Cardiac Medication Questions (EAQ)
A patient has dilated cardiomyopathy with clinical indications of heart failure. Which drug will a nurse expect to administer to a patient with dilated cardiomyopathy with clinical indications of heart failure in order to increase cardiac contractility? A. Digoxin B. Lisinopril C. Valsartan D. Acebutolol hydrochloride
A
A patient with a known dysrhythmia arrived in the emergency department with several serious lacerations secondary to a motor vehicle accident. The nurse prepares a large quantity of lidocaine to numb the affected areas. What is true about the situation? Lidocaine may cause an increase in the patient's dysrhythmia. Lidocaine will only affect a patient with atrial dysrhythmia. The nurse will need to make sure enough lidocaine is available. A cardiologist should always be consulted.
A
Before the nurse administers isosorbide dinitrate, what is a priority nursing assessment? A. Assess blood pressure B. Assess serum electrolytes C. Monitor level of consciousness D. Measure blood urea nitrogen and creatinine
A
Upon assessment of a patient taking digoxin for the management of heart failure, the nurse documents a heart rate of 52 bpm, nausea, and a yellowish hue in the patient's vision. What would the nurse expect to hear from the healthcare provider about the management of this patient? A. Obtain the digoxin level B. Administer the anti-emetic C. Initiate a clear liquid diet D. Measure the oxygen saturation
A
Which assessment is most important prior to administering digoxin? A. Apical Pulse B. Homans sign C. Breath sounds D. Weight in kilograms
A
Which class of drugs is prescribed for a patient who experiences exertional angina? A. Beta blockers B. Nitrate antianginal drugs C. Calcium channel blockers D. Nitroglycerin transdermal patch
A
Which drugs are referred to as chronotropic drugs? A. Drugs that affect heart rate B. Drugs that affect blood pressure C. Drugs that affect conduction velocity D. Drugs that affect myocardial contractility
A
Which finding would a nurse expect during the assessment of a patient who is diagnosed with sinoatrial or SA node dysfunction? SATA A. bradycardia B. tachycardia C. atrial fibrillation D. bundle branch block
A
Which form of nitroglycerin is likely to have a large first-pass effect? A. Oral B. Sublingual C. Transdermal D. Intravenous
A
Which information would the nurse provide to a patient newly prescribed amiodarone to prevent complications? A. Avoid midday sunlight B. Change position slowly C. Monitor pulse before dose D. Consume a low-potassium diet
A
Which instruction will be included in the discharge teaching for a patient with a transdermal nitroglycerin patch? A. "Apply the patch to a nonhairy, nonfatty area of the upper torso or arm." B. "If you get a headache, remove the patch for 4 hours and then reapply." C. "If you experience chest pain, apply a second patch right next to the first patch." D. "Apply the patch to the same site each day to maintain consistent drug absorption."
