Cardiovascular Medication

24 Questions | Total Attempts: 941

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Medication Quizzes & Trivia

Cardiac medication action, use, dosages,levels,patient teaching and adverse reactions. I have set the grade to a 80% to pass the quiz with 15 questions. I will add other quizzes to this site.


Questions and Answers
  • 1. 
    A nurse reinforce discharge instructions to a post-op client taking warfarin sodium. Which statement by the client indicates the need for further teaching?
    • A. 

      I will take Ecotrin for my headaches because it is coated.

    • B. 

      I will be certain to limit my alcohol consumption.

    • C. 

      . I will take my pills every day at the same time

    • D. 

      I have alrea.dy called my family to pick up a Medic-Alert bracelet

  • 2. 
    Heparin sodium is given by which route?
    • A. 

      By mouth

    • B. 

      Intradermal injection

    • C. 

      Subcutaneous injection

    • D. 

      Topical

  • 3. 
    When administering Heparin Sodium(Liquaemin), the nurse would:
    • A. 

      Use a 23 to 25 gauge, 1 inch needle

    • B. 

      Aspirate before injection

    • C. 

      Apply heat after the injection

    • D. 

      Administer with a 25 to 27 gauge, 5/8 inch needle

  • 4. 
    A client is taking hydrochlorothiazide without taking any form of electolyte supplement. The nurse would encourage intake of which of the following foods?
    • A. 

      Pears

    • B. 

      Oranges

    • C. 

      Cranberries

    • D. 

      An apple

  • 5. 
    Before administering digoxin the nurse would check for the:
    • A. 

      Radial pulse

    • B. 

      Blood pressure

    • C. 

      Apical pulse

    • D. 

      Respirations

  • 6. 
    Which data would indicate an adverse reaction to propranolol(Inderal):
    • A. 

      A baselin blood pressure of 150/80 followed by 138/76 after 2 doses

    • B. 

      A baseline heart rate of 88 followed by a resting heart rate 72 after 2 doses

    • C. 

      The development of audible expiratory wheezes

    • D. 

      Complaint of insomnia

  • 7. 
    A nurse is reinforcing instructions to the client about the use of a nitrate patch for the treatment of angina pectoris. Which of the following will the nurse include in the instructions to prevent client tolerance to nitrates?
    • A. 

      Do not remove the patches

    • B. 

      Have a 12 hour nitrate free time

    • C. 

      Have a 24 hour free nitrate time

    • D. 

      Alternate every other day nitrate free time

  • 8. 
    A nurse is caring for the client with history of mild heart failure who is receiving diltiazem(Cardizem) for hypertension. The nurse would check the client for:
    • A. 

      Tachycardia, and rebound hypertension

    • B. 

      Wheezing and shortness of breath

    • C. 

      Bradycardia,weight gain, and peripheral edema

    • D. 

      Chest pain and tachycardia

  • 9. 
    Atorvastatin(Lipitor) has been prescribed for a client with an elevated cholesterol level. The nurse collects a health history from the client, knowing that the medication is contraindicated in which of the following conditions:
    • A. 

      Cirrhosis

    • B. 

      Coronary Artery Disease

    • C. 

      Diabetes mellitus

    • D. 

      Hypothyroidism

  • 10. 
    The MD orders .5 digoxin tablets and .125 are available how many should be administered:
    • A. 

      3

    • B. 

      4

    • C. 

      2

    • D. 

      1

  • 11. 
    The clients pulse rate is 56 should the nurse administer the digoxin:
    • A. 

      Give the medication and monitor the patient

    • B. 

      Hold the medication

    • C. 

      Contact the MD and give the medication

    • D. 

      Recheck the pulse in 30 minutes then give if it is above 60

  • 12. 
    Which is a potassium sparing diuretic:
    • A. 

      Spironolactone

    • B. 

      Lasix

    • C. 

      Hydrochlorothiazide

    • D. 

      Dantriium

  • 13. 
    What lab should be monitored during Warfarin therapy.
    • A. 

      CBC

    • B. 

      Potassium level

    • C. 

      Prothrombin time

    • D. 

      Platelet count

  • 14. 
    The MD order reads give Lopressor if the SBP>110 Which of the following is correct:
    • A. 

