Chp 6 questions 167 exam 4 Cardiovascular meds

The nurse should prepare which of the following medications for chemical cardioversion for a client in atrial fibrillation? 1. Amiodarone 2. Verapamil 3. Nifedipine 4. Lidocaine

1. Amiodarone

Before a client receives metoprolol as treatment for hypertension, the nurse should ask the client about a history of which health problem? 1. Asthma 2. Seizures 3. Peripheral arterial disease 4. Myasthenia vis

1. Asthma

A client asks the nurse to explain why she is receiving lidocaine in her IV when her dentist uses it to numb her gums before a tooth filling. What information about lidocaine should the nurse include in a response? Select all that apply. 1. It regulates electrical activity in the heart. 2. It acts as a local anesthetic on nerve endings diac muscles. 3. It reduces irritability of the cardiac cells 4. It increases the heart rate. 5. It primarily treats dysrhythmias originating ventricles.

1. It regulates electrical activity in the heart. 3. It reduces irritability of the cardiac cells 5. It primarily treats dysrhythmias originating in the ventricles.

A client hospitalized for heart failure is receiving digoxin IV push. The nurse obtains the following data on the client. Place the data in order from that of highest concern to least concern to the nurse. 1. Potassium (K+) level is 3.2 mEq/L 2. Apical pulse is 53 beats per minute 3. Client has been taking furosemide 20 mg daily for two days 4. Client enjoys orange juice with breakfast

2, 1, 3, 4

The nurse provides discharge instructions to a client about the use of amiodarone. Which statement indicates that the client has the knowledge necessary for safe self-administration? 1. "As soon as my provider says I am stable on this medication, I will be able to enjoy the sun again." 2. "The side effects of this medication may not begin to show up for several weeks or even months after I start taking it." 3. "If my pulse drops below 100 beats per minute. I should call the primary care provider right away." 4. "If I miss a dose of medication I will take two pills the next day."

2. "The side effects of this medication may not begin to show up for several weeks or even months after I start taking it."

After a healthcare provider prescribed propranolol for a client with frequent premature ventricular contractions (PVCS), the nurse should include which of the following in the care plan? 1. Inform the client that breathing will be improved with exercise. 2. Measure heart rate daily before taking dose. 3. Monitor for clients increased resistance to infection 4. Observe for skin rashes, a rare side effect.

2. . Measure heart rate daily before taking dose.

A client is admitted to the emergency department with an exacerbation of heart failure. Blood pressure is 116/86 mm/Hg and heart rate is 98 beats per minute The nurse ensures that which medication is available for immediate use once it is prescribed? 1. Atropine sulfate 2. Digoxin 3. Propranolol 4. Verapamil

2. Digoxin

A client with frequent premature ventricular contractions (PVCS) received a bolus of lidocaine 100 mg IV (1 mg/kg of body weight). The nurse should monitor the client for which of the following? 1. Signs/symptoms of systemic lupus erythematosus (SLE) 2. Electrocardiogram (ECG) changes and neurologic changes 3. Vital sign changes and blood dyscrasias 4. Visual changes (green halos around lights)

2. Electrocardiogram (ECG) changes and neurologic changes

A A nurse assesses a 75-year-old client for side effects of verapamil. Which side effect would be of most concern regarding this client? 1. Hypertension 2. Angina 3. Skin rash 4. Constipation

4. Constipation

4 A client cannot remember the name of the anti-hypertensive medication that has been prescribed. Based on the presence of a dry, nonproductive cough, the nurse suspects that the client is most likely taking which antihypertensive drug? 1. Propranolol 2. Lisinopril 3. Nifedipine 4. Bumetanide

2. Lisinopril

6 A client taking atenolol for hypertension tells the nurse, "Since I have been taking that medicine I feel so tired." What is the most appropriate priority nursing concern? 1. Potential for reduced tolerance to activity 2. Reduced cardiac output 3. Inability to manage health maintenance 4. Inability to perform self-care

2. Reduced cardiac output

After initiating a continuous infusion of nitroglycerin intravenously, the nurse would use which data to conclude that the client is experiencing an unintended effect? Select all that apply. 1. Pulmonary capillary wedge pressure (PCWP) from 13 to 11 mmHg 2. Tachycardia 3. Heart rate (HR) falling from 96 to 78 4. Blood pressure (BP) falling from 130/80 to 9 5. Headache

2. Tachycardia 4. Blood pressure (BP) falling from 130/80 to 90/64 5. Headache

A client is receiving nitroglycerin by continuous intravenous (IV) drip to control chest pain and to increase myocardial tissue perfusion. The nurse prepares this medication by taking which action? 1. Using a solution that is covered by a plastic bag. 2. Using a special tube designed for the medication 3. Changing the bag every 2 hours because it is unstabe 4. Mixing the medication under a laminar flow hood

2. Using a special tube designed for the medication

A client who recently began antihypertensive drug therapy states she needs to go to the pharmacy to buy an over-the-counter (OTC) product to treat a common cold. The home health nurse should provide which most helpful instruction first? 1. "Buy a generic brand of medicine because it is m cost effective and they act in similar a ways 2. "Do not purchase a product that contains aspirin 3. "Read the label carefully and avoid products with pseudoephedrine." 4. "Many of the common products are con you are taking medication

3. "Read the label carefully and avoid products with pseudoephedrine."

The client states, "I always put my nitroglycerin(NTG) patch in the same place so I do not forget to take it off." Which of the following is the best response by the nurse 1. "Change the patch every 24 hours." 2. "Take two acetaminophen tablets 30 minutes prs applying the patch." 3. "Rotate the NTG patch to a different area every day." 4. "After removing the patch, scrub area vigorously with soap and water."

3. "Rotate the NTG patch to a different area every day."

The nurse has just administered a dose of hydralazine intravenously to a client. After the initial dose, which of the following assessments is the priority? 1. Cardiac rhythm 2. Oxygen saturation 3. Blood pressure 4. Respiratory rate

3. Blood pressure

A client with a history of mild congestive heart failure (CHF) is receiving diltiazem for hypertension. The nurse should give priority to which of the following assessments? 1. Tachycardia and rebound hypertension 2. Weight loss and euphoria 3. Bradycardia and peripheral edema 4. Improved ability to perform activities of daily living (ADL)

3. Bradycardia and peripheral edema

The nurse is scheduled to administer a dose of digoxin to an adult client with atrial fibrillation. The client has a potassium level of 4.3 mEq/L. The nurse qshould perform which of the following activities next? 1. Withhold dose only for that day, 2. Obtain prescription for dose of potassium before digoxin. 3. Withhold dose and notify prescriber. 4. Administer dose as prescribed.

4 Administer dose as prescribed

1. The nurse should monitor a client beginning drug therapy with sotalol for which life-threatening manifestations of an adverse drug reaction? 1. Increase in systolic blood pressure and fatigue 2. Report of blurry vision and the appearance of halos 3. Bluish discoloration of the skin 4. Bradycardia and dyspnea

4. Bradycardia and dyspnea

The nurse has prepared nitroprusside 50 mg in 250 mL of 5% dextrose in water. The client is to receive 1.5 mg/min. What rate should the nurse set the infusion to administer per minute? Record your answer, Rounding to one decimal place.

7.5. desired/have x quantity. 1.5/50 * 250mL= 7.5