Pharm- Cardiac

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include? Take this medication in the evening Change position slowly when rising from a chair Maintain a steady intake of green, leafy vegetable Consume no more than 1 L/day of fluid

Take this medication in the evening

A nurse is caring for an older adult client who has a new prescription for digoxin and takes several other medications. Concurrent use of which of the following medications places the client at risk for digoxin toxicity? Warfarin Verapamil Phenytoin Aluminum Hydroxine

Verapamil

A nurse is taking a medication history from a client who has angina and a new prescription for ranolazine. Which of the following medications in the client's history can interact with ranolazine? (select all that apply) Amlodipine Verapamil Nitroglycerin transdermal patches Simvastatin Digoxin

Verapamil Simvastatin Digoxin

While talking with a patient who it taking captopril (Capoten) to treat hypertension, which of the following instructions should you include to help her manage the drug's adverse effects? check your heart prior to taking the drug' wear sunscreen and protective clothing while outdoors do not use salt substitutes to season your food take the drug on an empty stomach

Do not use salt substitutes to season your food

A nurse is collecting data from a client who has severe heart failure and is receiving a low-dose dopamine infusion. Which of the following findings is an adverse effect of dopamine? Increase in blood pressure Decrease in heart rate Abdominal Pain Angina

Angina

A nurse is reviewing the health record of a client who asks about taking propranolol to treat hypertension. Which of the following is a contraindication for taking propranolol? Glaucoma Hypertension Asthma Tachycardia

Asthma

A nurse is reinforcing teaching with a client who has angina pectoris and is learning how to treat acute anginal attacks. The client asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? Wait another 5 minutes. Then take a second sublingual tablet Take two more sublingual tablets at the same time Call the emergency response team Take sustained-release nitroglycerin capsule

Call the emergency response team

A nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include? Increase intake for sodium Check pulse rate for 30 seconds and multiply the result 2 Take the medication with food if you develop nausea Contact the provider for heart rate less than 60/min

Contact the provider for heart rate less than 60/min

You are caring for a patient who is taking oral amiodarone (Cordarone) to treat atrial fibrillation. You should advise the patient to watch for and report which of the following? (select all that apply) cough blurred vision dizziness sore throat fever

Cough Blurred Vision Dizziness Fever

A nurse is contributing to the plan of care for a client who has a new prescription for torsemide. The nurse should suggest monitoring for which of the following as adverse effects of this medications? (select all that apply) Dehydration Hypokalemia Ototoxicity Hypernatremia Hypotension

Dehydration Hypokalemia Ototoxicity Hypotension

Recognizing the potential for drug interaction between diuretic, furosemide (Lasix), and the cardiac glycoside, digoxin (Lanoxin) the provider should plan to monitor the patient for which of the following? Hyperkalemia Ototoxicity Digoxin Toxicity Hypoglycemia

Digoxin Toxicity

The provider prescribes quinidine gluconate (Quinaglute Dura-tabs) as an oral antidysrhythmic agen. You should question the use of quinidine for a patient taking digoxin) (Lanoxin) due to a possible drug interaction that can result in which of the following? Liver Toxicity Quinidine Toxicity Digoxine Toxicity Cardiotoxicity

Digoxin Toxicity

A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions? Intestinal Ileus Neutropenia Delirium Hyperthermia

Dilirium

A nurse is assisting with the care of a client who has increased intracranial pressure and is reveiving mannitol. Which of the following findings should the nurse report to the provider? Blood glucose 120 mg/dL Dyspnea Bliateral equal pupil size Urine output 40 mL/hr

Dyspnea

Digoxin (Lanoxin) is effective in treating heart failure due to which of the following pharmacological actions? (select all that apply) Exerts positive inotropic action decreases cardiac output Decreases sympathetic tone Increases vascular constriction Increases myocardial contractility

Exerts positive inotropic action decreases sympathetic tone increases myocardial contractility

A nurse is reinforcing teaching with a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects as a manifestation of digoxin toxicity? (select all that apply) Rash Anorexia Fatigue Diplopia Constipation

Fatigue

A patient losartan (Cozaar) for hypertension asks about stopping contraception and starting a family. You should inform the patient that losartan is unsafe to take during pregnancy due to which of the following risks? Macrosomia Fetal Injury Gestational Diabetes Thromboembolic disease

Fetal Injury

A patient's atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You should anticipate that the primary care provider might try which of the following drugs whose off-label use includes refractory atrial dysrhythmias? A) Propranolol (Inderal) B) Lidocaine (Xylocaine) C) Flecainide (Tambocor) D) Amiodarone (Cordarone)

