Cardiovascular Medication

1. Heparin sodium is given by which route?

By mouth

Intradermal injection

Subcutaneous injection

Topical

2. What lab should be monitored during Warfarin therapy.

CBC

Potassium level

Prothrombin time

Platelet count

3. 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?

Constipation

Intermittent intestinal colic

Muscle weakness and leg cramps

Tingling of fingers and toes

4. 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:

Give the client insomnia

Cause enhanced side effects of other prescribed medications

Result in hyperglycemia

Precipitate rebond hypertension

5. 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?

Using the manufacturer's applicator papers

Using the fingers to spread the ointment

Applying the dose in an even layer

Washing off the previous application

6. Which is a potassium sparing diuretic:

Spironolactone

Lasix

Hydrochlorothiazide

Dantriium

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

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

I will be certain to limit my alcohol consumption.

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

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

8. 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:

Waitn another 10 minutes and then administer a second nitro tablet

Apply oxygen at 10L by nasal cannula

Administer another nitro tablet

Call MD

9. 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:

Gentle exercising will prevent orthostatic hypotension

Hot baths are advised to increase vasodilation

Medication should be taken on an empty stomach to enhance absorption

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

10. Before administering digoxin the nurse would check for the:

Radial pulse

Blood pressure

Apical pulse

Respirations

11. Which data would indicate an adverse reaction to propranolol(Inderal):

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

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

The development of audible expiratory wheezes

Complaint of insomnia

12. 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?

Do not remove the patches

Have a 12 hour nitrate free time

Have a 24 hour free nitrate time

Alternate every other day nitrate free time

13. 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:

Cirrhosis

Coronary Artery Disease

Diabetes mellitus

Hypothyroidism

14. What class is Cardizem:

Alpha blocker

Calcium Channel blocker

Sodium Channel blocker

Beta blocker

15. 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?

Constipation and bloating might be a problem

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

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

Walking amile eaach day will help the whole process

16. When administering Heparin Sodium(Liquaemin), the nurse would:

Use a 23 to 25 gauge, 1 inch needle

Aspirate before injection

Apply heat after the injection

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

17. 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:

Tachycardia, and rebound hypertension

Wheezing and shortness of breath

Bradycardia,weight gain, and peripheral edema

Chest pain and tachycardia

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

Pears

Oranges

Cranberries

An apple

19. The clients pulse rate is 56 should the nurse administer the digoxin:

Give the medication and monitor the patient

Hold the medication

Contact the MD and give the medication

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

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

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

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

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

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

21. 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:

Are unrelated to taking the medication

Are an expected effect of the medication

Indicate a toxic reaction

Indicate an understanding of the medication

22. 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?