Pharm 3.6

What is the antidote for Coumadin (anticoagulant)?

👍 Vitamin K b. Vitamin C c. Vitamin b12 d. Vitamin E

Antiplatelet

Prevention and treatment of thrombolytic events by inhibiting platelet aggregation and prolonging bleeding time

Antiarrhythmic

Suppression of cardiac arrhythmias

Lipid Lowering Agent

Used as part of a total plan with diet and exercise to reduce lipids in an effort to reduce morbidity and mortality of atherosclerotic CV disease

Anticoagulant

Used to prevent clot extension and formation

Antianginal

Used to treat and prevent attacks of angina

Beta Blockers

Used to treat angina prophylactically

A 66-year-old client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include atenolol (beta blocker), digoxin (antiarrhythmic), and furosemide (diuretic). A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data would support this diagnosis?

a. Headache, orthostatic hypotension 👍 Double vision, loss of appetite, nausea c. Dry mouth, decreased urine output d. Increased appetite

The nurse is providing discharge instructions for a client receiving Warfarin (anticoagulant). Which statement, if made by the client, indicates the need for further teaching?

a. I will contact my HCP if I notice increased bruising 👍I will take enteric coated ibuprofen to prevent stomach upset c. I will let other physicians know I am taking this medication, especially before a surgical procedure is scheduled. d. I will carry a card describing my medication regimen

A client comes to convenient care stating that he has been spitting up dark blood, stools have been bloody red, urine has been maroon, and has multiple areas of bruising. The healthcare provider suspects warfarin overdose. The healthcare provider will prescribe which of the following to be administered by the nurse?

a. Iron supplement 👍Vitamin K c. Protamine sulfate d. Heparin

The nurse is caring for a client who takes digoxin daily. Which client statement alerts the nurse to a potential problem related to digoxin?

a. My feet turn really pale when I elevate them in the bed b. I hear a high-pitched ringing sound in both of my ears 👍It was harder for me to read the daily paper this morning d. My skin is itchy, and it seems to have a yellow tint

The nurse acknowledges that Beta blockers are as effective as antianginals because they do which of the following?

👍Decrease heart rate and decrease myocardial contractility; therefore decreasing blood pressure b. Have no effect on the heart rate c. Decreasing heart rate and increasing myocardial contractility; therefore increasing blood pressure d. Do not cause orthostatic hypotension

When a client first takes a nitrate (antianginal), the nurse expects which symptom that often occurs?

👍Headache b. Chest pain c. Extreme thirst d. Blurred vision

Which is a medically benign side effect of sublingual nitroglycerin tablets?

👍Headache pain of 6/10 b. BP of 84/58 mm hg c. Hbg 8, Hct 30% d. Increasing chest pain

The nurse is caring for a client with a pulmonary embolism who is receiving heparin. The nurse checks the IV site and observes blood pouring from the site. When preparing an antidote, which of the following would be used?

👍Protamine sulfate b. Idarucizumab c. Argatroban d. Vitamin K

In teaching a client about the anticoagulant therapy, the nurse emphasizes which of the following statements?

👍The anticoagulant therapy will help to prevent clot formation b. Once anticoagulant therapy is established, no extra precautions will need to be taken c. The anticoagulant therapy will be used to dissolve the clot d. No specific foods interact with anticoagulants

The nurse is preparing to administer a dose of digoxin to multiple clients. For which client should the nurse withhold the medication and contact the health care provider?

👍The client with a history of atrial flutter with a heart rate of 52 beats/minute b. The client with a history of atrial fibrillation with a blood pressure of 110/60 mmHg c. The client with a history of paroxysmal atrial tachycardia with a creatinine of 1.1 d. The client with a history of systolic heart failure and an ejection fraction of 32%

Which of the following indications are antiplatelets ordered? Select all that apply.

👍Transient ischemic attacks (TIAs) 👍Peripheral artery disease 👍Post stent placement 👍 Anti-clogging of arteries 👍 Heart and brain clots

The client has been prescribed nitroglycerin. The nurse reviews the appropriate interventions for nitroglycerine with the client. Which of the following intervention(s) apply? Select all that apply

👍Warn the client against ingesting alcohol while taking nitroglycerin b. Tablets may be removed from original bottle and placed in a more convenient reminder pill method if needed. 👍Teach client to repeat dose in five minutes if pain is not relieved 👍Have the client sit or lay down while taking the nitroglycerin