A
Which mechanism of action describes how digoxin immune Fab works? A. Binding to digoxin B. Decreasing elimination C. Inducing a heart block D. Speeding at metabolism
A
Which medication is contraindicated for a patient with heart failure who is taking digoxin? A. Verapamil B. Valsartan C. Furosemide D. Phenytoin
A
Which patient assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker? A. Absence of chest pain B. Patient denies dizziness C. Patient states that she feels stronger D. Decreased swelling in the ankles and feet
A
Before administering the daily dose of digoxin to a patient, the nurse notes that the patient is experiencing nausea, headache, malaise, and blurred vision. The patient's pulse rate is 54 bpm, and the patient states that he sees yellow halos around objects. Which action will the nurse anticipate taking in this situation? SATA A. Hold the dose B. Draw a digoxin level C. Notify the healthcare provider D. Administer digoxin-immune Fab E. Place the patient on a cardiac monitor
ABCDE
Which type of chest pain is found in patients with atherosclerosis or heart disease? SATA. A. Unstable angina B. Vasospastic angina C. Hypotensive angina D. Classic stable angina E. Nitrate-induced angina
ABD
Which statement about calcium channel blockers is true? SATA A. peripheral edema is a common side effect B. Calcium channel blockers relax the coronary arteries C. calcium channel blockers increase cardiac contractility and afterload D. Nifedipine is the most potent calcium channel blocker E. Diltiazem is indicated for paroxysmal supraventricular tachycardia or PSVT
ABDE
Which intervention would the nurse include when planning care for a patient receiving oral digoxin for new onset heart failure? A. Avoid herbal supplements B. Initiate telemetry monitoring C. Weigh patient every morning D. Schedule routine digoxin levels. E. Obtain radial pulse before dose
ACD
Which information would a nurse include in discharge teaching to a patient prescribed digoxin and hydrochlorothiazide for the management of heart failure? SATA. A. Obtain pulse before taking digoxin dose B. Do not take over-the-counter medication C. Include foods high in potassium in the diet D. Report signs of toxicity such as blurred vision. E. Hold drug for heart rate less than 60 bpm
ACDE
A patient's serum digoxin level is noted to be 0.4 ng/mL. What is the nurse's priority action? Administer potassium Hold future digoxin doses Call the health care provider Administer the ordered dose of digoxin
Administer the ordered dose of digoxin
A nurse is caring for a patient who has been started on ibutilide. Which assessment is a priority for this patient? A. Lung sounds B. Electrocardiogram (ECG) C. Blood pressure measurement D. Blood urea nitrogen and creatinine
B
A patient has brought his or her medications during the assessment. One bottle is unlabeled. The patient states it is nitroglycerin tablets. Is the medication safe to use? A. Yes, as long as the patient knows what is in the bottle. B. No, storage requirements for nitroglycerin are very specific. C. Yes, as long as there is a valid prescription on file for the patient. D. No, nitroglycerin is supplied as an ointment or spray.
B
A patient who is prescribed digoxin reports eating licorice to treat inflammation. Why will the nurse advise the patient to stop eating licorice? A. Licorice may increase the risk of hyponatremia. B. Licorice may increase the risk of cardiac toxicity. C. Licorice may increase the risk of hypomagnesemia. D. Licorice interferes with the absorption of digoxin (Lanoxin)
B
The cardiac monitor alarm alerts the nurse that a client is experiencing paroxysmal supraventricular tachycardia (PSVT) with a heart rate of 180 beats per minute. The nurse expects to administer which injectable, fast-acting medication? A. Lidocaine B. Adenosine C. Epinephrine D. Amiodarone
B
The nurse assesses a patient who received nitroglycerin for the treatment of angina and notes that the patient reports dizziness, syncope, and a headache. Which conclusion will the nurse make regarding the patient's response to the drug? A. Symptoms are consistent with angina. B. Symptoms are the result of drug side effects. C. The patient is experiencing adverse effects of the drug. D. The source of the patient's symptoms is unrelated to the angina or the drug.
B
What does the nurse teach a patient about storing sublingual nitroglycerin while traveling? A. "You can protect it from heat by placing the bottle in an ice chest." B. "It is best to keep it in its original container away from heat and light." C. "You can put a few tablets in a sealed bag and carry it in your pocket." D. "Lock it in the glove compartment of your car to protect it from heat and light."
B
Which action will be the nurse's priority for a patient receiving an IV antidysrhythmic agent? A. Evaluate the electroencephalogram B. Monitor vital signs C. Assess electrolyte levels D. Elevate the head of the bed
B
Which assessment finding in a patient, who is prescribed nitrate therapy, would require the nurse to obtain a prescription for a change of drug? A. Headache B. Severe anemia C. Anginal episode D. Ischemic heart disease
B
Which class of drugs is used as the first line of therapy for reducing fluid volume in patients with heart failure (HF)? A. Nitrates B. Diuretics C. Beta blockers D. Calcium channel blockers
B
Which condition indicates a need for administering acetaminophen to a patient who is on nitroglycerin therapy? A. The patient feels dizzy. B. The patient has a headache. C. The patient has drug-induced fever. D. The patient has drug-induced cough.
