pharm cardiac quiz

1. An older adult patient is taking a sustained-release antihypertensive drug. What is the nurse's priority teaching point about this medication?

"Swallow the drug whole and do not to cut, crush, or chew it.

A patient who is on a ventilator has been declared brain dead. A family member asks the nurse how the heart 1. can still function if his father's brain is dead. What statement is an appropriate response by the nurse?

"The heart is self-controlled and does not depend on the brain to beat."

1. The nurse reviews the patient's medical history and determines class II antiarrhythmics are contraindicated due to the patient's history of what condition?

- Asthma

1. A nurse is caring for a neonate born with a congenital heart anomaly. To better help the parents understand the impact of this disorder, the nurse begins by describing the usual flow of blood through the heart which takes what course?

- Oxygenated blood from the lungs enters the left atrium through the pulmonary veins.

1. The nurse explains the normal conduction pathway to the patient and evaluates the patient understood when they provide what description of the conduction pathway in the heart?

- SA node to AV node to bundle of His to Purkinje fibers

What common action do both cardiac glycosides and phosphodiesterase inhibitors have in common related to therapeutic action

- increasing cellular calcium

1. A 6-year-old child weighing 60 pounds has been prescribed oral digoxin (Lanoxin) 30 mcg/kg as a loading dose. How many milligram will she be given?

0.818 mg

1. The nurse is caring for a patient whose blood pressure is 120/78. What is the pulse pressure?

42

1. You are caring for a patient who takes an antiarrhythmic agent. What would be a priority nursing assessment before administering this drug?

Assess pulses and blood pressure.

1. What electrolyte inactivates troponin and allows actin and myosin to form a bridge enabling the muscle fibers to contract?

Calcium

1. What class of antiarrhythmic drug blocks potassium channels prolonging phase 3 of the action potential and slowing the rate of conduction of the heart?

Class 3

A triage nurse in the emergency department is assessing a 78-year-old man. It is determined that the patient is experiencing severe digoxin toxicity. What drug will the nurse administer immediately?

Digoxin immune Fab (Digibind)

1. The nurse explains how the myocardium receives oxygen to the new graduate nurse beginning work in the constant care unit; she tells the new nurse the coronary arteries receive blood when?

During diastole

The nurse prepares to administer a phosphodiesterase inhibitor by what route?

IV

1. The patient has a diagnosis of atherosclerosis. When a branch of the coronary artery becomes completely blocked, what event will the nurse expect to occur?

Myocardial infarction

1. A patient taking diltiazem (Cardizem) for hypertension has come to the clinic for a follow-up appointment. What adverse effects would the nurse assess the patient for?

Peripheral edema and bradycardia

1. The nurse is providing drug teaching for a patient who is prescribed enalapril (Vasotec). What drug specific adverse effect will the nurse include in the drug teaching?

Persistent cough

1. When a drug is said to increase the force of contraction of the heart muscle, the nurse appropriately uses what term?

Positive inotropic

1. A 54-year-old man has a myocardial infarction, resulting in left-sided heart failure. The nurse caring for the man is most concerned that he will develop edema in what area of the body?

Pulmonary

1. The nurse assesses the patient before administering digoxin (Lanoxin) and withholds the drug and notifies the physician with what finding?

Pulse is 44 beats/min

1. The nurse is caring for a patient who has been noncompliant with treatment for hypertension. The nurse explains that untreated hypertension increases the risk of what? (Select all that apply.)

Renal disease Cerebral infarction Heart failure

A nurse is caring for a client receiving lidocaine I.V. Which factor is most relevant to administration of this medication?

Runs of ventricular tachycardia on a cardiac monitor

A Stepped Care Management approach to treating hypertension includes weight loss, smoking cessation, decreased use of alcohol, salt in the diet, and increased physical exercise. In which step of a Stepped Care Management approach are these prescribed?

Steps 1, 2, 3 and 4

1. The nurse is caring for a patient with severe coronary artery disease (CAD) who is experiencing chest pain because the oxygen demand exceeds supply. What forces could potentially be lowered to reduce oxygen consumption? (Select all that apply.)

Stretch on the ventricles Heart rate - Afterload and Preload where not options but were answers online.

1. The nurse is caring for a science professor with hypertension who asks for a more complete explanation of blood pressure. The nurse begins by explaining that the phase when the ventricle contracts and ejects blood out into the aorta is known as what?

Systole

1. A patient, diagnosed with heart failure, would like the nurse to explain what the diagnosis means. How will the nurse explain heart failure?

The heart muscle cannot pump effectively causing a backup of blood.

The nurse explains that the reason the left ventricle is so much larger than the right ventricle is what

The left ventricle needs to pump blood through the entire body.

1. The nurse is preparing digoxin for an infant. What is the nurse's priority intervention?

To have another nurse check dosage calculations

1. The nurse administers a cardiac glycoside for what therapeutic effect?

To increase the force of the contraction of the heart

When the nurse is caring for a patient with a cardiac arrhythmia, the priority goal for the patient is what?

To maintain cardiac output

1. The nurse is assigned to watch the cardiac monitors in the constant care unit and notes four different patients displaying arrhythmias. Which arrhythmia is the nurse's highest immediate priority?

Ventricular fibrillation

1. The nurse is caring for a patient with chronic renal failure. The patient asks the nurse how his kidney disease causes hypertension. What is the nurses best response?

When blood flow to the kidney declines, cells in the kidney release renin.

What is the nurse's priority to assess before giving a female patient her prescription for an angiotensin II-receptor blocker (ARB)?

When was your last menstrual period (LMP)?"