Flecainide (Tambocor)

A nurse is planning to administer a first dose of captopril to a client who has hypertension. The nurse should monitor the client for an intensification of first-dose hypotension if the client is also taking which of the following medications? (select all that apply) Simvastatin hydrochlorothiazide phenytoin aliskiren clonidine

Hydrochlorothiazide Aliskiren Clonidine

A patient is taking bumetanide (Bumex) and spironolactone (Aldactone). You should explain that using the drugs together may reduce the risk of which of the following adverse effects? Hypokalemia Hyponatremia Hyperglycemia Hypochloremia

Hypokalemia

A patient is about to being taking hydrochlorathiazide (Microzide) for hypertension. To assess for adverse effects of the drug, you should monitor for which of the following? (select all that apply) ototoxicity Hyponatremia Hypokalemia Dehydration Hypoglycemia

Hyponatremia Hypokalemia Dehydration

A primary care provider prescribes captopril (Capoten) to treat a patient's hypertension and also help alleviate his heart failure. The provider should make sure the patient understands that he should not take which of the following over-the counter drugs while taking captopril? Ibuprofen (Motrin) Acetaminophen (Tylenol) Calcium Carbonate (Tums) Diphenhydramine (Benadryl)

Ibuprofen

A nurse is reinforcing teaching with a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? Withhold food for 1 hour after taking the medication Drink grapefruit juice daily to increase vitamin C intake Decrease the amount of calcium in the diet Increase the amount of dietary fiber in the diet

Increase the amount of dietary fiber in the diet

A nurse is contributing to the plan of care for a client who is receiving furosemide to treat peripheral edema. Which of the following interventions should the nurse suggest for inclusion in the plan of care? (select all that apply) Monitor potassium levels. Report urine output 50 mL/hr Recommend eating a banana daily Elevate the head of the bed slowly before ambulation Monitor for tinnitus

Monitor Potassium Levels Recommend eating a banana daily Elevate the head of the bed slowly before ambulation Monitor for tinnitus

A nurse is caring for a client who has a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following adverse effects? Hypokalemia Bradycardia Hypernatremia Neutropenia

Neutropenia

A patient who began drug therapy reports palpitations the following day. His ECG indicates frequent premature ventricular contractions .The provider prescribes a stat dose of lidocaine (Xylocaine) 50 mg IV bolus. You should monitor the patient for which of the following adverse reactions? Metabolic alkolosis Hypertension Tachycardia Paresthesias

Paresthesias

A nurse in a provider's office is monitoring the electrolyte levels of four older adult clients who take digoxin. Which of the following electrolyte values should the nurse identify as increasing the risk for developing cardiotoxicity? Calcium 10.3 mg/dL Potassium 3.4 mEq/L Calcium 9.2 mg/dL Potassium 4.8 mEq/L

Potassium 3.4 mEq/L

A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? Potassium 5.2 mEq/L Urine output 120 mL in 4 hours Sodium 144 mEq/L Weight loss of 1 kg (2.2 lb)

Potassium 5.2 mEq/L

You are reviewing the history of a patient who is about to being doxazosin (Cardura) therapy to treat hypertension. Which of the following drugs the patient takes require further action? Cimetidine (Tagament) Zolpidem (Ambien) Ibuprofen (Motrin) Sildenafil (Viagra)

Sildenafil

A nurse is reinforcing teaching with a client who is taking digoxin and has a new prescription for colesevelam. Which of the following instructions should the nurse include? Take colesevelam with food and at least 8 ounces of water Take digoxin with your morning dose of colesevelam Watch for bleeding or bruising while you are taking colesevelam Expect monitoring of your sodium and potassium levels while you are taking colesevelam

Take colesevelam with food and at least 8 ounces of water

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina pectoris. Which of the following instructions should the nurse include? Cut each patch in half if angina attacks are under control Remove the patch each evening Take off the nitroglycerin patch for 30 minutes if a headache occurs Apply a new patch every 48 hours

Take off the nitroglycerin patch for 30 minutes if a headache occurs

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? Limit fluid intake in the morning Expect increased swelling of the ankles Plan to take the medication at bedtime Take the medication with food

Take the medication with food

While instructing a patient about using isororbide (Isordil) to treat angina, you should advise the patient to avoid milk caffeine alchohol grapefruit juice

alchohol

A patient is about to begin talking aliskiren (Tekturna) to treat hypertension. Which of the following should you tell the patient to avoid to ensure optimal aborption of this drug? soy sauce green, leafy vegetables fatty foods foods high in carbohydrates

fatty foods