Cardiovascular med practice questions - ATI

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first? A. Check the client's vital sings B. Request a dietitian consult C. Suggest that the client rests before eating the meal D. Request an order for an antiemetic

A. Check the client's vital signs

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of this medication? A. Decreased BP B. Increase of HDL cholesterol C. Prevention of bipolar manic episodes D. Improved sexual function

A. Decreased BP

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medications? A. HR 46/min B. O2 95% C. RR 18/min D. BP 160/94

A. HR 46/min

A nurse is provided teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? A. do not use salt substitutes while taking this medication B. take the medication with food C. count your pulse rate before taking the medication D. expect to gain weight while taking this medication

A. do not use salt substitutes while taking this medication

A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. Which of the following statements by the client indicates the need for further teaching? A. i should measure the dosage on the supplied paper B. i should leave the patch in place until it is time for the next dose C. i should get up slowly when i stand D. i might have a headache when i first start taking this medication

B

A nurse is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? A. take this medication before bedtime B. monitor for leg cramps C. avoid grapefruit juice D. reduce intake of potassium-rich foods

B. Monitor for leg cramps

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? A. offer the client a light snack B. measure the client's BP C. measure the client's apical pulse D. weigh the client

C.

A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include? A. limit your fluid intake to meal times B. Do not take this medication on an empty stomach C. increase your daily intake of dietary fiber D. you can expect swelling of the ankles while taking this medication

C. Increase your daily intake of dietary fiber

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication? A. Take this medication after each meal and at bedtime B. Take one tablet every 15 min during an acute attack C. Take one tablet at the first indication of chest pain D. Take this medication with 8 oz of water

C. Take one tablet at the first indication of chest pain

A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates a understanding of the teaching? A. i'll dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 min apart B. I'll diall 911 if I still have pain after taking 4 nitroglycerin tablets over a 20-min period C. I'll dial 911 when I have pain and then take the nitroglycerin tablets D. I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting

D.

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the client indicates an understanding of the teaching" A. I should increase my intake of potassium-rich foods B. I should expect to have facial swelling when taking this medication C. I should take this medication with food D. I should report a cough to my provider

D. I should report a cough to my provider

A nurse is caring for a client who is taking digoxin for HF and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? A. Fab antibody fragments B. Flumazenil C. Acetylcystein D. Naloxone

A. Fab antibody fragments

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer? A. Epinephrine B. Atropine C. Protamine D. Vitamin K

D. Vitamin K reverses the effects of warfarin