B
Which drug may cause bronchoconstriction? A. Atenolol B. Propranolol C. Verapamil HCl D. Nicardipine HCl
B
Which instruction does a nurse provide a patient who reports headaches associated with administration of sublingual nitroglycerine? A. "Stop taking the tablets immediately." B. "These headaches will subside over time." C. "You should take a lower dose of the drug." D. "You should immediately undergo diagnostic testing."
B
Which intervention would a nurse implement immediately for a patient newly prescribed digoxin who is concurrently prescribe furosemide? A. Assess PT and PTT B. Monitor the potassium level C. Obtain a baseline hearing assessment D. Instruct the patient on a low sodium, low fat diet
B
Which statement by the nursing student about the use of medicinal nitrates indicates effective understanding? A. Medicinal nitrates slow conduction. B. Medicinal nitrates dilate all blood vessels. C. Medicinal nitrates have no adverse effects. D. Medicinal nitrates are used for atrial fibrillation.
B
Which laboratory value would the nurse assess if a patient has a new onset abnormal cardiac rhythm? SATA. A. Sodium B. Calcium C. Chloride D. Potassium E. Phosphorus
BD
Which class of drugs is used in the treatment of angina pectoris? SATA A. Diuretics B. Beta blockers C. Antihistamines D. Nitrates and nitrites E. Calcium channel blockers
BDE
Which outcome as expected with the Jackson? SATA. A. Increased heart rate B. Decreased heart rate C. Decreased blood pressure D. Slowed cardiac conduction speed E. Strengthened cardiac contractions
BDE
Which parameter is important for a nurse to monitor when titrating nitroglycerin in a patient? SATA A. Visual acuity B. Presence of chest pain C. Serum nitroglycerin levels D. Hourly electrocardiograms E. Continuous blood pressure F. Continuous oxygen saturation
BE
What is the most common adverse reaction of digoxin? Tachycardia Bradycardia Atrial fibrillation Atrioventricular (AV) block
Bradycardia
The nurse asks an elderly patient to lie in a supine position and administers a dose of nitroglycerin. After the medication is administered, which finding in the patient indicates an emergency? A. The patient feels dizzy. B. The patient experiences hypertension. C. The systolic blood pressure is 90 mm Hg. D. There is a rise in heart rate to 10 beats/min.
C
The nurse is monitoring a patient during intravenous (IV) nitroglycerin infusion. Which assessment finding will cause the nurse to take action? A. Flushing B. Headache C. Chest pain D. BP of 110/90 mm Hg
C
The nurse is teaching a group of nursing students about cardiac glycosides. Which condition indicates an excess dose of cardiac glycosides? A. Polyuria B. Dizziness C. Halo vision D. Photophobia
C
The nurse prepares to administer digoxin to a patient who has heart failure. The nurse will evaluate the serum potassium level because of which other drug this patient is taking? A. Lisinopril B. Valsartan C. Furosemide D. Spironolactone
C
The nurse should be least concerned about toxic effects of medication in which client? A. 40-year-old male treated with lidocaine B. 34-year-old male treated with amiodarone C. 54-year-old female treated with adenosine D. 68-year-old female treated with procainamide
C
What does the nurse administer when a patient has a sudden attack of angina? Atenolol Nimodipine Nitroglycerin Transdermal patch
C
Which information would the nurse provide to a patient with atrial fibrillation regarding the possible adverse effects of diltiazem? A. Hyperkalemia B. Blurred vision C. Fluid retention D. Erectile dysfunction
C
Which outcome may occur if nitroglycerin is administered too rapidly? A. Tolerance B. Headache C. Tachycardia D. Contact dermatitis
C
Which side effect is associated with the use of nitroglycerin (Nitrostat)? A. Diplopia B. Anorexia C. dry mouth D. Abdominal pain
C
Which statement made by the patient demonstrates a need for further instruction regarding the use of sublingual nitroglycerin? A. "I should keep my nitroglycerin in a cool, dry place." B. "I should change positions slowly to avoid getting dizzy." C. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." D. "If I get a headache, I should keep taking nitroglycerin and use acetaminophen (Tylenol) for pain relief."
