1.
Which one of the following can NOT be controlled be calcium channel blockers?
Correct Answer
D. Valvular disorders
Explanation
Calcium channel blockers can control angina, hypertension, and dysrhythmias.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
2.
Which of the following is NOT a sign of toxicity, from calcium channel blockers?
Correct Answer
B. Hypertension
Explanation
Signs of toxicity include hypotension, AV block, bradycardia, signs of decreased cardiac output, nausea, and generalized weakness.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
3.
Which of the following is a priority nursing assessment, for the patient taking calcium channel blockers?
Correct Answer
A. Blood pressure
Explanation
Monitor BP and HR closely with calcium channel blockers - they can lower both.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
4.
True or False: You should withhold a calcium channel blocker if the heart rate is below 70bpm.
Correct Answer
B. False
Explanation
Withhold calcium channel blockers if the heart rate is below 50 bpm.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
5.
True or False: Calcium channel blockers combined with beta blockers can cause significant hypotension and/or bradycardia.
Correct Answer
A. True
Explanation
They both lower blood pressure - and heart rate. If given together, they may produce twice the results.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
6.
True or False: Calcium channel blockers can be used to prevent an acute angina attack.
Correct Answer
B. False
Explanation
Calcium channel blockers are not effective in an acute angina attack. Use a fast-acting nitrate in that situation.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
7.
Which of the following is NOT accomplished by calcium channel blockers?
Correct Answer
C. Increased vascular resistance
Explanation
Calcium channel blockers increase myocardial oxygen supply by dilating the coronary arteries. They decrease vascular resistance and decrease oxygen demand.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
8.
True or False: Calcium channel blockers decrease the workload of the heart.
Correct Answer
A. True
Explanation
Yes, calcium channel blockers do decrease the heart's workload.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.
9.
Which of the following solutions should you NEVER mix Verapamil with?
Correct Answer
B. Sodium bicarbonate
Explanation
Verapamil should never be mixed with sodium bicarbonate.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.922-924.