Pharmacology Quiz 4 : Chapters 19-24: Cardio Focused

A nurse is admitting a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client? A. Epinephrine B. Nitroglycerin C. Lidocaine D. Atropine

Correct Answer: B. Nitroglycerin

A nurse is preparing to administer digoxin 0.2 mg via IV bolus to a client. The amount available is digoxin 0.25 mg/1 mL. How many mL should the nurse administer? (Fill in the blank with the numeric value only, round the answer to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.)

0.8

A nurse is preparing to administer verapamil 5.5 mg via IV bolus to a client who has hypertension. The amount available is verapamil 2.5 mg/1 mL. How many mL should the nurse administer? (Fill in the blank with the numeric value only, round to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.)

2.2

A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)

20

A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. What sequence of instructions should the nurse tell the client to use if he experiences chest pain? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Call 911 if the pain is not relieved Wait 5 min Place a tablet under the tongue Stop activity

Correct Answer: 1. Stop activity 2. Place a tablet under the tongue 3. Wait 5 min 4. Call 911 if the pain is not relieved

A nurse is caring for a client who is undergoing treatment for hypertension. Which of the following statements indicates that the client is adhering to the treatment plan? A. "I would never have believed I could get used to enjoying my food without salt." B. "My blood pressure device at home usually shows about 156 over 98 or so." C. "I make sure I take my blood pressure medicine when I have headaches." D. "My blood pressure pills are very expensive. Could I take a cheaper medication?"

Correct Answer: A. "I would never have believed I could get used to enjoying my food without salt."

A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make? A. "Verapamil is used to treat both high blood pressure and angina." B. "You should talk to your provider to make sure the prescription is correct for you." C. "Are you concerned that you might have high blood pressure?" D. "Your provider has prescribed verapamil so that you will not develop high blood pressure."

Correct Answer: A. "Verapamil is used to treat both high blood pressure and angina."

A nurse is assessing a client who has heart failure and is taking daily furosemide. The client's apical pulse is weak and irregular. The nurse should identify these findings as manifestations of which of the following electrolyte imbalances? A. Hypokalemia B. Hypophosphatemia C. Hypercalcemia D. Hypermagnesemia

Correct Answer: A. Hypokalemia

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use

Correct Answer: A. Hypotension

A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? A. Hypotension B. Myalgia C. Diarrhea D. Ototoxicity

Correct Answer: A. Hypotension

A nurse is caring for a client with heart failure whose telemetry reading displays a flattening of the T wave. Which of the following laboratory results should the nurse anticipate as the cause of this ECG change? A. Potassium 2.8 mEq/L B. Digoxin level 0.7 ng/mL C. Hemoglobin 9.8 g/dL D. Calcium 8.0 mg

Correct Answer: A. Potassium 2.8 mEq/L

A nurse is preparing to administer IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take? A. Regulate the infusion pump rate using the client's weight in the calculation B. Change the IV solution bag every 48 hr after the time of preparation C. Ensure the freshly prepared IV solution has a slight greenish tint D. Cover the medication with an amber plastic bag to protect it from light

Correct Answer: A. Regulate the infusion pump rate using the client's weight in the calculation

A nurse in a provider's office receives a phone call from the guardian of an infant who just vomited after the administration of digoxin. Which of the following actions should the nurse take first? A. Tell the guardian that a repeat dose of medication should not be given B. Verify the prescribed medication regimen C. Determine if the infant has been exposed to others who are ill D. Ask the guardian about the infant's urinary output

Correct Answer: A. Tell the guardian that a repeat dose of medication should not be given

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? A. Tongue swelling B. Low potassium level C. Runny nose D. Bruising

Correct Answer: A. Tongue swelling

A nurse is caring for a client who is developing acute pulmonary edema and has a new prescription for furosemide 40 mg IV bolus. The nurse should plan to administer the medication using which of the following methods? A. Undiluted administered over 2 min B. Diluted administered over 20 min C. Undiluted administered as rapidly as possible D. Diluted administered over 5 min

Correct Answer: A. Undiluted administered over 2 min

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? A. Urine specific gravity 1.035 B. Distended neck veins C. BUN 18 mg/dL D. Bounding radial pulses

