PHARM Cardiovascular System

A healthcare provider has just prescribed losartan for a patient to treat hypertension. Which adverse reaction to the drug should the patient report to the provider? a. Facial edema b. Sleepiness c. Peripheral edema d. Constipation

a. Facial edema

A health care professional is caring for a patient who is about to begin captopril (Capoten) therapy to treat hypertension. When talking with the patient about taking the drug, the health care professional should tell her to report which of the following adverse effects because they can indicate a need to stop drug therapy? a. Rash b. Distorted taste c. Swelling of tongue d. photosensitivity e. Dry cough

a. Rash b. Distorted taste c. Swelling of tongue e. Dry cough

a nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? a. acute MI b. peripheral vascular disease c. ulcerative colitis d. ventricular tachycardia

a. acute MI

a nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. which of the following should the nurse instruct the client to avoid while taking this drug? a. grapefruit juice b. milk c. foods high in vitamin K d. NSAIDs

a. grapefruit juice

a nurse is teaching a client who has a new prescription for nitroglycerin. the nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug? a. headache b. constipation c. hypertension d. hyperglycemia

a. headache

a nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. the nurse should monitor the client for which fo the following findings as an adverse effect of the drug? (select all that apply) a. hyperkalemia b. throat swelling c. constipation d. cough e. joint pain

a. hyperkalemia b. throat swelling d. cough

a nurse is administering hydrochlorothiazide to a client who has gouty arthritis. the nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug? a. hyperuricemia b. hypernatremia c. hyperkalemia d. hypoglycemia

a. hyperuricemia

a nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. the nurse should identify that these manifestations indicate which of the following adverse effects? a. hypokalemia b. hypoglycemia c. hypouricemia d. hyponatremia

a. hypokalemia

a nurse is teaching a client who has a new prescription for quinidine. which of the following statements should the nurse include? a. monitor your pulse rate and report changes b. remain upright for 30 min after taking this med c. the med can decrease digoxin levels d. this med can cause urinary incontinence

a. monitor your pulse rate and report changes

a nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. the nurse should recognize the this drug combination place the client at an increased risk for which of the following adverse effects? a. myopathy b. hypoglycemia c. irregular pulse d. kidney failure

a. myopathy

a nurse is caring for a client who is taking a diuretic. the nurse should instruct the client to include which fo the following foods in their diet to increase potassium intake? a. raisins b. cabbage c. cheese d. eggs

a. raisins

a nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. the nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client? a. reserpine b. captopril c. hydralazine d. eplerenone

a. reserpine

a nurse is reviewing new prescriptions with a client who has heart disease. the nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia? a. simvastatin b. furosemide c. losartan d. nitroglycerin

a. simvastatin

a nurse is caring for a client who has a new prescription for dobutamine. the nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs? (select all that apply) a. ACE inhibitor b. MAOI c. general anesthetic d. tricyclic antidepressant e. beta blocker

b. MAOI c. general anesthetic d. tricyclic antidepressant e. beta blocker

A health care professional is caring for a patient who is about to begin taking simvastatin (Zocor) to treat hyper cholesterolemia. The health care professional should tell the patient to report which of the following indications of a serious adverse reaction that could warrant stopping drug therapy? a. bronchoconstriction b. muscle pain c. lip numbness d. somnolence

b. muscle pain

a nurse is caring for a client who is taking spironolactone to treat hypertension. the nurse should recognize that which of the following client laboratory values requires immediate intervention? a. sodium 140 mEq/L b. potassium 5.2 mEq/L c. chloride 100 mEq/L d. magnesium 1.9 mEq/L

b. potassium 5.2 mEq/L

a nurse should identify that which of the following drugs is used only for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use? a. quinidine b. procainamide c. nitroglycerin d. verapamil

b. procainamide

a nurse is teaching a client who has a new prescription for gemfibrozil. which of the following instructions should the nurse include? (select all that apply) a. take the drug with food b. report any new intolerance to friend foods c. report muscle tenderness d. expect periodic liver fxn testing e. take the drug once each day

b. report any new intolerance to friend foods c. report muscle tenderness d. expect periodic liver fxn testing

a nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. the nurse should instruct the client to avoid taking which of the following types of OTC duress while taking propranolol? a. antihistamines b. K supplements c. NSAIDs d. Vitamin C

c. NSAIDs

a nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. which of the following drugs should the nurse expect to administer to treat this complication? a. acetylcysteine b. flumazenil c. antigen-binding fragments d. deferoxamine

c. antigen-binding fragments

a nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. when speaking to the client about the drug, which of the following instructions should the nurse include? (select all that apply) a. apply a new patch at the onset of anginas pain b. apple the patch to dry skin and cover the area with plastic wrap c. apply the patch to a hairless area and rotate sites d. apply a new patch when you start your day e. remove patches for 10 to 12 hrs ea day

c. apply the patch to a hairless area and rotate sites d. apply a new patch when you start your day e. remove patches for 10 to 12 hrs ea day

A nurse is caring for a client who has a new prescription for verapamil. the nurse should clarify the prescription with the provider if the client has a history of which of the following conditions? a. migraine b. pancreatitis c. second-degree AV block d. angina pectoris

c. second-degree AV block

A health care professional is caring for a patient who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The health care professional should question the use of hydrochlorothiazide for the patient because of which of the following characteristics or the drug? a. can cause hypoglycemia in clients who have a low urine output b. doesn't reduce BP for clients who have a low urine output c. can increase the mis of pulmonary edema for clients who have renal insufficiency d. doesn't promote diuresis for clients who have renal insufficiency

d. The drug does not promote diuresis for patients who have renal insufficiency

a nurse is caring for a client who is taking carvedilol and has a prescription for an oral anti diabetic drug to manage their new diagnosis of type 2 diabetes mellitus. by taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions? a. hypergycemia b. bradycardia c. hypotension d. hypoglycemia

d. hypoglycemia

a nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. the nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? a. tachycardia b. dehydration c. diarrhea d. hypotension

d. hypotension