen Serum potassium Plasma B-natriuretic peptide

serum potassium

______ is used to treat hypertensive emergencies, and you would do continuous monitoring of BP

sodium nitroprusside

The nurse cares for a patient with a digoxin level of 1.9 ng/mL. Which action would be most appropriate for the nurse to take initially? Start continuous heart monitoring. Check the patient's serum creatinine. Administer digoxin as prescribed. Give Fab antibody fragments [Digibind].

start continuous heart monitoring

a patient is started on a dobutamine infusion for the treatment of acute decompensated heart failure. The nurse should assess the patient or the major adverse effect of dobutiamine therapy which is what?

supra ventricular tachycardia

the nurse instructs a patient about doxazosin (cladural) which statement by the patient to the nurse indicates an understanding of the instructions

the medication should be taken tonight before I go to bed

oral contraceptives decrease the effect of what

warfarin

A patient is prescribed lovastatin [Mevacor]. The nurse will teach the patient to take the medication at which time? With any meal With the evening meal 1 hour before breakfast 2 hours after a meal

with the evening meal