Pharm exam 3 questions
management of vasospastic angina include all EXCEPT a. diltiazem b. nitroglycerin c. atenolol D. verapamil
c. atenolol
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? A. decreased BP B. increased HDL cholesterol C. prevention of bipolar manic episodes D. improved sexual function
A decreased BP
A patient with isotonic volume concentration should be treated with: A. 0.9 NaCl B. D10W C. 3 % NaCl D. 5.25 NS
A. 0.9 NaCl
A client who is taking propranolol asks the nurse, "why am i having a hard time reaching my target pulse rate while exercising?"Which response by the nurse is correct? A. Beta-blockers slow your pulse rate and prevent it from increasing during exercise B. you should just exert yourself as much as possible until your reach your target pulse rate C. it mean you are out of condition and need to build back up to reach your target pulse rate D. your medication can raise your pulse too much, so you shouldn't exercise too hard
A. Beta-blockers slow your pulse rate and prevent it from increasing during exercise
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following medications places the client at risk for orthostatic hypotension? A. Furosemide B. Clopidogrel C. Atorvastatin D. Captopril
A. Furosemide D. Captopril
When teaching patients about how to take digoxin, it is most important to tell them A. avoid consuming high fiber meals B. take on an empty stomach C. take with antacid to avoid upset stomach D. take with food to enhance absorption
A. avoid consuming high fiber meals
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 client's vital signs B. request a dietitian consult C. suggest that the client rests before eating a meal D. request an order for an antiemetic
A. check client's vital signs
irbesartan may cause all of the following except A. cough B hyperkalemia C. hypotension D. angioedema
A. cough
A nurse is providing 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 discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include? A. eat foods that contain plenty of potassium B. expect some swelling in the hands and feet C. take the medication at bedtime
A. eat foods that contain plenty of potassium
What is the purpose of a nephron? A. filter blood and make urine B. pull sodium from urine to blood C. add potassium to urine
A. filter blood and make urine
side effects of amiodarone include all of the following except A. liver toxicity B. pulmonary toxicity C. cardiotoxicity D. optic neuropathy
A. liver toxicity
A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching? A. monitor for cough B. hold med for heart rate less than 60 bpm C. take this medication with food D. avoid grapefruit juice
A. monitor for cough
The nurse is teaching a client diagnosed with coronary artery disease and hypertension about the prescribed propranolol. Which client teaching does the nurse include? Select all that apply A. monitor your BP and pulse daily B. stop the med immediately if you feel dizzy C. get up slowly from a lying or sitting position to a standing position D. this medication can cause low BP and higher HR E. if you experience insomnia, stop the drug and restart it when you can sleep through the night
A. monitor your BP and pulse daily C. Get up slowly from a lying or sitting position to a standing position
Which of the following are adverse effects of loop diuretics? Select all that apply A. ototoxicity B. sodium and potassium loss C. water loss D. fainting or falling
A. ototoxicity D. fainting or falling
What electrolytes can become depleted when using diuretics A. sodium and potassium B. potassium and phosphorous C. sodium and phosphorous D. calcium and potassium
A. sodium and potassium
When consider dosage adjustments in a patient taking lithium and furosemide, which of the following statements is true? A. the lithium dose may need to be decreased B. the lithium dose needs to be increased C. no dosage adjustment required D. these drugs should never be used concurrently
A. the lithium dose may need to be decreased
Which diuretic is the first choice for initial treatment of hypertension? A. thiazide diuretic B. potassium sparing diuretic C. loop diuretic D. ACE inhibitors
A. thiazide diuretic
Which of the following is true regarding the effectiveness of thiazides in relation to GFR? A. thiazides are ineffective in GFR is less than 15-20 ml/min B. thiazides are ineffective if GFR is more than 50 ml/min C. Thiazides are not dependent on GFR D. thiazides and GFR are directly correlated in terms of effectiveness
A. thiazides are ineffective in GFR is less than 15-20 ml/min
