Cardiovascular Medication
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.
- 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
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