Pharm Exam 3

A nurse instructs a patient about signs and symptoms of digoxin toxicity. The nurse determines that teaching is successful if the patient makes which statement?

"I should report any muscle weakness or nausea."

The nurse teaches a patient about benazepril [Lotensin]. Which statement by the patient requires an intervention by the nurse?

"I use NoSalt instead of salt to season foods."

A patient is prescribed a nitroglycerin transdermal patch. The nurse should include which statement when teaching the patient how to use this medication?

"Remove the patch at bedtime."??

The nurse instructs a patient about taking nifedipine [Procardia XL]. Which statement made by the patient indicates an understanding of medication teaching?

"The pill should be swallowed whole."

A patient with angina pectoris is prescribed sublingual nitroglycerin. Which statement made by the patient indicates understanding of the medication teaching?

A patient with angina pectoris is prescribed sublingual nitroglycerin. Which statement made by the patient indicates understanding of the medication teaching?

Which patient is the most appropriate candidate for both lifestyle changes and drug therapy with an antihypertensive medication?

A 32-year-old patient with blood pressure of 142/94 mm Hg who is sedentary

Which patient would the nurse expect to have the highest risk for postural hypotension?

A patient who is prescribed a drug that promotes venous vasodilation

Which patient would most likely be prescribed sodium nitroprusside [Nitropress]?

A patient with a hypertensive crisis in the intensive care unit

A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate treatment with this medication?

Activated partial thromboplastin time (aPTT)

A patient with stage 2 hypertension has been prescribed a thiazide diuretic and an angiotensin-converting enzyme inhibitor. It is most appropriate for the nurse to do what?

Administer both drugs to the patient.

During administration of alteplase [Activase], the patient's IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate?

Apply direct pressure over the puncture site.

A patient who is taking spironolactone [Aldactone] is prescribed losartan [Cozaar]. The nurse should take which action?

Assess for symptoms of hyperkalemia.

A patient has hypertension, type 2 diabetes, and chronic kidney disease. Which blood pressure goal would be most beneficial for this patient?

Blood pressure less than 130/80 mm Hg

A patient diagnosed with heart failure has stage 1 hypertension. Which medication, if ordered by the healthcare provider, should the nurse question?

Calcium channel blocker

Cholestyramine has been prescribed for a patient. Which instruction should the nurse include in patient teaching?

Cholestyramine can impair absorption of fat-soluble vitamins.

A patient is prescribed verapamil [Calan]. The nurse should assess the patient for which common adverse effects?

Constipation, headache, and edema of the ankles and feet

A patient with severe hypertension is prescribed minoxidil. Which medications will the nurse expect to be administered to reduce adverse responses to minoxidil?

Furosemide [Lasix] and propranolol [Inderal]

The nurse is preparing to administer adenosine [Adenocard] to a patient to treat paroxysmal supraventricular tachycardia (SVT). Which action by the nurse is most appropriate?

Give the medication through the central line catheter.

The nurse administers an intravenous infusion of amiodarone [Coredarone] to a patient to prevent recurrent episodes of ventricular fibrillation. It is most important for the nurse to assess the patient for which condition?

Hypotension

The nurse cares for a patient receiving digoxin [Lanoxin]. What indicates to the nurse that treatment with this medication is effective?

Improved cardiac output

A patient's cardiac output is 8 L/min. Which hemodynamic effect would the nurse expect?

Increased stroke volume

A patient who is hospitalized for an infection takes eplerenone [Inspra] for heart failure. Which medication, if ordered by the physician, should the nurse question?

Itraconazole [Sporanox]

The healthcare provider prescribes sustained-release verapamil [Calan SR] to an 82-year-old patient who takes digoxin [Lanoxin] daily. Which action is most appropriate for the nurse to take?

Monitor the patient's cardiac rhythm continuously.

Which patient does the nurse identify as most likely needing an increased dose of warfarin [Coumadin] to have the same anticoagulant effect?

Patient taking oral contraceptives to prevent pregnancy

A patient is prescribed a medication that causes venous dilation. It is most important for the nurse to teach the patient about what?

Postural hypotension

A patient is prescribed hydralazine. What is most important for the nurse to teach the patient?

Prevention of reflex tachycardia

A patient diagnosed with systemic lupus erythematosus (SLE) develops a dysrhythmia. Which medication, if ordered by the physician, should the nurse question?

Procainamide [Procanbid]

A nurse administers quinidine sulfate to a patient with atrial fibrillation. The nurse should assess the electrocardiogram (ECG) tracing knowing that quinidine sulfate has what effect on the ECG?

Prolongation of the QT interval

What is the antidote for heparin?

Protamine sulfate

A patient is prescribed a medication that lowers the arterial blood pressure. The nurse should assess for which response by the body to restore the blood pressure?

Reflex tachycardia

The nurse cares for a patient with a digoxin level of 1.9 ng/mL. Which action would be most appropriate for the nurse to take initially?

Start continuous heart monitoring.

The nurse will teach a patient who is prescribed niacin [Niacor] to prevent flushing of the face by doing what?

Taking 325 mg of aspirin 30 minutes before each dose

A patient is to receive a scheduled dose of diltiazem [Cardizem]. The nurse should hold the medication and contact the prescriber if which of the following is noted?

The patient is in second-degree heart block.

A patient is prescribed lovastatin [Mevacor]. The nurse will teach the patient to take the medication at which time?

With the evening meal