C
What is the most appropriate outcome criteria for a client who has been prescribed an antidysrhythmic medication? Cardiac output increased Weight gain in one week ≥5 lb Systolic blood pressure 90 mm Hg Palpated radial pulses and pedal pulses
Cardiac output increased
Which statement regarding normal pulmonary circulation is correct? A. blood is pumped from the ventricles into the atria. B. the aorta receives deoxygenated blood from the body. C. Blood travels to the lungs to exchange carbon dioxide for oxygen. D. the pulmonary artery pumps oxygenated blood to the body.
Cƒc
A patient is prescribed digoxin to treat heart failure. Which biochemical parameter is to be assessed to ensure safe drug administration? A. Liver enzyme concentration B. Blood glucose concentration C. Serum calcium concentration D. Serum potassium concentration
D
A patient is taking digoxin 0.25 mg and furosemide 40 mg daily. When the nurse enters the room, the patient reports seeing yellow halos around the lights. What is the nurse's first action? A. Administer the medication as prescribed B. Withhold the next dose of furosemide C. Document the findings and reassess in 1 hour D. Assess the patient for symptoms of digoxin toxicity
D
A patient reports headache, dizziness, nausea, and blurred vision. After assessing the patient, the nurse finds that the patient's pulse rate is 48 beats per minute. Which medication will the nurse expect the primary health care provider to prescribe? A. Milrinone B. Nesiritide C. Dobutamine D. Digoxin immune Fab
D
The nurse is teaching a group of nursing students about beta blockers. Which statement by the student indicates understanding of the teaching? A. "Beta blockers increase myocardial contractility." B. "Beta blockers increase the patient's urine output." C. "Beta blockers increase dilation of the peripheral vessels." D. "Beta blockers decrease sympathetic stimulation of the heart."
D
The nurse recognizes which drug as a Class III antidysrhythmic? A. Atenolol B. Lidocaine C. Verapamil D. Amiodarone
D
The nurse reviews a patient's laboratory values of digoxin level 10 ng/mL and value of serum potassium 6.2. Which drug does the nurse ask the primary health care provider to administer? A. Atropine B. Epinephrine C. K + supplements D. Digoxin immune FAB
D
The nurse reviews the history of a patient experiencing premature ventricular contractions who is prescribed propranolol. Which action will be the nurse's priority when noting that the patient has a history of asthma? A. Seek a bronchodilator prescription B. Administer the drug is prescribed C. Administer have to prescribe dose of the drug D. Asked the healthcare provider to switch to another drug
D
What does the nurse teach a patient who is prescribed nitroglycerin patches to prevent the development of tolerance to nitrates? A. "Apply the nitroglycerin patch every other day." B. "Use the nitroglycerin patch for acute episodes of angina only." C. "Use sublingual nitroglycerin if your systolic blood pressure is 140 mm Hg." D. "Apply the nitroglycerin patch each day, and remove it for 10 hours at night."
D
What does the nurse teach the patient about sublingual nitroglycerin? A. "Chew the tablet for the fastest effect." B. "Keep the tablets locked in a safe place until you need them." C. "You can take up to five doses every 3 minutes for chest pain." D. "Sit or lie down after you take a nitroglycerin tablet to prevent dizziness."
