Quizizz Questions
A patient with angina who uses sublingual nitroglycerin tells the nurse that the episodes are increasing in frequency and usually occur when the patient walks the dog. The patient reports needing almost daily doses of the nitroglycerine and states that one tablet usually provides complete relief. What will the nurse do?
Contact the provider to suggest ordering a transdermal patch for this patient.
A patient will begin taking dabigatran etexilate (Pradaxa) to prevent stroke. The nurse will include which statement when teaching this patient?
Dabigatran should be taken on an empty stomach to improve absorption.
A patient has been receiving heparin while in the hospital to treat deep vein thromboses and will be discharged home with a prescription for enoxaparin (Lovenox). The nurse provides teaching for the nursing student who asks about the advantages of enoxaparin over heparin. Which statement by the student indicates a need for further teaching?
Enoxaparin is more cost-effective than heparin.
A patient with epistaxis and a history of hemophilia A is admitted to the unit and is scheduled for replacement therapy. The nurse should prepare to administer which medication?
Factor VIII
A nurse caring for a patient notes that the patient has a temperature of 104 degrees Fahrenheight and a heart rate of 110 beats/min. The patient's skin is warm and moist, and the patient complains that the room is too warm. The patient appears nervous and has protuberant eyes. The nurse will contact the provider to discuss:
Graves' disease
A patient has been taking warfarin (Coumadin) for atrial fibrillation, The provider has ordered dabigatran etexilate (Prodaxa) to replace the warfarin. The nurse teaches the patient about the change in drug regimen. Which statement by the patient indicates understanding of the teaching?
I will stop taking the warfarin and will start taking the dabigatran when my INR is less than 2.
A nurse is providing teaching for a patient with stable angina who will begin taking nitroglycerin. Which statement by the patient indicates understanding of the teaching?
If I take nitroglycerin before exertion, I can reduce the chance of an anginal attack.
A nursing student asks a nurse how beta blockers increase the oxygen supply to the heart in the treatment of anginal pain. The nurse tells the student that beta blockers:
Increase the time the heart is in diastole.
When administering medication to infants, it is important to remember which of the following? (select all that apply).
Infants have immature livers, which slow drug metabolism, infants are more sensitive to medications that act on the CNS, immaturity of renal function in infancy causes infants to excrete drugs less effectively
A patient with type 1 diabetes is eating breakfast at 0730. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime. The patient's blood sugar level is 317 mg/dL. Which formulation of insulin should the nurse prepare to administer?
Lispro (Humalog)
The nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. The patient tells the nurse she does not want to take medications while she is pregnant. What will the nurse explain to this patient.
Neurophsychologic deficits in the fetus can occur if the condition is not treated.
A nurse is providing teaching to a nursing student about to care for a woman with irritable bowel syndrome with diarrhea (IBS-D) who is receiving alosetron (Lotronex). Which statement by the student indicates a need for further teaching?
Patients with diverticulitis and IBS-C may take this drug.
A patient arrives in the emergency department with a heart rate of 128 beats/min and a temperature of 105 degrees Farenheight. The patient's skin feels hot and moist. The free T4 level is 4 ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0.1 microunits/mL. The nurse caring for this patient will expect to administer:
Propylthiouracil (PTU)
A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate of 98 beats/min. The patient's most recent aPTT is greater than 90 seconds. The patient reports lumbar pain. The nurse will request an order for:
Protamine Sulfate.
A patient with angina who is taking ranolazine (Ranexo) has developed a respiratory infection and a dysrhythmia. The provider has ordered azithromycin (zithromax) for the infection and amlodipine for the dysrhythmia. A nursing student caring for this patient tells the nurse that the patient's heart rate is 70 beats/min, and the blood pressure is 128/80 mm Hg. The nurse asks the student to discuss the plan for this patient's care. Which action is correct?
Question the order for azithromycin (zithromax).
A patient with stable COPD receives prescriptions for an inhaled plucocorticoid and an inhaled beta-2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen?
The glucocorticoid is used as prophylaxis to prevent exacerbations
A patient in her twenties with Graves' disease who takes methimazole (Tapazole) tells a nurse that she is trying to conceive and asks about disease management during pregnancy. what will the nurse tell her?