      If the diastole is 90 and the systolic is 109 the medication should be given

    • B. 

      If the systolic is 140 and diastolic 90 it should be given

    • C. 

      If the systolic is110 and the heart rate is 56 it should be held

    • D. 

      If the systolic is 114 and the heart rate is 64 it should be given

  • 15. 
    A hypertensive client who has been taking metoprolol(Lopressor) has been ordered to decrease the dose of the medication. The client asks the nurse why this must be done over a period of 1 to 2 weeks. In formulating a response, the incorporates the understanding that abrupt withdrawal could:
    • A. 

      Give the client insomnia

    • B. 

      Cause enhanced side effects of other prescribed medications

    • C. 

      Result in hyperglycemia

    • D. 

      Precipitate rebond hypertension

  • 16. 
    A client with a diagnosis of CHF is seen in the clinic. The client is being treated with a variety of medications, including digoxin(Lanoxin) and furosemide(Lasix). Which findings on data collection would lead the to suspect that the client is hypokalemic?
    • A. 

      Constipation

    • B. 

      Intermittent intestinal colic

    • C. 

      Muscle weakness and leg cramps

    • D. 

      Tingling of fingers and toes

  • 17. 
    A nurse is reinforcing dietary instructions to a client who is taking triamterene(Dyrenium).The nurse instructs the client that it is acceptaable to consume which of the following foods daily:
    • A. 

      Avocado

    • B. 

      Banana

    • C. 

      Baked Potato

    • D. 

      Apple

  • 18. 
    A client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, the nurse administers nitroglycerin 0.4mg sublingually. After 5 minutes the client states, "My chest still hurts." If the vital signs have remained stable, the nurse should:
    • A. 

      Waitn another 10 minutes and then administer a second nitro tablet

    • B. 

      Apply oxygen at 10L by nasal cannula

    • C. 

      Administer another nitro tablet

    • D. 

      Call MD

  • 19. 
    A client recieving nifedipine(Procardia) for angina complains of feeling listless, with generalized weakness and no energy. To suplport the client most effectively, the nurse must understand that theses symptoms:
    • A. 

      Are unrelated to taking the medication

    • B. 

      Are an expected effect of the medication

    • C. 

      Indicate a toxic reaction

    • D. 

      Indicate an understanding of the medication

  • 20. 
    A nurse has an order to administer a dose of nitroglycerin ointment(Nitro-Bid) to a client. The nurse would avoid doing which of the following in preparing the medication for administration?
    • A. 

      Using the manufacturer's applicator papers

    • B. 

      Using the fingers to spread the ointment

    • C. 

      Applying the dose in an even layer

    • D. 

      Washing off the previous application

  • 21. 
    A 79 year old client is being treated for congestiv heart faiure with bumetanide(Bumex). The client's vital signs are blood pressure, 100/60,pulse 96, and respirations 28. The nurse checks which priority before administering the medication?
    • A. 

      Blood pressure

    • B. 

      Weight

    • C. 

      Urine Output

    • D. 

      Temperature

  • 22. 
    Cholestyramine resin(Questran) is prescribed for a client with an elevated triglyceride level and a serum cholestrol level of 398. The nurse reinforces instructions to the client about the medication. Which statement by the client indicates the need for further instructions?
    • A. 

      Constipation and bloating might be a problem

    • B. 

      I'll continue to watch my dient and reduce my fats

    • C. 

      I'll conntinue my nicotinic acid from the health food store

    • D. 

      Walking amile eaach day will help the whole process

  • 23. 
    A client is being discharged with a prescription for propanolol(Inderal). When reinforcing instruction to the client about the medication, the nurse would include which of the following:
    • A. 

      Gentle exercising will prevent orthostatic hypotension

    • B. 

      Hot baths are advised to increase vasodilation

    • C. 

      Medication should be taken on an empty stomach to enhance absorption

    • D. 

      Medication should be held if the pulse rate drops below 60 bpm

  • 24. 
    What class is Cardizem:
    • A. 

      Alpha blocker

    • B. 

      Calcium Channel blocker

    • C. 

      Sodium Channel blocker

    • D. 

      Beta blocker