Which of the following diuretics may be ordered to counteract the potassium loss common with the loop diuretics or the thiazides? A. triamterene B. chlorthalidone C. ethacrynic acid D. torsemide
A. triamterene
Which of the following meds is not a loop diuretic? A. furosemide B. torsemide C. spironolactone
C. spironolactone
When taking nitroglycerin one must A. store in amber plastic container in refrigerator B have at least an 8 hour drug free period each day C. have food on your stomach to prevent GI upset D. take with sildenafil to prevent hypertensive crisis
B have at least an 8 hour drug free period each day
adverse effects of using metoprolol in CHF include all of the following except A. fatigue B. bronchospasms C. hypotension D. bradycardia
B. bronchospasms
What drugs end in -dipine A. alpha 2 blockers B. calcium channel blockers C. alpha/ beta blockers D. alpha 2 blockers
B. calcium channel blockers
All of the following meds can cause digoxin toxicity EXCEPT A. verapamil B. captopril C. Quinidine D. Furosemide
B. captopril
Which of the following meds is not a potassium sparing diuretic? A. spironolactone B. furosemide C. triamterene
B. furosemide
ACE inhibitors are used in heart failure to prevent A. hyperkalemia B. heart remodeling C. bradycardia D. hypotension
B. heart remodeling
A patient is admitted to the emergency department with a potassium level of 8 mEq/L. The treatment for this may include: A. giving the patient a potassium diuretic intravenously B. infusing glucose and insulin to cause the reuptake of potassium by the cells C. infusing an acid-base fluid to treat the alkalosis that will occur D. do nothing, because this is only slightly abnormal and requires no treatment
B. infusing glucose and insulin to cause the reuptake of potassium by the cells
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 the 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 patient taking torsemide (a loop diuretic) develops an infection that is most responsive to aminoglycosides. The nurse should be concerned about combined use of these drugs because of the potenial for: A. hypokalemia B. ototoxicity C. dysrhythmias D. hyperglycemia
B. ototoxicity
This type of angina does not respond to using propranolol A. unstable B. variant/ vasospastic C. chronic D. exertional
B. variant/ vasospastic
A nurse is providing teaching for a client with hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching? A. now I will not have to diet to lose weight B. with these new medications, I should experience fewer side effects C. I will not have to do anything differently because its the same medication D. the extra letters after the name of the medication mean its a stronger dose
B. with these new medications, I should experience fewer side effects
What drugs end in -pril? A. vasodilators B. angiotensin-receptor blockers C. ACE inhibitors D. sympathomimetics
C. ACE inhibitors
A patient is to receive 40 mg of furosemide IV now because of evidence of respiratory compromise from pulmonary edema. How should the nurse administer the drug? A. give IV push over 10 mins B. add the drug to 200cc of fluid and give over 20 mins C. Give IV push over 2 mins D. administer over 2 hours in 250cc of saline
C. Give IV push over 2 mins
what drugs end in -statin A. antihistamines B. bile acid sequestrants C. HMG CoA reductase inhibitors D. cholesterol absorption inhibitor
C. HMG CoA reductase inhibitors
in patients with hyper magnesia, the muscle weakness and paralysis can be counteracted with IV administration of: A. potassium B. glucose C. calcium gluconate D. bicarbonate
C. calcium gluconate
What is not a symptom of hypokalemia? A. thirst B. irregular HR C. feeling energized D. muscle cramps
C. feeling energized
This loop diuretic is used to manage fluid overload in heart failure A. hydrochlorothiazide B. spironolactone C. furosemide D. mannitol
C. furosemide
A treatment strategy to manage digoxin toxicity is A. veramil to manage AFIB B. quinidine to manage ventricular tachycardia C. hold the med or Kayexalate Enema D. furosemide to manage hypokalemia
C. hold the med or Kayexalate Enema
Which laboratory parameter could you expect to see in a patient treated with furosemide? A. hypoglycemia B. hyperkalemia C. hyperuricemia D. decreased low-density lipoproteins
C. hyperuricemia
adverse effects of captopril include all of the following except A. intractable cough B. hypotension C. hypokalemia D. angioedema
C. hypokalemia
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 dietary fiber intake D. you can expect swelling of the ankles while taking this medication
