pme-cardiac1

A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? (select all that apply) A. Report muscle pain to the provider. B. Avoid taking the medication with grapefruit juice. C. Take the medication in the early morning. D. Expect a flushing of the skin as a reaction to the medication. E. Expect therapy with this medication to be lifelong.

A, B, E A) Report muscle pain to the provider is correct. Myopathy is an adverse effect of simvastatin that can lead to rhabdomyolysis, so it should be reported to the provider. B) Avoid taking the medication with grapefruit juice is correct. When taken with grapefruit juice, simvastatin increases the risk of muscle injury from elevations in creatine kinase. E) Expect therapy with this medication to be lifelong is correct. If medication therapy is discontinued, cholesterol levels will return to their pretreatment range within several weeks to months.

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 minutes after taking this medication." C. "This Medication can decrease digoxin levels." D. "This medication can cause urinary incontinence."

A. "Monitor your pulse rate and report changes."

A nurse should recognize that milrinone is contraindicated or a client who has which of the following conditions? A. Acute myocardial infection B. Peripheral vascular disease C. Ulcerative colitis D. Ventricular tachycardia

A. Acute myocardial infarction

You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the adverse effects of amiodarone, you advise the client to watch for and report which of the following?(select all that apply) A. Cough B. Blurred vision C. Dizziness D. Sore throat E. Fever

A. Cough B. Blurred vision C. Dizziness E. Fever

A nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings would indicate an adverse reaction to the drug and needs to be reported? A. Facial edema B. Sleepiness C. Peripheral edema D. Constipation

A. Facial edema

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 of 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 on 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. Hyperkalemia B. Hypoglycemia C. Hypouricemia D. Hyponatremia

A. Hypokalemia

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that 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 of 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 is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy?(Select all that apply) A. Rash B. Distorted taste C. Swelling of the tongue D. Photosensitivity E. Dry cough

A. Rash B. Distorted taste C. Swelling of the tongue E. Dry cough

A nurse is caring for a client who has a depressive disorders 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 or 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

A nurse is assessing a client who is taking atorvastatin (Lipitor). For which manifestation should the nurse specifically assess? A. Constipation and hemorrhoids B. Flushing and postural hypotension C. Fatigue and dysrhythmias D. Muscle pain and weakness

D. Muscle pain and weakness

You are talking with a client who is taking losartan for hypertension. She ask you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk? A. Macrosomia B. Fetal Injury C. Gestational diabetes D. Thromboembolic disease

B. Fetal Injury

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 nurse is providing teaching to a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy? A. Bronchooconstiction B. Muscle pain C. Lip numbness D. Somnolence

B. Muscle pain

A nurse is caring for client who 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 mE/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

The nurse administers a medication, that is a digitalis derivative. Which nursing assessment is essential before administering this medication? A. Blood pressure B. Pulse rate C. Level of consciousness D. Respiratory rate

B. Pulse Rate

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions?(Select all that apply) A. Take the drug with food B. Report any new intolerance to fried foods C. Report muscle tenderness D. Expect periodic liver function testing E. Take the drug once each day

B. Report any new intolerance to fried foods C. Report muscle tenderness D. Expect periodic liver function testing

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 anginal pain" B. "Apply 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 hours each 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 hours each day."

You are administering lidocaine, 50 mg via IV bolus, to a client with a ventricular dysrhythmia. You monitor the client for which adverse reactions to lidocaine? A. Metabolic alkalosis B. Hypertension C. Tachycardia D. Paresthesias

D. Paresthesias

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A) "I can apply the patch to a chest area that has hair." B) " I can take this medication if using an erectile dysfunction product." C) "I will remove the patch after 14 hours." D) "I need to apply a new patch to the same area every day."

C) "I will remove the patch after 14 hours." The client should remove the patch after 12 to 14 hr to prevent tolerance of the medication.

A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective? A. The client has an increase in urinary output. B. The client reports an improvement in memory. C. The client has a decrease in blood pressure. D. The client reports having an increase in libido.

C) The client has a decrease in blood pressure. Atenolol, a beta-adrenergic blocking agent, lowering blood pressure by decreasing peripheral vascular resistance

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 anginal pain" B. "Apply 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 hours each 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 hours each day."

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 serve digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat her complications? A. Acetylcysteine B. Flumazenil C. Antigen-binding fragments D. Deferoxamine

C. Antigen-binding fragments

The nurse is administering an antihypertensive medication to a patient. Which patient adaptation should the nurse identify as an excessive response to the antihypertensive? A. Oral temperature of 98 degrees F B. Heart rate of 60 bpm C. Blood pressure of 80/60 mm Hg D. Respirations of 24 per minute

C. Blood Pressure of 80/60 mmHg

You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmic therapies. You anticipate that the primary care provider might try which drugs whose off-label use includes refractory atrial dysrhythmias? A. Propranolol (inderal) B. Lidocaine (xylocaine) C. Flecainide (tambocor) D. Amiodarone (cordarone)

C. Flecainide (tambocor)

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 over-the-counter drugs while taking propranolol? A. Antihistamines B. Potassium supplements C. NSAIDs D. Vitamin C

C. NSAIDs

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 the following conditions? A. Migraine headaches B. Pancreatitis C. Second-degree AV block D. Angina Pectoris

C. Second-degree AV block

The nurse is preparing to administer an injection of heparin. What is the preferred site for this injection? A. Arm B. Leg C. Buttock D. Abdomen

D. Abdomen

A nurse is caring for a client who is taking carvedilol and has a prescription or an oral antidiabetic 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. Hyperglycemia B. Bradycardia C. Hypotension D. Hypoglycemia

D. Hypoglycemia

A nurse is providing teaching to a client who is to start taking lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? A) Hair loss B) Ringing in the ears C) Facial flushing D) Dry cough

D) Dry cough A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead to life-threatening consequences. The client should report the finding to the provider.

A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for the client because of which of the following characteristics of the drug? A. The drug can cause hypoglycemia in clients who have a low urine output B. The drug does not reduce blood pressure for clients who have a low urine output C. The drug can increase the risk of pulmonary edema for clients who have renal insufficiency D. The drug does not promote diuresis for clients who have renal insufficiency

D. The drug does not promote diuresis for clients who have renal insufficiency

A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for the client because of which of the following characteristics of the drug? A. The drug can cause hypogylcemia in clients who have a low urine output B. The drug does not reduce blood pressure for clients who have a low urine output C. The drug can increase the risk of pulmonary edema for clients who have renal insufficiency D. The drug does not promote diuresis for clients who have renal insufficiency

D. The drug does not promote diuresis for clients who have renal insufficiency

A nurse is caring for an older adult who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? a. phenytoin b. verapamil c. warfarin d. aluminum hydroxide

verapamil