ATI - The Cardiovascular System Test

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? (Select all that apply). A. Rash B. Distorted taste C. Swelling of the tongue D. Photosensitivity E. Dry cough

A, B, C E

A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (Select all that apply). A. Hyperkalemia B. Throat swelling C. Constipation D. Cough E. Joint pain

A, B, D

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include? A. "Monitor your pulse rate and report changes." B. "Remain upright for 30 minutes after taking this medication." C. "This medication can decrease digoxin levels." D. "This medication can cause urinary incontinence."

A. "Monitor your pulse rate and report changes."

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? A. Acute myocardial infarction B. Peripheral vascular disease C. Ulcerative colitis D. Ventricular tachycardia

A. Acute myocardial infarction

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? A. Facial edema B. Sleepiness C. Peripheral edema D. Constipation

A. 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? A. Grapefruit juice B. Milk C. Foods high in vitamin K D. NSAIDs

A. Grapefruit juice

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 drug therapy? A. Bronchoconstriction B. Muscle pain C. Lip numbness D. Somnolence

B. Muscle pain

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values requires immediate intervention? A. Sodium 140 mEq/L B. Potassium 5.2 mEq/L C. Chloride 100 mEq/L D. Magnesium 1.9 mEq/L

B. Potassium 5.2 mEq/L

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 instructions should the nurse include? (Select all that apply). A. "Apply a new patch at the onset of anginal pain." B. "Apply the patch to dry skin and cover the area with plastic wrap." C. "Apply the patch to a hairless area and rotate sites." D. "Apply a new patch when you start your day." E. "Remove patches for 10 to 12 hours each day."

C, D, E

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication? A. Acetylcysteine B. Flumazenil C. Antigen-binding fragments D. Deferoxamine

C. Antigen-binding fragments

A nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over-the-counter drugs while taking propranolol? A. Antihistamines B. Potassium supplements C. NSAIDs D. Vitamin C

C. NSAIDs

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions? A. Hyperglycemia B. Bradycardia C. Hypotension D. Hypoglycemia

D. Hypoglycemia

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 verapamil because it can cause the client to experience which of the following conditions? A. Tachycardia B. Dehydration C. Diarrhea D. Hypotension

D. Hypotension

A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia? A. Simvastatin B. Furosemide C. Losartan D. Nitroglycerin

A. Simvastatin

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? A. Headache B. Constipation C. Hypertension D. Hyperglycemia

A. Headache

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? A. Hyperuricemia B. Hypernatremia C. Hyperkalemia D. Hypoglycemia

A. Hyperuricemia

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects? A. Hypokalemia B. Hypoglycemia C. Hypouricemia D. Hyponatremia

A. 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 at an increased risk for which of the following adverse effects? A. Myopathy B. Hypoglycemia C. Irregular pulse D. Kidney failure

A. Myopathy

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? A. Raisins B. Cabbage C. Cheese D. Eggs

A. 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? A. Reserpine B. Captopril C. Hydralazine D. Eplerenone

A. Reserpine

A nurse should identify that which of the following drugs is used only for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use? A. Quinidine B. Procainamide C. Nitroglyceride D. Verapamil

B. Procainamide

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions? A. Migraine headaches B. Pancreatitis C. Second-degree AV block D. Angina pectoris

C. Second-degree AV block

A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min 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? A. The drug can cause hypoglycemia in clients who have a low urine output. B. The drug does not reduce blood pressure for clients who have a low urine output. C. The drug can increase the risk of pulmonary edema for clients who have renal insufficiency. D. The drug does not promote diuresis for clients who have renal insufficiency.

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

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). A. Take the drug with food B. Report any new intolerance to fried foods C. Report muscle tenderness D. Expect periodic liver function testing E. Take the drug once each daily

B, C, D

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). A. ACE inhibitor B. MAOI C. General anesthetic D. Tricyclic antidepressant E. Beta blocker

B, C, D, E