ATI Pharm Made Easy Cardiovascular System

Hyperuricemia Or increase uric acid levels along with Gowdy. Arthritis can occur clients who have a history of these conditions and are taking hydrochlorothiazide.

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

Hypokalemia

A nurse is assessing a client who is taking loop diuretics 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

Myopathy

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 places the client at an increased risk for which of the following adverse effects? A. Myopathy B. Hypoglycemia C. Irregular pulse D. Kidney failure

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

A nurse is caring for a client who has a GFR of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug? A. The drug can cause hypoglycemia and clients who have a low urine output. B. The drug does not reduce blood pressure for clients who have 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

Reserpine Severe depression is an increase risk for suicide are adverse effects of androgenic neuron blockers. These adverse effects develop because of the depletion of serotonin and Nora epinephrine, and can persist after clients discontinue, taking the drug.

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

Hyperkalemia, throat swelling, and cough

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? A. Hyperkalemia B. Throat swelling C. Constipation D. Cough E. Joint pain

MAOI, general anesthetic, tricyclic antidepressant, and beta blocker

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? A. ACE inhibitor B. MAOI C. General anesthetic D. Tricyclic antidepressants E. Beta blocker

NSAIDs These can interact with propanolol and decrease the anti hypertensive action, because vasoconstriction can occur in some Cox 2 inhibitors. The nurse should instruct the client to avoid taking NSAIDs and propanolol at the same time.

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 drugs while taking propranolol? A. Antihistamines B. Potassium supplements C. NSAIDs D. Vitamin C

Hypotension Large amounts can increase blood levels of verapamil by inhibiting metabolism. An excess amount of the drug in the body can intensify otherwise therapeutic effects like hypotension, causing serious risk for syncope and dizziness

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 verapamill because it can cause the client to experience which of the following conditions? A. Tachycardia B. Dehydration C. Diarrhea D. Hypotension

Second-degree AV block

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 headaches B. Pancreatitis C. Second degree AV block D. Angina pectoris

Rash, distorted taste, swelling of the tongue, and dry cough

A nurse is caring for a client who is abut 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?

Potassium 5.2 mEq/L Spironolactone is a diuretic and an aldosterone antagonist that can cause hyperkalemia and places the client at risk for cardiac dysrhythmias. This potassium level is outside the expected, reference range, and requires immediate intervention.

A nurse is caring for a client who is takin spirnolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values requires immediate intervention?

Raisins Or other dried fruits

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

Grapefruit juice Grapefruit juice, particularly, and large amounts can cause toxicity of potassium channel blockers such as amopdarone

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

Hypoglycemia 2 factors increase the clients risk for hypoglycemia. Alpha/ beta blockers, such as carvedilol, potentiate the hypoglycemic effects of insulin and oral hypoglycemic drugs. Also, can mask tachycardia in clients who have hypoglycemia. Carvedilol should be used with caution by clients who have diabetes mellitus

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 DM. 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

Antigen-binding fragments Also called digoxin immune fab, binds to digoxin and blocks its action. The nurse should prepare to administer this antidote IV to clients who has severe digoxin toxicity.

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. Deferixamine

Apply the patch to a hairless area and rotate sites Apply a new patch when you start your day Remove patches for 10 to 12 hours each day

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?

Facial edema

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 could indicate an adverse reaction to the drug and needs to be reported? A. Facial edema B. Sleepiness C. Peripheral edema D. Constipation

Muscle pain

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. Bronchoconstirction B. Muscle pain C. Lip numbness D. Somnolence

Simvastatin Is an hog-coA reductase inhibitor. It blocks synthesis of cholesterol by the body to help lower cholesterol levels

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

Report any new intolerance to fried foods Report muscle tenderness Expect periodic liver function testing

A nurse is teaching a client who has a new prescription for gemgibrozil. Which of the following instructions should the nurse include?

Headache Adverse effects of nitrates, such as nitroglycerin include headaches, which can be severe at the beginning of therapy, but decrease in severity with continued exposure to nitrates

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

"Monitor your pulse rate and report changes. Sodium channel blockers can worsen dysrhythmias or cause new ones. The nurse should teach the client to monitor their sodium pulse rate and report changes from prescribe parameters. It can be helpful to instruct the client to keep a written record of their pulse rate for the provider.

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. Medication can cause urinary incontinence.

Procainamide Is a sodium channel blocker and a broad spectrum antidysrhythmic. It should not be used for long term treatment of dysthymias because of its risk for serious adverse effects, including cardio toxicity and arterial embolism

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

Acute myocardial infarction Milirinone, a phosphoduesterase inhibitor, is contraindicated for clients who have had an allergic reaction to phosphodie inhibitors, and for clients who have an acute myocardial infarction, and aortic or pulmonary valve disorder

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