C. increase your daily dietary fiber intake
on which part of the nephron does Furosemide act? A. collecting tubule B. proximal convoluted tubule C. loop of henle D. glomerulus
C. loop of henle
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. Weight the client
C. measure the client's apical pulse
A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication? A. ototoxicity B. tachycardia C. postural hypotension D. hypokalemia
C. postural hypotension
The nurse provides education regarding a new prescription for lisinopril to a client diagnosed with hypertension and bipolar disorder. Which instruction will the nurse give to the client? Select all that apply A. take this med without food B. do not be concerned about medication interactions C. rise slowly out of bed when you get up D. closely monitoring the electrolyte chloride is important E. avoid salt substitutes
C. rise slowly out of bed when you get up E. avoid salt substitutes
When teaching a patient about how to use sublingual nitroglycerin you should tell patients to A. get rx filled every 6 weeks B. expect BP to rise C. seek medical help if no relief after 3 tabs D. get blood work done to monitor peak and trough
C. seek medical help if no relief after 3 tabs
Which of the following is not a reason for the use of a diuretic? A. hypertension B. renal failure C. heart failure D. GI disease
D. GI disease
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of this medication? A. i can walk a mile a day B. I've had a backache for several days C. I am urinating more frequently D. I feel nauseated and have no appetite
D. I feel nauseated and have no appetite
Digoxin is A. a drug that is affected by bradykinin B. used for a hypertensive crisis C. used to manage hypertension D. a drug that is affected by potassium levels
D. a drug that is affected by potassium levels
The nurse is caring for a client who is diagnosed with hypertension and is treated with combination therapy, aliskiren and enalapril. Which is the priority nursing action? A. assess the complete blood count levels B. assess a serum thyroid-stimulating hormone level C. assess serum magnesium levels D. assess the serum potassium levels
D. assess the serum potassium levels
What does not filter through the glomerulus to make urine? A. electrolytes B. urea C. water D. blood clots
D. blood clots
drugs that could be used to treat heart failure include all of the following EXCEPT A. furosemide B. captopril C. digoxin D. doxazosin
D. doxazosin
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate? A. withholding the medication if the HR is above 100 bpm B. instructing the client to eat foods low in potassium C. measuring apical pulse rate for 30 seconds before administering D. evaluating the client for nausea, vomiting, and anorexia
D. evaluating the client for nausea, vomiting, and anorexia
Which of the following meds could cause digoxin toxicity A. lisinopril B. eplerenone C. aliskiren D. furosemide
D. furosemide
A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication? A. milk B. orange juice C. coffee D. grapefruit juice
D. grapefruit juice
All of the following meds are used to treat angina except A. nitroglycerin B. morphine C. oxygen D. hydralazine
D. hydralazine
Side effects of nitroglycerin include all of the following except A. headache B. hypotension C. weakness D. hyperkalemia
D. hyperkalemia
Torsemide may cause all of the following except A. dehydration B. ototoxicity C. hyperglycemia D. hyperkalemia
D. hyperkalemia
Which of the following is not a side effect of diuretics? A. dizziness B. hypokalemia C. dehydration D. hypernatremia
D. hypernatremia
all of these things would cause you to WITHHOLD a patient's digoxin dose EXCEPT A. potassium of 1.5 mEq/L B. pulse of 50 bpm C. patient reports seeing halos around light D. patient has started on lisinopril
D. patient has started on lisinopril
a patient has been on furosemide for six months. the physician has just started the patient on digoxin. other than pulse rate, what lab data must the nurse consider before administering the digoxin? A. serum calcium B. furosemide serum levels C. magnesium serum levels D. potassium serum levels
D. potassium serum levels
a nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain which medications put the client at risk for both hyperkalemia and hyponatremia. A. furosemide B. hydrochlorothiazide C. torsemide D. spironolactone
D. spironolactone
what drugs end in -olol A. beta blockers B. vasodilators C. alpha/beta blockers D. sympatholytics and beta blockers
D. sympatholytics and beta blockers