Correct Answer: A. Urine specific gravity 1.035

A nurse is providing teaching to the parent of an infant who has heart failure and a new prescription for digoxin elixir. Which of the following pieces of information should the nurse include? A. Withhold the medication if the infant's heart rate is less than 110/min B. Mix the medication in 120 mL (4 oz) of infant formula C. Expect the infant to vomit frequently while taking this medication D. Double the dose if the infant has increased edema

Correct Answer: A. Withhold the medication if the infant's heart rate is less than 110/min

A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? A. "I'll apply the patch over areas of my body with little fatty tissue." B. "I can place the patch on any area of my body without hair." C. "I'll put the patch on the same site as the previous patch." D. "I have to apply the patch directly over my heart."

Correct Answer: B. "I can place the patch on any area of my body without hair."

A nurse is teaching a client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate 10 mg PO twice daily. Which of the following client statements indicates an understanding of the teaching? A. "I can take my second dose of medication no later than 9:00 PM." B. "I should change positions slowly when getting out of bed." C. "If I miss a dose, I should double the next dose." D. "I should notify my provider if I experience a headache while taking this medication."

Correct Answer: B. "I should change positions slowly when getting out of bed."

A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take? A. Cover the applied ointment with cotton gauze B. Apply the ointment using a dose-measuring applicator C. Apply the ointment using the index finger D. Massage the ointment into the client's skin

Correct Answer: B. Apply the ointment using a dose-measuring applicator

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypertension B. Cardiac dysrhythmias C. Gastric discomfort D. Tachycardia

Correct Answer: B. Cardiac dysrhythmias

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication? A. Diabetes mellitus B. Current use of isosorbide to treat heart failure C. Eyeglasses for presbyopia D. Osteoarthritis

Correct Answer: B. Current use of isosorbide to treat heart failure

A nurse is admitting a client who has atrial fibrillation with a heart rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications? A. Atropine B. Diltiazem C. Epinephrine D. Vasopressin

Correct Answer: B. Diltiazem

A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? A. Amlodipine B. Diltiazem C. Nifedipine D. Lidocaine

Correct Answer: B. Diltiazem

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation? A. Atropine B. Diltiazem C. Epinephrine D. Phenytoin

Correct Answer: B. Diltiazem

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication? A. Hypotension B. Diuresis C. Increased blood glucose level D. Weight gain

Correct Answer: B. Diuresis

A nurse is caring for a client who is taking an Aminoglycoside . Which of the following medications increases the client's risk of developing ototoxicity when taken with an Aminoglycoside? A. Cefoxitin B. Furosemide C. Naproxen D. Amphotericin B

Correct Answer: B. Furosemide

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications? A. Epinephrine B. Nitroglycerin C. Lidocaine D. Atropine

Correct Answer: B. Nitroglycerin

A nurse is providing teaching to a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching? A. "I might have a sore throat that will go away after a few days." B. "I will take this medication with food to avoid getting an upset stomach." C. "I might feel dizzy at times while taking this medication." D. "I will take ibuprofen if I get a fever while taking this medication."

Correct Answer: C. "I might feel dizzy at times while taking this medication."

A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching? A. "You can take ibuprofen for headaches while taking this medication." B. "You may experience increased swelling in your lower extremities while taking this medication." C. "You should eat foods that are high in potassium while taking this medication." D. "You should take this medication at bedtime."

Correct Answer: C. "You should eat foods that are high in potassium while taking this medication."

