Pharmacology EAQ#2 HTN and Cardiac Drugs

Which instructions about the use of nitroglycerin to prevent angina will the nurse provide to a client?

"Before physical activity, place one tablet under the tongue, and repeat the dose in 5 minutes if pain occurs."

Which statement by a client who received a prescription for digoxin leads the nurse to conclude that the teaching was effective?

"It will be important to check my pulse rate daily."

Which medication is the likely cause of the symptoms in a client with hypokalemia reporting nausea, vomiting, and seeing a yellow light around the objects?

Digoxin

Which medication would a nurse suspect is the cause of severe nausea and a heartbeat that is irregular and slow in a client who takes multiple medications?

Digoxin

Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema?

Furosemide

Which important nursing action would be taken after a healthcare provider prescribes losartan for a client?

Monitor the client's blood pressure

Which instruction would the nurse include when preparing discharge instructions for a client who will take enalapril for hypertension?

"Change to a standing position slowly."

Which response would a nurse give to a client who takes furosemide and digoxin and reports that everything looks yellow?

"I will hold the medication until I consult with your healthcare provider."

Which antihypertensive medication class would the nurse identify as the likely cause of the cough in a client taking multiple medications for hypertension who develops a persistent, hacking cough?

Angiotensin-converting enzyme (ACE) inhibitors

Which adverse effect would a nurse monitor for when caring for a client with hypertension who is prescribed metoprolol?

Bradycardia

Which data collection assessment would be performed to evaluate the effectiveness of furosemide administered to a client with congestive heart failure? Select all that apply. One, some, or all may be correct.

Daily weight Intake and output Monitor for edema Daily pulse oximetry Auscultate breath sounds

Which information will the nurse include when teaching a client with hypertension about metoprolol?

Do not abruptly discontinue the medication

Which sign of hypokalemia will the nurse monitor for in a client receiving furosemide?

Muscle weakness

Which manifestation in a client with heart failure indicates digoxin toxicity? Select all that apply. One, some, or all may be correct?

Nausea Yellow vision Irregular pulse

An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory value would the nurse report to the healthcare provider?

Potassium of 3.0 mEq/L (3.0 mmol/L)

Which complication will occur as a result of administering sildenafil to a client who takes isosorbide dinitrate?

Severe hypotension

Which adverse effect would a nurse monitor for when caring for a client receiving furosemide to relieve edema?

Hypokalemia

Which medication requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone

Which response would the nurse monitor for when a client is receiving furosemide to relieve edema? Select all that apply. One, some, or all may be correct.

Weight loss Excessive loss of potassium ions

Which instruction would the nurse include in a teaching plan for nitroglycerin patches?

"Remove a previous patch before applying the next one."

Which nursing action will best evaluate the effectiveness of the furosemide in managing a client with heart failure and acute pulmonary edema?

Auscultating breath sounds

Which instruction will the nurse include in a teaching plan for a client taking a calcium channel blocker such as nifedipine? Select all that apply. One, some, or all may be correct.

Report peripheral edema Avoid drinking grapefruit juice Change to a standing position slowly

Which information is important for the nurse to include in the teaching plan for a client who will be taking furosemide and digoxin after discharge from the hospital?

Signs and symptoms of digoxin toxicity

Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective?

Triglycerides

Which symptom will the nurse include as a reason to withhold medication when teaching a client about digoxin therapy?

Yellow vision