pharm 2 exam 2 prep

What drug may be used to terminate supraventricular tachycardia?

Adenosine (Adenocard)

A nurse is preparing to discharge a female client newly prescribed warfarin (Coumadin). While assessing the client's knowledge of their drug, what would indicate that the client needs further instruction concerning her drug therapy?

"I take aspirin for my arthritis."

A 48-year-old client needs additional teaching regarding anticoagulants if the client states:

"I'll use aspirin for arthritis pain."

A client is being administered heparin IV and has been started on warfarin. The client asks the nurse why she is taking both medications. What is the nurse's most accurate response?

"Warfarin takes 3-5 days to develop anticoagulant effects, and you still need heparin."

A male client has called the clinic because he is taking digoxin and is concerned about his pulse rate. The nurse should tell the client to hold the medication if he reports a pulse rate of:

52 beats/minute.

A client is to take diltiazem (Cardizem) 360 mg/d PO in four divided doses. How many mg will the client take per dose?

90 mg

A female patient is taking warfarin (Coumadin) after open heart surgery. The patient tells the home care nurse she has pain in both knees that began this week. The nurse notes bruises on both knees. Based on the effects of her medications and the report of pain, what does the nurse suspect is the cause of the pain?

Bleeding

An asthmatic client on a beta blocker should be observed for which adverse reaction?

Bronchospasm

The nurse is caring for a client who takes an antidysrhythmic. What would be a priority nursing action before administering this drug?

Check the client's apical and radial pulses.

The nurse is caring for a client receiving lidocaine IV. Which factor is most relevant to administration of this medication?

Presence of premature ventricular contractions (PVCs) on cardiac monitor

An adult patient experiences premature atrial complex (PAC) on occasion (once every couple of hours) but remains hemodynamically stable. The patient expresses concern over the arrhythmia developing into a more fatal arrhythmia in the future. What is the most appropriate nursing diagnosis for this patient?

Deficient knowledge

The nurse assists and educates clients about blood pressure regulation. Based on this information, the nurse asks the client what the number 80 in the blood pressure 120/80 represents. Which response by the client demonstrates correct understanding of the basic concepts of blood pressure?

Diastolic pressure

The black box warning associated with warfarin concerns its risk of causing what condition?

Major or fatal bleeding

A patient is scheduled to have a pacemaker implanted. After the patient signs the consent, the patient asks the nurse several questions about the procedure and the expected therapeutic results. What would the nurse suspect as a possible reason for the insertion of a pacemaker?

Malfunction of the sinoatrial (SA) node

The effects of warfarin (Coumadin) are monitored by what laboratory test(s)?

PT and INR

When describing angina to a group of clients, what would be most accurate?

Pain due to lack of oxygen in the heart muscle

A client is admitted to the hospital with deep vein thrombosis. Heparin 10,000 units is administered Sub-Q. Which drug should always be available in the pharmacy if the client begins to bleed?

Protamine sulfate

Which factor would necessitate that the dosage of disopyramide (Norpace) be reduced?

Renal impairment

What are premature ventricular contractions?

Stimulation of the ventricles from an ectopic focus in the ventricles

Antiplatelet agents decrease the formation of the platelet plug by decreasing the responsiveness of the platelets to stimuli that would cause them to stick and aggregate on a vessel wall. Which drug is an antiplatelet agent? (Mark all that apply.)

Ticlopidine ReoPro

What laboratory value will the nurse prioritize when providing care for a client prescribed intravenous heparin?

aPTT

When caring for a client with a cardiac dysrhythmia, the most appropriate goal for the client is to maintain:

cardiac output.

A 51-year-old man is being discharged from the hospital following treatment with anticoagulants for a deep vein thrombosis. The nurse will instruct the client to:

consider safety measures to prevent bleeding and be alert for signs of bleeding.

A client is being discharged home on warfarin. The discharge teaching by the nurse should include a warning to avoid:

ginkgo.

A client has a myocardial infarction and has been diagnosed as having damage to the layer of the heart responsible for the pumping action. The nurse is aware that the damage is in the:

myocardium