The patient should discuss changing to prophylthiouracil from now until her second trimester with her provider.
The nurse prepares a patient with Graves' disease for radioactive iodine (131 I) therapy. Which statement made by the patient best demonstrates understanding of 131 I therapy?
This drug will be taken up by the thyroid and will destroy the cells to reduce my hyperthyroidism.
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for 1 injection. What should the nurse tell the patient?
This is an acceptable practice.
A patient with hemophilia B is admitted to the hospital for surgery. The patient's history reveals long-term use of factor replacement as prophylaxis for bleeding episodes. The nurse anticipates that the provider will order which medication to prevent excessive peri-operative bleeding.
Tranexamic acid
A patient has had three gouty flare-ups in the past year. Which drug class will the nurse expect the provider to order for this patient?
Urate- lowering drugs
A nurse is discussing the difference between stable and variant angina with a group of nursing students. which statement by a student indicates the nee for further teaching?
Variant angina is the result of increased oxygen demand by the heart.
A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL. The patient asks the nurse what these laboratory values mean. How will the nurse respond?
We will need to obtain a TSH level to better evaluate your diagnosis.
A patient has begun taking an HMG-COA reductase inhibitor. Which statement about this class of drugs made by the nurse during patient education would be inappropriate?
You should come into the clinic for liver enzymes in 1 month.
A nurse is instructing a patient receiving a cholesterol-lowering agent. Which information should the nurse include in the patient education.
You should continue your exercise program to increase your HDL serum levels.
Which are therapeutic uses of verapamil? (select all that apply)
angina of effort, cardiac dysrhythmias, essential hypertension
A nurse is educating the staff nurses about ketoacidosis. To evaluate the group's understanding, the nurse asks which sign or symptom would not be consistent with ketoacidosis? This group gives which correct answer?
blood glucose level of 60 mg/dL.
A patient who is taking clopidogrel (Plavix) calls the nurse to report black, tarry stool and coffee-ground emesis. The nurse will tell the patient to:
continue taking the clopidogrel until talking to the provider.
Which medications are included in first-line therapy for heart failure? (select all that apply)
diuretics, agents that inhibit the renin-angiotensin-aldosterone system (RAAS), beta blockers
A patient is taking a calcium channel blocker (CCB) for stable angina. The patient's spouse asks how calcium channel blockers relieve pain. The nurse will explain that CCBs:
help relax peripheral arterioles to reduce afterload.
Which factors make meperidine an opioid of choice among nurses and physicians who abuse opioids? (select all that apply)
highly effective oral dosing, less pupillary constriction than other opioids
A patient with new-onset exertional angina has taken three nitroglycerin sublingual tablets at 5-minute intervals, but the pain has intensified. The nurse notes that the patient has a heart rate of 76 beats/min an a blood pressure of 120/82 mm Hg. The electrocardiogram is normal. The patient's lips and nail beds are pink, and there is no respiratory distress. The nurse will anticipate providing:
intravenous nitroglycerin and a beta blocker.
A thin older adult woman is admitted to the hospital after several days of vomiting, diarrhea, and poor intake of foods and fluids. She has not voided since admission, In preparing to care for the patient, the nurse will look for what laboratory values to help guide medication administration?
plasma drug levels, Serum albumin, Creatine clearance
Which are expected effects of cardiac glycosides? (select all that apply).
positive inotropic effects, decreased heart rates, modulation of neurohormonal system
A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse correctly states:
promotes vasodilation, which reduces reload and oxygen demand
A child with severe hemophilia A receives factor VII. The nurse expects this drug to be given:
prophylactically 3 times weekly to maintain factor VIII actively above 1% of normal
The nurse is caring for a patient receiving desmopressin (Stimate). The nurse is performing a physical assessment and notes that the patient is drowsy and listless and complains of a recent onset of headache. Which finding would be most consistent with these symptoms?
water intoxication.
A patient who has renal impairement will begin taking ranolazine (Ranexa) as an adjunct to nitroglycerine to treat angina. What will the nurse include when teaching this patient
you will need to monitor your blood pressure closely while taking this drug.