D
Which action by a nurse would be taken if the nurse observes the patient's serum digoxin level to be 0.9 ng/mL? A. Administer potassium B. Hold future digoxin doses C. Call the healthcare provider D. Administer the prescribed dose of digoxin
D
Which assessment finding will alert the nurse to suspect early digitalis toxicity? A. Confusion and diarrhea B. Blood pressure of 90/60 mm Hg C. Heart rate of 110 beats per minute D. Loss of appetite with slight bradycardia
D
Which category of medication is the first-line treatment for reducing fluid volume associated with heart failure? A. Angiotensin-converting enzyme (ACE) inhibitors B. Vasodilators C. Beta blockers D. Diuretics
D
Which chamber of the heart will have to work harder to pump blood as a result of aortic valve dysfunction? A. left atrium B. right atrium C. left ventricle D. right ventricle
D
Which intervention would the nurse implement immediately when caring for a patient who receives a new prescription for an intravenous antidysrhythmic? A. Draw arterial blood gases B. Monitor the patient for tachycardia C. Start an IV infusion of Ringer's lactate solution D. Place the patient on continuous cardiac monitoring
D
Which outcome is expected with calcium channel blockers? A. To treat acute myocardial infarction B. To reduce exercise induced elevations at heart rate C. To prolong the QT interval on the electrocardiogram D. To decrease the afterload and reduce the workload of the heart
D
Which patient can safely receive nitroglycerin with no concern? A. A patient with chest pain who has a history of anemia B. A patient with angina who shows indications of hypotension C. A patient with severe head injury who complains of chest pain D. A patient with coronary heart disease who complains of chest pain
D
Which patient will the nurse expect to be given nitroglycerin? A. A patient with chest pain who has a history of anemia B. A patient with angina who shows indications of hypotension C. A patient with severe head injury who complains of chest pain D. A patient with coronary heart disease who complains of chest pain
D
Which rationale explains why a nurse would ask a patient newly prescribed digoxin to stop taking licorice supplementation? A. Licorice may increase the risk for hyperkalemia. B. Licorice may reduce the effects of the digoxin. C. Licorice may increase the risk of hypomagnesemia. D. Licorice increases the effect of digoxin
D
Which serum digoxin (Lanoxin) concentration is suggestive of digitalis toxicity? A. 1.6 ng/mL B. 1.8 ng/mL C. 2.0 ng/mL D. 2.2 ng/mL
D
Which statement made by a patient diagnosed with angina demonstrates the need for further instruction from the nurse? A. I get a headache after I take my nitroglycerin B. I always take my pulse right after I take my angina medication C. I drink water before putting a nitroglycerin under my tongue D. I stopped taking my nadolol yesterday because it made me feel tired.
D
the nurse is reviewing the medication regimen for a patient prescribed digoxin. Which drug when taken at the same time, requires the nurse to provide further patient education? A. Valsartan B. Metoprolol C. Spironolactone D. Magnesium hydroxide
D
A patient has dilated cardiomyopathy with clinical indications of heart failure. Which medications will the nurse expect to administer to assist the patient's heart to compensate for this disorder? Digoxin (Lanoxin) Lisinopril (Prinivil) Valsartan (Diovan) Acebutolol hydrochloride (Sectral)
Digoxin (Lanoxin)
The nurse who is caring for a patient with a myocardial infarction informs the patient that "This drug will increase the contractions of your heart." Which drug has been prescribed to the patient? Carvedilol (Coreg) Digoxin (Lanoxin) Verapamil (Verelan) Metoprolo (Lopressor)
Digoxin (Lanoxin)
A calcium channel blocker has been ordered for a patient. Which condition in the patient's history is a contraindication to this medication? Hypotension Hypokalemia Dysrhythmias Increased intracranial pressure
Hypotension
What is the primary effect of calcium channel blockers (CCBs)? To treat acute myocardial infarction (MI) To reduce exercise-induced elevations in heart rate To prolong the QT interval on the electrocardiogram (ECG) To decrease the afterload and reduce the workload of the heart
To decrease the afterload and reduce the workload of the heart