PME Cardiovascular System

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include? (select all that apply)

1) report any new intolerance to fried foods 2)report muscle tenderness 3) expect periodic liver function testing

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?

Antigen-binding fragments-binds to digoxin and blocks its action.

A nurse is caring for a client who will begin using trans-dermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? (select all that apply)

Apply the patch to a hairless area and rotate sites apply a new patch when you start your day Remove patches for 10-12 hr each day

A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?

Hyperuricemia

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

Hypoglycemia

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

Hypokalemia

A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?

Hypotension

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs? (select all that apply)

MAOI General anesthetic Tricyclic antidepressant Beta blocker

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects?

Myopathy

A nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over the counter drugs while taking propranolol?

NSAIDS can decrease the anti-hypertensive action because vasoconstriction can occur in some COX-2 inhibitors.

A nurse should identify that which of the following drugs is used only for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long term use?

Procainamide (cardiotoxicity and aterial embolism)

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?

Raisins

A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following anti-hypertensive drugs is contraindicated for this client?

Reserpine

A nurse is reviewing new prescription with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia?

Simvastatin-blocks synthesis of cholesterol by the body to help lower cholesterol levels.

A nurse is caring for a client who has a glomerular filtration rate of 10ml/min and a reduced urine output. The nurse should clarify a prescription for hydrocholorothiazide for this client because of which of the following characteristics of the drug?

The drug does not promote diuresis for clients who have renal insufficiency

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions?

acute myocardial infarction

A nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to the drug and needs to be reported?

facial edema

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug?

grapefruit juice

A nurse is teaching a client who has a new prescription fro nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug?

headache

A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (select all that apply)

hyperkalemia throat swelling cough

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include?

monitor your pulse rate and report changes

A nurse is providing teaching to a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy?

muscle pain

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values requires immediate intervention?

potassium 5.2 mEq/l normal values are between 3.5 to 5.0 mEq/L

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? (select all that apply)

rash distorted taste swelling of the tongue dry cough

A nurse is caring for a client who has a new prescription for nifedipine. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

unstable angina pectoris ( can cause reflex tachycardia, and adverse effect that can worsen angina pain because it increases cardiac oxygen demand)