A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following actions should the nurse take first? A. Notify the provider B. Contact the nursing supervisor C. Assess the client's apical pulse D. Complete an incident report

Correct Answer: C. Assess the client's apical pulse

A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication? A. Gouty arthritis B. Dehydration C. Diabetes insipidus D. Hypokalemia

Correct Answer: C. Diabetes insipidus

A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during the administration of adenosine? A. Seizures B. Cinchonism C. Dyspnea D. Transient pallor of the face

Correct Answer: C. Dyspnea

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? A. Blood pressure 180/70 mmHg B. Oxygen saturation rate 94% C. Heart rate 51/min D. Respiratory rate 21/min

Correct Answer: C. Heart rate 51/min

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? A. Ecchymosis B. Jaundice C. Hypotension D. Hypokalemia

Correct Answer: C. Hypotension

A nurse is assessing a client who has increased intracranial pressure and has received intravenous mannitol. Which of the following findings indicates a therapeutic effect of this medication? A. Decreased blood glucose B. Decreased bronchospasms C. Increased urine output D. Increased temperature

Correct Answer: C. Increased urine output

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer? A. Simvastatin B. Furosemide C. Nitroglycerin D. Sildenafil

Correct Answer: C. Nitroglycerin

A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction (MI). What is the most common assessment finding with acute MI? A. Dyspnea B. Pain in the shoulder and left arm C. Substernal chest pain D. Palpitations

Correct Answer: C. Substernal chest pain

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs? A. Nasal congestion B. Tremors C. Tinnitus D. Frontal headache

Correct Answer: C. Tinnitus

A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Suppression of dysrhythmias B. Increased atrioventricular (AV) conduction C. Visual disturbances D. Weight gain

Correct Answer: C. Visual disturbances

A nurse in the emergency department is assessing an infant who recently started taking digoxin to treat a supraventricular arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity? A. Irritability B. Diaphoresis C. Vomiting D. Tachycardia

Correct Answer: C. Vomiting

A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching? A. "I need to wear the patch continuously for it to be effective." B. "I will stop using the patch immediately if it gives me a headache." C. "I should change the patch whenever I have chest pain." D. "I need to rotate the location of my patch every few days."

Correct Answer: D. "I need to rotate the location of my patch every few days."

A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? A. "Take hydrochlorothiazide as needed for edema." B. "Check your weight once each week." C. "Take hydrochlorothiazide on an empty stomach." D. "Take hydrochlorothiazide in the morning."

Correct Answer: D. "Take hydrochlorothiazide in the morning."

A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication will not work unless I have enough potassium." B. "Potassium will increase the therapeutic effect of my blood pressure medication." C. "Potassium will lower my blood pressure." D. "This medication can cause a loss of potassium."

Correct Answer: D. "This medication can cause a loss of potassium."

A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching? A. Discontinue the medication if a rash develops. B. Expect increased salivation during the first few weeks of therapy. C. Minimize fiber intake to prevent diarrhea. D. Avoid driving until the client's reaction to the medication is known.

Correct Answer: D. Avoid driving until the client's reaction to the medication is known.

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? A. Encourage the client to eat the toast on the breakfast tray B. Administer an antiemetic C. Inform the client's provider D. Check the client's apical pulse

Correct Answer: D. Check the client's apical pulse

A nurse is completing an assessment for a client who has a history of unstable angina. Which of the following findings should the nurse expect? A. Chest pain is relieved soon after resting. B. Nitroglycerin relieves chest pain. C. Physical exertion does not precipitate chest pain. D. Chest pain lasts for longer than 15 min. Check Answer

Correct Answer: D. Chest pain lasts for longer than 15 min.

A nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse conduct a hearing assessment of the client? A. Omeprazole B. Ferrous sulfate C. Digoxin D. Furosemide

Correct Answer: D. Furosemide

A nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin? A. Seizures B. Tachycardia C. Bronchodilation D. Hypotension

Correct Answer: D. Hypotension

A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is the therapeutic effect of this medication? A. Improves oxygen saturation rate B. Decreases elevated blood pressure C. Reduces heart rate D. Improves cardiac output

Correct Answer: D. Improves cardiac output

A nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider? A. Sodium 140 mEq/L B. Calcium 10.2 mg/dL C. Chloride 100 mEq/L D. Potassium 3.2 mEq/L

Correct Answer: D. Potassium 3.2 mEq/L+

A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following adverse effects of the medication? (Select all that apply.) A. Dizziness B. Pale appearance C. Palpitations D. Abdominal pain E. Peripheral edema

Correct Answers: A. Dizziness C. Palpitations E. Peripheral edema