Pharm Cardiac

A nurse is preparing to administer Losartan to a patient for the management of hypertension. The nurse understands that Losartan works by:

blocking the action of angiotensin II.

(Captopril) Mechanism of Action?

ACE inhibitor

(Digoxin) Antidote for digoxin toxicity?

Immune Fab

A patient follows up in a clinic after having been prescribed furosemide for congesitve heart failure. Which of the following statements made by the patient is of greatest concern?

" My mouth is always really dry and I have had a fever for the past couple of days."

A nurse is teaching a patient who has been newly prescribed Nitroglycerin for the management of stable angina pectoris. Which of the following statements should the nurse include in the patient teaching?

"This medication helps to open up your vessels."

Digoxin is:

A cardiac glycoside

(Digoxin) Signs of toxicity include nausea, visual disturbances, and ....?

Anorexia (sata)

(Captopril) Concurrent use of diuretics with Captopril leads to:?

First-Dose Hypotension

A nurse is preparing to administer Digoxin to a patient with congestive heart failure. The nurse understands that this medication works by:

Inhibiting sodium-potassium ATPase .

(Furosemide) Red Flag?

K+ 3.0 mEq/L (too low)

(Digoxin) yields a:

Positive Inotropic Effect

(Furosemide) K+ 2.9 mEq/L

U-Waves (hypokalemia)

A nurse is assessing a client prior to administering metoprolol (Lopressor). Which of the following findings should prompt the nurse to withhold the medication?

Heart rate 46/min

A nurse is teaching a patient who has been newly prescribed hydrochlorothiazide for the management of hypertension. Which of the following statements should the nurse include in the lesson plan?

"Get up slowly to minimize your risk for falling."

A nurse is providing teaching to a client who has a new prescription for Lisinopril. Which of following patient statements indicates an understanding of the teaching?

"I should report a cough to my provider."

(Thiazide) Complications?

Hypercalcemia

(Captopril) Complications include: angioedema, dry cough and...?

Hyperkalemia

(Metoprolol) Is contraindicated in patients with?

Sinus Bradycardia

A nurse is teaching a geriatric patient who has been newly prescribed metoprolol. Which of the following patient statements indicates correct understanding of the medication?

"This medication may cause day time sleepiness."

(Captopril) Concurrent use of Captorpil and Aspirin may lead to:?

A decrease in the antihypertensive effect of Captopril

A nurse is caring for a patient taking furosemide for the management of hypertension. The patient also takes a low dose of aspirin (an NSAID) to prevent thrombotic events. Which of the following is a possible effect from a drug-to-drug interaction?

A decrease in the effectiveness of furosemide.

A nurse is caring for a patient who has newly been prescribed Metoprolol PO for the control of hypertension. Which of the following patient assessments would be of greatest concern? ( Select all that apply.)

Apical Pulse: 47 The patient uses Albuterol SABA for EIB.

(Metoprolol) Mechanism of Action?

Beta 1 selective adrenergic antagonist.

(Initial Diuretic Screening) Includes?

CMP (bc of sodium and potassium)

(CMP) Red flag?

Ca+ 8.4 mg/dL (can be caused by furosemide)

(Spironolactone) Complications?

Deepened Voice

(Digoxin) administered in the presence of hypokalemia leads to:

Digoxin Toxicity

(Furosemide) Complications?

Digoxin Toxicity

A nurse is caring for a patient who has been newly prescribed Captopril. The nurse understands that the provider may:

Discontinue diuretic use for the next 2-3 days.

(Captopril) With the initial administration of Captopril, diuretics must be:

Discontinued for 2-3 days

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium.

(Furosemide) Do you avoid or encourage bananas?

Encourage Bananas (bc furosemide causes hypokalemia)

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 2.9 mEq/L. The nurse should monitor the client for which of the following complications?

Flattened T-Waves

(Furosemide) Lab result of K+ 3.1 mEq/L : Expected Manifestations

Leg cramps

(Captopril) Concurrent use of Captopril and Lithium may lead to:?

Lithium Toxicity

(Furosemide) (Concurrent use of Furosemide with Lithium) Priority Nursing Measure?

Monitor lithium levels

A nurse is preparing to administer furosemide to a patient for the management of hypertension. The nurse performs a medication reconciliation. Which of the following medications would be of greatest concern?

NSAIDS (reduced blood flow to kidneys)

(Furosemide) CMP Red Flag

Na+ 115 mEq/L

(Metoprolol) MOA: Negative Dromotropic effect, Negative Chronotropic effect AND..?

Negative Inotropic Effect

(Metoprolol) May be discontinued over?

One to two WEEKS

A nurse is caring for a client who has heart failure and a new prescription for spironolactone. For which of the following adverse effects should the nurse monitor?

Peaked T waves on the ECG monitor.

(Losartan) Safe or non-safe for pregnancy?

Pregnancy Risk Category D

A nurse is caring for a patient taking furosemide for the management of hypertension. The patient is concurrently taking digoxin for the management of a secondary cardiac condition. Which of the following lab results places the patient at greatest risk for digoxin toxicity?

Serum potassium 3.2 mEq/L

A nurse is caring for a patient who has been newly prescribed Losartan for the management of hypertension. Which of the following findings would cause the nurse to be concerned? (Select all that apply.)

The patient has a history of a left-sided nephrectomy The patient is seven months pregnant.

(Losartan) The Mechanism of action involves?

Vasodialation

(Nitroglycerin) is a?

Vasodialator

A nurse is performing a preoperative assessment. A patient reports taking spironolactone to treat their heart failure. Which of the following laboratory results would the nurse monitor ?

complete metabolic panel

A nurse is reviewing the complete metabolic panel for a patient who takes hydrochlorothiazide for the management of hypertension. The nurse understands that the complications associated with this medication include: (Select all that apply.)

hyperuricemia hypomagnesemia hyperlipidemia