Pharm Exam 3 Quiz Questions

A client who is taking propranolol asks the nurse, "Why am I having a hard time reaching my target pulse rate while exercising?" Which response by the nurse is correct?

"Beta-blockers slow your pulse rate and prevent it from increasing during exercise."

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

"I feel nauseated and have no appetite"

A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include?

"Increase your daily intake of dietary fiber"

A patient with isotonic volume contraction should be treated with:

0.9 NaCl

When using drugs that act on the renin-angiotensin-aldosterone system, which of the following is the target polypeptide?

Angiotensin II

Which of the following is a true statement regarding antianginal drugs?

Antianginal drugs only provide symptomatic relief

The nurse is caring for a client who is diagnosed with hypertension and is treated with combination therapy, aliskiren, and enalapril. Which is the priority nursing action?

Assess the serum potassium level

The nurse provides education regarding a new prescription for lisinopril to a client diagnosed with hypertension and bipolar disorder. Which instruction will the nurse give the client? Select all that apply.

Avoid salt substitutes Rise slowly out of bed when you get up Closely monitoring the electrolyte chloride is important

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)

Captopril Furosemide

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Check the client's vital signs.

The nurse is teaching a client diagnosed with coronary artery disease and hypertension about the prescribed propranolol. Which client teaching does the nurse include? Select all that apply. A. Stop the medication immediately if you feel dizzy B. If you experience insomnia, stop the drug and restart it when you can sleep through the night C. This medication can cause low blood pressure and a higher heart rate D. Get up slowly from a lying or sitting position to a standing position E. Monitor your blood pressure and pulse daily

D. Get up slowly from a lying or sitting position to a standing position E. Monitor your blood pressure and pulse daily

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

Decreased blood pressure

A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide?

Don't use salt substitutes with this medication

Which of the following signs would the nurse most likely notice first if a patient started developing digoxin toxicity?

Dysrhythmias

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium

A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate?

Evaluating the client for nausea, vomiting, and anorexia

The client has been started on enalapril for hypertension. The nurse will monitor for the serious side effect of:

First dose hypotension

A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication?

Grapefruit juice

Which of the following drugs would be most effective to prevent venous thrombosis?

Heparin

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Measure the client's apical pulse

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

Monitor for a cough

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

Monitor for leg cramps

A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication?

Postural hypotension

A patient has been on furosemide for six months. The physician has just started the patient on digoxin. Other than pulse rate, what laboratory data must the nurse consider before administering the digoxin?

Potassium serum levels

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?

Spironolactone

Which of the following is true regarding the effectiveness of thiazides in relation to glomerulofiltration rate (GFR)?

Thiazides are ineffective if GFR is less than 15-20

When treating an elderly patient with systolic hypertension, a good antihypertensive with which to start is:

a diuretic

The nurse is starting a patient on procainamide. When discussing possible adverse events, it is important to include the development of:

a lupus-like syndrome

The nurse is caring for a patient on warfarin therapy. Which of the following laboratory values is a goal for most patients receiving this form of anticoagulation?

an INR of 2-3

When using a diuretic-containing regimen to treat heart failure, efficacy is best assessed by:

body weight

In patients with hypermagnesemia, the muscle weakness and paralysis can be counteracted with IV administration of:

calcium gluconate

A patient is being treated with sodium nitroprusside for a hypertensive emergency. When this drug is used, the nurse must monitor for:

cyanide poisoning

How would the nurse theoretically expect calcium channel blockers to affect the function of the heart?

decreased AV nodal conduction

A patient being treated with an ACE inhibitor should probably not be taking:

diuretics

A patient is to receive 40 mg of furosemide IV now because of evidence of respiratory compromise from pulmonary edema. How should the nurse administer the drug?

give IV push over 2 minutes

Which laboratory parameter could you expect to see in a patient treated with furosemide?

hyperuricemia

A patient is admitted to the emergency department with a potassium level of 8 mEq/L. The treatment for this may include:

infusing glucose and insulin to promote uptake of potassium by cells

A patient taking Torsemide (a loop diuretic) develops an infection that is most responsive to aminoglycosides. The nurse should be concerned about combined use of these drugs because of the potential for:

ototoxicity

An advantage of the synthetic form of the natriuretic-peptide, nesiritide, is that it:

reduces both preload and afterload

Dilating capacitance vessels results in a(n):

reduction of cardiac preload

Which of the following statements regarding secondary hypertension as compared with primary (essential) hypertension is true?

secondary hypertension is potentially curable whereas primary hypertension is not

The best response from thrombolytic therapy occurs when it is:

started within 4-6 hours of onset of symptoms

When considering dosage adjustments in a patient taking lithium and furosemide, which of the following statements is true?

the lithium dose may need to be decreased

Which of the following diuretics may be ordered to counteract the potassium loss common with the loop diuretics or the thiazides?

triamterene

A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

with the new medication, I should experience fewer side effects