Antihypertensives
What is the number one sign to check a pt for when they are taking an antihypertensive for the first time?
A. allergy
B. hypotension
C. tachycardia
D. flushing
B. hypotension
First time pts are at risk for falls if the antihypertensive has a big effect causing hypotension
The nurse is providing drug teaching for a client who is prescribed lisinopril. What drug-specific adverse effect will the nurse include in the drug teaching?
A. hepatotoxicity
B. nephrotoxicity
C. persistent cough
D. hypokalemia
C. persistent cough
A&B are not specific to this drug or an ADR
This drug class causes HYPERkalemia
What should ferrous sulfate be taken with to increase absorption?
Vitamin C
During an acute asthma attack, which medication is given FIRST?
A. Ipratropium
B. Salmeterol
C. Methlyprednisone
D. Albuterol
D. Albuterol
A nurse is caring for a client who has been diagnosed with primary hypertension. What nursing interventions should be included in the teaching plan? Select all that apply.
A. Regular aerobic exercise
B. Diet with more fruits and vegetables
C. Decreased alcohol consumption
D. Smoking cessation
E. Increase Na intake
A, B, C, D,
In which scenario do we use nitroprusside?
A. HTN causing a stroke
B. HTN during an MI
C. HTN crisis
D. primary HTN
C. HTN crisis
A pt taking a CCB is diagnosed with drug toxicity. When collecting the nursing history, what finding would indicate the likely cause of this drug toxicity?
A. intake of alcohol
B. the use of eggs in the diet
C. intake of aged cheese
D. intake of grapefruit juice
D. grapefruit juice
decreases metabolism of drug
What other drug should not be taken with grapefruit juice?
What lab values should the nurse monitor in a pt taking epoetin alfa? SATA
A. RBC
B. WBC
C. Platelets
D. Hemoglobin
A, C, D
What are side effects of ipratropium, an anticholinergic?
Can’t see, can't pee, can’t spit, can't sh*t - overall drying effect
What is a pt most at risk for when taking budesonide?
Infection
Which other class of meds put pt at high risk for infxn?
A. dry cough
B. hyperkalemia
C. HTN
D. hypotension
A. Dry cough
Which of the following cause a decrease in BP & HR?
A. enalapril
B. losartan
C. metoprolol
D. aliskiren
C. metoprolol
A client taking ferrous sulfate reports dark stool. What should the nurse do?
A. Discontinue the medication
B. Notify the provider
C. Explain it is an expected side effect
D. Take a stool sample
C. Explain it is an expected side effect
Which is a slow acting beta 2 agonist?
A. albuterol
B. metoprolol
C. salmeterol
D. propranolol
C. salmeterol
binds to beta 2 in the lungs for bronchodilation, SLOW acting, used for prevention of asthma attacks
The nurse is preparing to teach the pt about diet therapy when beginning bile acid sequestrant medications to lower lipid levels. What important teaching point will the nurse include in the teaching plan?
A. increasing carb intake
B. reducing protein intake
C. increasing fiber intake
D. reducing fluid intake
C. Increasing fiber intake
Can cause constipation! what is an example of a med name?
A provider has ordered captopril for a pt who has HTN. The pt reports a history of swelling of the tongue and lips after taking enalapril in the past. Which by the nurse is correct?
A. Explain to the pt it is an expected side effect
B. Ask the provider to decrease the dose
C. Hold the dose & notify provider
D. Administer the medication
C. Hold the dose & notify provider
The patient is at risk for angioedema and may have had a history of it with the previous ACE inhibitor.
What are some CI for ACE inhibitors?
allergy, hyperkalemia, pregnancy
What is rhabdomyolysis?
Which medications have this side effect?
breakdown of muscles
anti lipids: atorvastatin, possibly ezetimibe
Name the 3 T's of side effects for Theophylline
Toxicity over 20
Normal range 10-20mg/ml
Tonic clonic seizures
Tachycardia
Adverse reactions of the antineoplastic doxorubicin?
bone marrow suppression, cardiac toxicity, red bodily fluids
Think red BLOOD, HEART, & TEARS
A pt is on Aliskiren. In addition to blood pressure monitoring, what should the nurse prioritize monitoring?
A. Heart rate
B. Potassium levels
C. ALT, AST
D. Urine output
B. K+ levels
It can cause hyperkalemia
Describe the RAAS system cascade and the goal of it
Renin and angiotensinogen = angiotensin 1 + ACE = angiotensin 2 which causes aldosterone & vasoconstriction
What lab values does the nurse monitor on a pt taking ezetimibe?
A. CBC, ALT, AST
B. Electrolytes
C. ALT, AST, CK
D. CK, CBC, electrolytes
C. ALT, AST, CK
Why?
What are possible side effects of albuterol? SATA
A. Tachycardia
B. Insomnia
C. HTN
D. Drowsiness
E. Tremors
A, B, E
3 T's of albuterol?
What are side effects of vincristine? SATA
A. alopecia
B. bone marrow suppression
C. peripheral neuropathy
D. arrhythmia
A, B, C