A nurse is preparing to administer nitroglycerin (NTG) via the sublingual route. The nurse knows that nitroglycerin tablets are administered sublingually:
D. to absorb readily into the circulation
A client is ordered to receive a nitrate to relieve stable angina. What is/are a common s/e to anticipate in a client receiving this medication?
A. Pounding HA
a client is taking digoxin (Lanoxin) & is being assessed for s/s of digitalis toxicity. Which one of the following is an indication of toxicity?
D. bradycardia
Nursing interventions for a client taking Lasix include which of the following?
A. Instruct the client to rise slowly to prevent dizziness resulting from fluid loss
The drug group that inhibits clot formation is:
C. Anticoagulants
The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxin level? (normal range is: 0.5-2.0 ng/mL)
A. It is in the high range
The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the s/s for digitalis toxicity?
A. HR <60bpm & irregular
The client is also taking a diuretic that <her K+ levels. The nurse expects that a <K+ could have what effect on the digoxin?
B. ^the serum digoxin sensitivity level
When a client first takes a nitrate, the nurse expects which symptom that often occurs?
D. HA
The nurse acknowledges that beta blockers are as effective as an anti-anginals because they do what?
C. <HR & <myocardial contractility
The MD is planning to d/c a client's beta blocker. What instruction should the nurse give the client regarding the beta blocker?
B. is should NOT be stopped abruptly, dose should be tapered
The beta blocker Sectral is prescribed for dysrhythmias. The nurse knows that what is the primary purpose of the drug?
B. to block the beta1 adrenergic receptors in the cardiac tissues
A client is taking HCTZ 50mg/day & digoxin 0.25mg/day. What type of electrolyte imbalance does the nurse expect to occur?
A. Hypokalemia
A client is taking HCTZ 50mg/day & digoxin 0.25mg/day. What would cause the client's electrolyte imbalance?
B. HCTZ
A nures is teaching a client who has diabetes mellitus & is taking HCTZ 50mg/day. The teaching should include the importance of monitoring which levels?
B. Serum glucose (sugar)
A client has HF & is prescribed Lasix. The nurse is aware that Lasix is what kind of drug?
C. High-ceiling (loop) diuretic
The nurse acknowledges that which condition could occur when taking Lasix?
B. Hypokalemia
For the client taking a diuretic, a combination such as triamterene & HCTZ may be prescribed. The nurse realizes that this combination is ordered for which purpose?
D. to ^serum K+ level
The client has been receiving spirolactone (Aldactone) 50mg/day for HF. The nurse should closely monitor the client for which condition?
C. Hyperkalemia
A client who has angina is prescribed nitroglycerin. The nurse reviews which appropriate nursing interventions for nitroglycerin? (select all that apply)
a. Have client lie down when taking a nitro sublingual tab.
b. Teach client to repeat taking a tablet in 5 minutes if chest pain persists.
c. Apply Transderma-Nitro patch to a hairy area to protect skin from burning.
d. Call the MD after taking 5 tablets if chest pain persists.
e. warn client against ingesting alcohol while taking Nitro.
a. Have client lie down when taking a Nitro sublingual tablet.
b. Teach client to repeat taking a tab in 5min if chest pain persists.
e. Warn client against ingesting alcohol while taking Nitro.
A clients BP is 145/90. According to the guidelines for determining HTN, the nurse realizes that the client's BP is at which stage?
B. Stage 1 hyptension
The nurse acknowledges that the first-line drug for treating a client w/stage 1 HTN is which?
B. Diuretic
The nurse is aware that which group(s) of Anti-hypertensive drugs are less effective in African-American clients?
C. Alpha Blockers
The nurse knows that which diuretic is most frequently combined w/an Anti-hypertensive drug?
A. HCTZ
The nurse explains that which Beta Blocker category is preferred for treating HTN?
C. Beta2 blockers
Captopril has been ordered for a client. The nurse teaches the client that ACE inhibitors have which common s/e?
B. N/V
A client is prescribed Losartan (Cozaar). The nurse teaches the client that an (ARB) Angiotensin II Receptor Blocker acts by doing what?
C. Promoting the release of aldosterone
What are the common s/e of Norvasc (Chalcium Channel Blocker)?
fluch, HA, dizziness, ankle edema, bradycardia, AV block
Which disorders are heparin effective in preventing? (select all that apply)
a. Coronary Thrombosis
b. Acute myocardial infarction
c. Deep vein Thrombosis (DVT)
d. Cerebrovascular Accident (CVA) (Stroke)
e. Venous Disorders
a. Coronary Thrombosis
b. Acute MI
c. DVT
d. CVA
e. Venous disorders
A client who received heparin begins to bleed, & the Dr calls for the antidote. The nurse knows what which is the antidote for heparin?
A. protamine sulfate
A client is prescribed Lovenox. The nurse knows that low-molecular-weight heparin has what kind of half-life?
C. longer half-life than heparin
The nurse is teaching a client about Plavix. What is important information to include?
D. Bleeding may ^when taking aspirin
A client is prescribed (dalteparin) Fragmin. LMWH is administered via which route?
C. SubQ
A client is being changed from an injectable anticoagulant to an oral anticoagulant. Which anticoagulant does the nurse realize is administered orally?
D. coumadin
Cilostazol (Pletal) is being prescribed for a client w/coronary artery disease. The nurse knows that which is the major purpose for antiplatelet drug therapy?
D. To suppress platelet addregation
A client is admitted to the ER w/Acute MI. Which drug category does the nurse expect to be given to the client early for the prevention of tissue necrosis following blood clot blockage in a coronary or cerebral artery?
D. Thrombolytic
The nurse realizes that which is the lab test ordered to determine the presence of the amino acid that can contribute to cardiovascular disease & stroke?
C. homocysteine
A client is taking lovasatin (Mevacor). Which serum level is most important for the nurse to monitor?
B. Complete blood count
The client is taking Crestor. What severe skeletal muscle adverse reaction should the nurse observe for?
C. Rhabodomyolysis
When a client is taking Zetia, she asks the nurse how it works. The nurse explains that it does what?
C. Inhibits absorption of dietary cholesterol in the intestines.
A client is Dx w/peripheral arterial disease (PAD). He is prescribed Isoxsuprine (Vasodilan). The nurse knows that this drug does what?
Relaxes the arterial walls w/in the skeletal muscles.