Who has high blood pressure?
Cardiac conduction defects will most likely be an adverse associated with the use of:
A. verapamil
B. nifedipine
C. lisinopril
D. felodipine
A. verapamil
A patient is managing her hypertension with an ACE inhibitor. Which of the following statements stated by her indicates a need for further instruction?
A. "I should not take my pills with food."
B. "I need to increase my intake of orange juice, bananas, and green vegetables."
C. "I will avoid coffee, tea, and colas."
D. "I will avoid using salt substitutes."
B. "I need to increase my intake of orange juice, bananas, and green vegetables."
A nurse is caring for a patient that is prescribed nitroprusside for hypertension. The nurse knows that this medication is a nitrate and so it works on the human body by causing which of the following effects?
A. Vasoconstriction
B. Negative chronotropic qualities
C. Increased preload
D. Smooth muscle relaxation
D. Smooth muscle relaxation
A student nurse is working on a cardiac unit. She will correctly identify that which of the following patients are at highest risk for digoxin toxicity?
A. A 25 year old with hepatitis C
B. A 45 year old with breast cancer
C. A 60 year old with rheumatoid arthritis
D. A 70 year old with CHF
D. A 70 year old with CHF
When administering an antiarrhythmic agent, which of the following assessment parameters is the most important for the nurse to evaluate?
A. EKG Reading
B. Pulse rate
C. Respiratory rate
D. Blood pressure
A. EKG Reading
A nurse is caring for patients on a cardiac unit. The nurses knows that which of the following adverse reactions is found more often in volume-depleted elderly clients?
A. Bradycardia
B. Conduction defects
C. Ankle edema
D. Orthostatic hypotension
D. Orthostatic hypotension
A patient taking atorvastatin (Lipitor) for high cholesterol should be educated to avoid which of the following during his treatment?
SELECT ALL THAT APPLY
A. NSAIDS
B. Tylenol
C. Grapefruit Juice
D. Betablockers
E. Coumadin
B. Tylenol
C. Grapefruit Juice
A. A blood pressure of 110/80
B. The patient reports decreased anxiety and denies chest pain.
C. A spO2 level of 99%
D. The patient shows an increased level of consciousness and denies shortness of breath.
B. The patient reports decreased anxiety and denies chest pain.
A nurse is caring for a patient with heart failure related to endocarditis. Which of the following assessment findings would make the nurse hold the patient's dose of a cardiac glycoside?
A. A blood pressure of 91/60
B. Urinary out put of 20 ML/HR
C. Pulse of 61 beats per minute
D. Altered mental status
B. Urinary out put of 20 ML/HR
A nurse knows that which of the following statements apply to all potassium-sparing diuretics:
A. They are required supplements during blood transfusion.
B. They enhance aldosterone action.
C. They cause hypokalemia.
D. They are not as powerful diuretics.
D. They are not as powerful diuretics.
Which of the following effects of calcium channel blockers causes a reduction in blood pressure?
A. Increased cardiac output.
B. Decreased peripheral vascular resistance.
C. Decreased renal blood flow.
D. Calcium influx into cardiac muscles.
B. Decreased peripheral vascular resistance.
For a client taking drugs to treat peripheral arterial disease, it is important to provide health education about which of the following topics?
SELECT ALL THAT APPLY
A. Smoking cessation.
B. Developing a proper balance between rest and activity
C. Proper foot care
D. A diet low in fat
E. Elevating the legs as much as possible
A. Smoking cessation.
B. Developing a proper balance between rest and activity
C. Proper foot care
D. A diet low in fat
A student nurse is asked to give an example of a long-acting nitrate. He is correct by saying:
A. Nitroglycerin sublingual
B. Nitroglycerin IV
C. Isosorbide Dinitrate PO
D. Nitroprusside IV
C. Isosorbide Dinitrate PO
A nurse is caring for a patient who is taking digoxin everyday for heart failure.
Which of the following lab values would alert a nurse that the patient could be becoming toxic?
