Chapter 23
A client has a heart rate of 130 beats per minute. How does the nurse plan to document this heart rate in the medical record?
Tachycardia
What is the medical term for stopping of blood flow, an essential mechanism protecting the body from both external and internal injury?
Hemostasis
The client has an HDL cholesterol value of 38 mg/dL. What is the most appropriate interpretation of this value by the nurse?
Low
The client asks the nurse how to control hypertension without taking medications.
What would you include?
Increase exercise
Decrease sodium intake
Stop smoking
A client has been prescribed diltiazem (Cardizem), and asks the nurse what type of drug this is.
CCB
The client has been started on propranolol (Inderal). What finding does the nurse expect?
Lowered heart rate
A client has been prescribed an anticoagulant, and asks the nurse to explain why this medication has been prescribed. Which response by the nurse is the most appropriate?
Prevent formation of clots; Prevent existing clots from growing
What drug classification is considered the drug of choice to decrease triglyceride levels?
Fibric acid agents
Give an example of thiazide diuretic
Chlorothiazide
Hydrochlorothiazide
Which type of stroke does the nurse know should not be treated with a thrombolytic?
Hemorrhagic stroke
What is the half-life for adenosine?
10 seconds
The client is receiving warfarin (Coumadin). Which laboratory result will the nurse monitor to evaluate the therapeutic response?
PT and INR
Another name for statins
HMG-CoA reductase inhibitors
The nurse is caring for a client prescribed enalapril (Vasotec). The nurse educates the client on the side effects of the medication. What would these include?
dry persistent cough
orthostatic hypotension
A client taking nitroglycerin (Nitrostat) complains of a headache. Which conclusion is most appropriate by the nurse?
The most common side effect of nitroglycerin is a headache.
What channels can be blocked by dysrhythmias?
Na, K, Ca
A client is receiving heparin (Hep-Lock) therapy, and serious hemorrhage occurs. Which medication should the nurse administer to reverse the effects of heparin (Hep-Lock)?
Protamine sulfate
The client has a pH of 7.6. What is this?
Alkalosis
A client who has a history of angina and hypertension now complains of fatigue, shortness of breath, and cough. What do you suspect?
LHF
The nurse is treating a client who has been diagnosed with shock. What is the first step in treating this client?
Basic life support
What are class 1 antidysrhythmias?
Na channel blockers
A client receiving warfarin (Coumadin) therapy has an INR of 5.6. What does this mean?
Takes too long for the blood to clot; Vit K should be given.
Which medication is used to increase red blood cell production in patients with renal failure?
Epoetin alfa (Epogen)
The nurse is teaching a client recently prescribed digoxin (Lanoxin). Which teaching point indicates the correct primary action of this medication?
Positive inotropic drug
The nurse is performing an assessment on a client who is experiencing shock. What metabolic findings would the nurse expect?
Effects of shock on the metabolic system include low temperature, thirst, and low urine output, as well as acidosis.