CV Pharm drugs practice questions
A patient is admitted with severe hypertensive crisis. The nurse will anticipate administering which medication
sodium nitroprusside Nitropress) IV
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"
A nurse checks a patients vital signs in the hospital and notes a blood pressure of 146/98 mmHg. What will the nurse do
recheck the patient's blood pressure in the other arm
The nurse teaches a patient about Benazepril (lotensin). Which statement by the patient requires an intervention by the nurse?
"I use NoSalt (a salt substitute) instead of salt to season my foods"
The nurse cares for a patient with digoxin level of 1.9 ng/mL. Which action would be most appropriate for the nurse to take initially
start continuous heart monitoring
Which patient is most appropriae candidate for both lifestyle changes and drug therapy with an antihypertensive medication?
A 32-year-old patient with BP of 142/94 mmHg who is sedentary
Which patient would most likely be prescribed sodium nitroprusside (nitropress)
A patient with a hypertensive crisis in the intensive care unit
A patient who is taking spironolactone (aldactone) is prescribed losartan (coszaar). The nurse should take which action
Administer the medication as scheduled
Lovastatin is prescribed for a patient for the first time. The nurse should provide the patient with what instructions
take lovastatin with your evening meal
A nurse preparing to administer morning medication notes that a patient with a history of hypertension has been prescribed spironolactone. The nurse assess the patient and notes dyspnea, bilateral crackles and pitting in bot feet. Which intervention is appropriate
Contact the provider to discuss an order for furosemide
A patient is brought to the emergency department with shortness of breath, a respiratory rate of 30 breaths per minutes, intercostal retractions, and frothy, pink sputum. The nurse caring for this patient will expect to administer which drug?
Furosemide (lasix)
A patient with severe hypertension is prescribed minoxidil. Which medications would the nurse expect to be administered to reduce adverse responses to minoxidil?
Furosemide (lasix) and propranolol (inderal)
A provider has ordered catopirl for a patient who has hypertension. the patient reports a history of swelling of the tongue and lips after enalapril in the past. what action by the nurse is correct
Hold the dose and notify the provider
A patient with chronic congestive heart failure has repeated hospitalizations in spite of ongoing treatment with HCTZ and digoxin. The prescribed has order spironolactone to be added to the patient's drug regimen, and the nurse providers education about this medication. Which statement by the patient indicates understanding of the teaching
I need to stop taking potassium supplements
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 who is hospitalized for an infection takes eplerenone (inspra) for heart failure. Which medication, if ordered by the physician, should the nurse question
Intraconazole (sporanox)
A patient who is taking digoxin is admitted to the hospital for treatment of congestive heart fialure. The prescriber has ordered Furosemide (lasix). The nurse notes an irrgular heart rate of 86 BPM, a respiratory rate of 22 breaths per minute, and a blood pressure of 130/82 mmHg. The nurse auscultates crackles in both lungs. Which laboratory values causes the most concern
Potassium level of 3.5 mEq/L (low)
A patient is prescribed hydralazine. What is the most important for the nurse to teach the patient
Prevention of reflex tachycardia
A patient is prescribed digoxin (lanoxin) and furosemide (lasiz) it is most important for the nurse to assess which value before administering these medications
Serum Potassium
A patient has a 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L (elevated). Which diuretic agent ordered by the prescriber should the nurse question
Spironolactone (aldactone)
The nurse will teach a patient who is prescribed niacin to prevent flushing of the face by doing what
taking 325 mg of aspirin 30 minutes before each dose
A patient with heart failure who has been given digoxin daily for a week complains of nausea before giving the next dose the nurse will
assess the heart rate and give the dose if HR is greater than 60 BPM
A patient who was in a motor vehicle accident sustained a severe head injury and is brought into the emergency department. The provider orders intravenous mannitol. The nurse knows that this is given to
reduce intracranial pressure
A nurse is discussing how beta blockers work to decrease blood pressure with a nursing student. Which statement by the student indicates the need for further teaching
beta blockers block the action of angiotensin 2
The potassium-sparing diuretic spironolactone prolongs survival and improves heart failure symptoms by which mechanism
blocking aldosterone receptors
Cholestyramine has been prescribed for a patient which instruction should the nurse include in the patient teaching
cholestyramine can impair absorption of fat-soluble vitamins
Which plasma lipoprotein level is most concerning when considering the risk of coronary atherosclerosis
elevated Low-density liporotein
A female patine who begins taking spironolactone as an adjunct to furosemide complains that her voice is depending. What will the nurse do
explain that this drug binds with receptors for steroid hormones, causing this effect
A patient is taking Enalapril. The nurse understands that patient taking this type of drug for heart failure need to be monitored carefully for
hyperkalemia
A nurse administers an ACE inhibitor to a patient who is taking the drug for the first time. What will the nurse do
instruct the patient not to get up without assistance
A patient with hypertension will begin taking an alpha 1 blocker. What will the nurse teach the patient
moving slowly from sitting to standing while taking this drug
A patient who is taking simvastatin develops an infection and the provider orders azithromycin to treat the infection. The nurse should be concerned if the patient complains of
muscle pain
A prescriber orders ramipril for an obese patient with type 2 diabetes mellitus who has developed hypertension. The nurse providers teaching before dismissing the patient home. Which statement by the patient indicates understanding of the teaching.
taking this medication helps reduce my risk of stroke and heart attack
a patient is prescribed lovastain. the nurse will teach the patient to take the medication at which time
the evening meal
A female patient taking an ACE inhibitor learns that she is pregnant. What will the nurse tell this patient
the patient should stop taking the medication and contact her provider immediately
A patient with a history of elevated triglycerides and LDL cholesterol begins taking nicotinic acid. the patient reports uncomfortable flushing of the face, neck, and ears with the drug. What will the nurse advise
you should take 325 mg of aspirin a half hour before each dose of Niacin to prevent this effect