Pharmacology: cardiovascular

Propanolol (Inderal)

Beta adrenergic blocker that controls atrial and ventricular tachycardia

Well talking with a client who is taking captopril to treat hypertension which instructions you include to help her manage the drugs adverse side effects

Do not use salt substitutes to season your food

A nurse is caring for a client who is taking digoxin and develops changes in their ECG tracing and other manifestations to indicate that the client has severe digoxin TechCity which of the following drugs should the nurse expect to administer to treat this complication

Antigen binding fragments

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 instruction should the nurse include ( select all that apply)

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

Verapamil (Calan)

Calcium channel blocker that treat superventricular tachycardia and atrial fabulation or flutter

You are caring for a client who is taking an oral amiodarone and down to treat atrial fibrillation recognizing the adverse effects of amiodarone you advise the client to watch for and report which of the following

Cough, blurred vision, dizziness, and fever

A primary care provider then prescribes quinidine gluconate as an oral antidysrhythmic agent a healthcare professional should question the use of quinidine for a client taking digoxin due to possible drug interaction that can result in which adverse effect

Digoxin toxicity

Recognizing the potential for a drug interaction between the diuretic furosemide in the cardiac glycoside digoxin the primary care provider plans to monitor the client for which adverse effect

Digoxin toxicity

You were talking with a client who is taking losartan for hypertension she asked you about stopping contraception and starting a family you informed the client that losartan is unsafe to take during pregnancy due to which risk

Fatal injury

A client is about to start taking Aliskiren to treat hypertension which of the following should you tell the client to avoid to ensure optimal absorption of this drug

Fatty foods

You're a caring for a client whose atrial dysrhythmia fails to respond to other anti-does arrhythmia therapies you anticipate that the primary care provider might try to which drugs who's off label use includes refractory atrial dysrhythmias

Flecainide (tambocor)

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

Headache

A nurse is caring for a client who has a new prescription for Alice Karyn to treat hypertension the nurse should monitor the client for which of the following findings as an adverse effects of the drug (select all that apply)

Hyperkalemia, throat swelling, and cough

A client is taking bumetanide and spironolactone. You explain To the client that using these drugs together may reduce the risk of which adverse effect

Hypokalemia

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready irregular pulse orthostatic hypertension and confusion the nurse should identify that that these manifestations indicate which of the following adverse effects

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 places the client had an increased risk for which of the following adverse effects

Myopathy

A primary care provider prescribes Captopril to treat the clients hypertension and also help alleviate his heart failure it is essential for a healthcare provider to make sure the client understands that he should not take which of the over-the-counter drugs while taking captopril

NSAIDS

A nurse is caring for a client who has a new prescription for a propranolol to treat a tachydysrhythmias the nurse should instruct the client to avoid taking which of the following types of over-the-counter drugs while taking propranolol

NSAIDs

A client starts drug therapy but the following day he reports that he's having palpitations his ECG at the emergency department indicates frequent premature ventricular contractions so the primary care provider prescribes a stat dose of lidocaine 50 mg via IV bolus a healthcare professional who is administered who administers the drug monitors the client for which adverse reaction to lidocaine

Paresthesias

Amiodarone (Cordarone)

Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia

A nurse is caring for a client who is about to begin cap Toprol therapy which of the following adverse effects of the nurse instruct the client to report because it can indicate I need to discontinue drug therapy (select all that apply)

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

A nurse is teaching a client who has a new prescription for gemfibrozil which of the following instructions should the nurse include (select all that apply)

Report any new intolerance to fried foods, report muscle tenderness, and expect periodic liver function testing

The nurse is caring for a client who has a new prescription for verapamil the nurse should clarify the prescription with a provider if the client has a history of which of the following conditions

Second degree AV block

A nurse is reviewing a new prescription with a client who has heart disease the nurse should instruct the client that which of the following drugs is prescribed to treat hyper cholesterolemia

Simvastatin

Quinidine

Sodium channel blocker that treats super ventricular and ventricular dysrhythmias

A nurse is caring for a client who has a glomerular filtration rate of 10 mL per minute 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

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

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

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

grapefruit juice

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

hyperuricemia

Digoxin is effective in treating heart failure due to which pharmacological actions

Exerts positive inotropic action, decreases sympathetic tone, and increases myocardial contractility

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions

Acute myocardial infraction

All instructing a client about using isosorbide to treat angina you advise the client to avoid which of the following

Alcohol

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral anti-diabetic drug to manage their new diagnosis of type two diabetes by taking both drugs concurrently the nurse should identify that the client is at an increased risk for which of the following conditions

Hypoglycemia

A nurse is teaching a client who has a new prescription for clonidine which of the following statements to the nurse include

Monitor your pulse rate and report changes

You are administering lidocaine 50 mg via IV bolus to a client with a ventricular dysrhythmias you monitor the client for which adverse reactions to lidocaine

Paresthesias

A nurse is caring for a client who is taking Spironolactone to treat hypertension the nurse should recognize which of the following client laboratory values requires immediate intervention

Potassium 5.2 MEQ per liters

A nurse should identify which of the following drugs is used for only the short term treatment of cardiac dysrhythmia because of the serious adverse side effects associated with long-term use

Procainamide

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?

Raisins

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

Reserpine

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 the drug therapy

Muscle pain

A client is about to start taking hydrochlorothiazide for hypertension to assess for adverse effects of this drug monitor for which during drug therapy

Hyponatremia, hypokalemia, and dehydration

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 this because it can cause a client to experience which of the following conditions

Hypotension

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)

MAOI, general anesthetic, tricyclic antidepressant, and beta blocker