Drugs
A patient experiencing chest pain takes one dose of nitroglycerin sublingually. After 5 minutes, pain persists. What should the patient do?
Take another dose and call EMS
What is Vit K?
What is the antidote of Coumadin?
Which symptom should the patient report immediately after taking atorvastatin?
What is Muscle pain may indicate rhabdomyolysis, a serious adverse effect
A patient on IV heparin has an aPTT of 120 seconds. What is the nurse’s priority?
Stop the infusion and notify the provider
Therapeutic aPTT is typically 60–80 seconds, a value of 120 indicates high bleeding risk.
Nitroglycerin must be crushed?
False - The PO pill must dissolve under the tongue, never chew or crush it.
) An elderly patient has been prescribed hydrochlorothiazide for the treatment of primary
HTN. Which of the following should the nurse include as priority nursing actions or patient
education?
What is Monitor the pt for signs of hyponatremia like seizures, advise the
pt the pt that this medication is a first-line drug used to treat hypertension, and
instruct the pt to report signs of hypokalemia
Atenolol is reversed using?
What is Glucagon?
Which of these symptoms should the nurse teach the patient to monitor while taking
Lisinopril?
What is a dry cough?
Which lab value is most important to monitor for a patient on LMWH therapy?
Platelet count
LMWH does not require aPTT monitoring, but platelets must be monitored for heparin-induced thrombocytopenia (HIT).
It is recommended to double dose Digoxin when missed dose is discovered.
False - Take at the same time every day and never double or miss dose
A patient with Gestational Hypertension is prescribed 400 mg/day of Labetalol in divided doses.
Before the nurse gives the dose, they assess the patient’s history again. Which of these problems
should make the nurse hold the dose and alert the provider?
Seasonal Allergies
Digoxin reversal
digoxin immune Fab (DigiFab)
A patient taking digoxin reports seeing "yellow-green halos" around lights. What is the nurse's teaching
priority action?
These are signs and symptoms of Dig toxicity and educate to notify provider immediately
Which lab value would concern the nurse with a patient on Losartan
ARBs block angiotensin II receptors which lowers aldosterone release causing potassium retention. Hyperkalemia can cause changes in the heart’s rhythm
A patient is taking sublingual isosorbide for angina due to CAD and reports a burning tingling sensation when taking. The nurse says this is a common side effect and not to be worried unless they are allergic to the medication.
True
What medication can cause Oligohydramnios?
Oligohydramnios (low amniotic fluid levels) is an adverse effect of ACE inhibitors in fetuses
What is the antidote of Lisinopril?
No specific antidote, Severe reactions treated with epinephrine and airway support
A patient asks if, when his B/P improves, he can stop taking lisinopril.
Lisinopril should never be abruptly stopped.Stopping can cause HTN and further damage to the body. The patient should not be encouraged to stop taking it when B/P normalizes.
Which lab value requires immediate follow-up in a pt taking Losartan?
Potassium 5.8 mEq/L
It is okay to give Beta Blockers with a heart rate of 46 since this is the expectation of the drug.
False - Hold and notify provider
A patient is taking the calcium channel blocker amlodipine. The patient asks the
nurse for a drink. Which option is the greatest priority for the nurse to avoid?
What is grapefruit juice?
Heparin
Protamine
Which side effect should the nurse teach a client starting amlodipine to expect?
Peripheral edema is an expected side effect of this Calcium Channel Blocker because of the vasodilation and fluid shifts. Teach patient to elevate legs for
A patient on digoxin and Hydrochlorothiazide begins to develop weakness, muscle cramps, nausea, vomiting. Which lab should the nurse be concerned about?
K+ level.
Hydrochlorothiazide is a potassium and sodium wasting diuretic, the inclusion of the medication of digoxin along with the symptoms of weakness, muscle cramps, nausea and vomiting match hypokalemia where as cold/ clammy skin, confusion, and thirst would indicate hyponatremia
Diuretics are best absorbed when taken with food and at bedtime?
False it will cause Nocturia