A. 0.1-2.0 ng/mg
B. 1.0-2.0 ng/mg
C. 0.1-0.5 ng/mg
D. 0.5-2.0 ng/mg
D. 0.5-2.0 ng/mg
A patient is receiving alteplase due to a coronary blockage. The nurse should notify the physician immediately if she finds which of the following assessments?
A. Pulse of 99
B. A blood pressure of 150/119
C. A respiratory rate of 14 breaths per minute
D. A urinary out put of 45 ML/HR
B. A blood pressure of 150/119
A nurse is caring for a patient taking metoprolol (Lopressor). The nurse knows that all of the following should be included in his assessment except:
A. A lung X-ray
B. Baseline EKG
C. Base line A1C
D. Blood pressure
A. A lung X-ray
A patient is prescribed ezetimibe. The nurse knows that which of the following education tips are important to include in discharge teaching?
A. Eat a low salt, low potassium diet
B. Exercise 4-5 times a week for about 45 minutes to a hour.
C. Report any signs of dehydration to the provider immediately.
D. Eat foods that are low in fiber and limit fluids.
C. Report any signs of dehydration to the provider immediately.
A nurse knows that ACE inhibitor drugs like captopril are given to patients to block which of the effects of in the renin-angiotensin-aldosterone system?
A. Inhibit conversion of angiotensin II to angiotensin I.
B. Vasoconstriction and sodium depletion.
C. The promotion of sodium and water retention.
D. Stimulate vasodilation and inhibit sodium depletion.
C. The promotion of sodium and water retention.
Before giving milrinone (Primacor) by an IV infusion to a client with symptoms of CHF, which of the following nursing actions is necessary?
A. Record sodium level.
B. Administer loading dose over 15 minutes.
C. Assess CV status.
D. Review medication regimen to identify if the client is on IV furosemide (Lasix).
D. Review medication regimen to identify if the client is on IV furosemide (Lasix).
A patient is experiencing supraventricular tachycardia.
The nurse expects to administer adenosine.
Which of the following statements would indicate that the patient understands the mechanism of action for the drug?
A. "The drug will cause my heart rhythm to reset and may cause a lot of discomfort."
B. "The drug will slow my heart beat down to a normal level and may cause orthostatic hypotension at home."
C. "The drug will stimulate my SA node to work harder."
D. "The drug will help to relax my arteries and lower the pressure on my heart."
A. "The drug will cause my heart rhythm to reset and may cause a lot of discomfort."
A nurse knows that ß blockers should be avoided in patients with which of the following conditions?
A. Bronchoconstriction
B. Hypertension
C. Angina
D. Myocardial infarction
A. Bronchoconstriction
A patient is prescribed losartan for hypertension. The nurse knows to include which of the following in the patient's medication teaching?
SELECT ALL THAT APPLY
A. Report any plans of pregnancy to the provider as soon as possible
B. Report any transient dizziness when standing to the provider and immediately stop taking your medication.
C. Report any chest palpitations or dyspnea to the provider immediately
D. Decrease your intake of sodium and potassium
E. Measure your blood pressure 2-3 times everyday and report any blood pressures over 150/90 to your provider immediately.
A. Report any plans of pregnancy to the provider as soon as possible
C. Report any chest palpitations or dyspnea to the provider immediately
D. Decrease your intake of sodium and potassium
A new nurse just administered an ACE inhibitor to her client. Before ambulating the client for the first time after administration, the nurse should monitor for:
A. Hyperkalemia
B. Irregular heartbeat
C. Peripheral Edema
D. Hypotension
D. Hypotension
In a 50-year-old widower who had a transient ischemic attack, what is the most common vasodilator used for his treatment?
A. norepinephrine
B. dopamine (Intropin)
C. metoprolol (Lopressor)
D. nitroprusside (Nitropress)
D. nitroprusside (Nitropress)
A patient is prescribed procainamide for chemical cardioversion. Which of the following in the patient's health history would cause the nurse to verify the order with the provider?
A. Atrioventricular heart block
B. Orthostatic Hypotension
C. A fall 8 months ago
D. Non compliancy with medications
A. Atrioventricular heart block