Cardiovascular Medication

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    Heparin sodium is given by which route?

    • By mouth
    • Intradermal injection
    • Subcutaneous injection
    • Topical
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About This Quiz

Cardiac medication action, use, dosages,levels,patient teaching and adverse reactions.
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Medication Quizzes & Trivia

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  • 2. 

    What lab should be monitored during Warfarin therapy.

    • CBC

    • Potassium level

    • Prothrombin time

    • Platelet count

    Correct Answer
    A. Prothrombin time
  • 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

    Correct Answer
    A. Muscle weakness and leg cramps
  • 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

    Correct Answer
    A. 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

    Correct Answer
    A. Using the fingers to spread the ointment
  • 6. 

    Which is a potassium sparing diuretic:

    • Spironolactone

    • Lasix

    • Hydrochlorothiazide

    • Dantriium

    Correct Answer
    A. Spironolactone
  • 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

    Correct Answer
    A. I will take Ecotrin for my headaches because it is coated.
  • 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

    Correct Answer
    A. Administer another nitro tablet
  • 9. 

    Before administering digoxin the nurse would check for the:

    • Radial pulse

    • Blood pressure

    • Apical pulse

    • Respirations

    Correct Answer
    A. Apical pulse
  • 10. 

    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

    Correct Answer
    A. Medication should be held if the pulse rate drops below 60 bpm
  • 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

    Correct Answer
    A. The development of audible expiratory wheezes
  • 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

    Correct Answer
    A. Have a 12 hour 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

    Correct Answer
    A. Cirrhosis
  • 14. 

    What class is Cardizem:

    • Alpha blocker

    • Calcium Channel blocker

    • Sodium Channel blocker

    • Beta blocker

    Correct Answer
    A. Calcium Channel 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

    Correct Answer
    A. I'll conntinue my nicotinic acid from the health food store
  • 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

    Correct Answer
    A. 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

    Correct Answer
    A. Bradycardia,weight gain, and peripheral edema
  • 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

    Correct Answer
    A. Oranges
  • 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

    Correct Answer
    A. Hold the medication
  • 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

    Correct Answer
    A. If the systolic is 140 and diastolic 90 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

    Correct Answer
    A. Are an expected effect 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?

    • Blood pressure

    • Weight

    • Urine Output

    • Temperature

    Correct Answer
    A. Blood pressure
  • 23. 

    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:

    • Avocado

    • Banana

    • Baked Potato

    • Apple

    Correct Answer
    A. Apple
  • 24. 

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

    • 3

    • 4

    • 2

    • 1

    Correct Answer
    A. 2

Quiz Review Timeline (Updated): Jan 4, 2013 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jan 04, 2013
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 24, 2009
    Quiz Created by
    Crochetangel
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