What is the desired value of brain natriuretic peptide?
What is less than 100pg/mL?
Lisinopril has been ordered for a patient with hypertension. The nurse will educate the patient regarding which of the following as the most commonly occurring side effect of an angiotensin-converting enzyme drug?
a) Nausea and vomiting
b) dizziness and headaches
c) photosensitivity
d) constant, irritating cough
What is a constant, irritating cough?
The nurse is administering a beta blocker to a patient. Which is the most important assessment to perform?
a) Urine output
b) Serum level of medication
c) Potassium level
d) Apical pulse
What is apical pulse?
A patient is prescribed furosemide. What foods should the nurse encourage the patient to eat?
a) Foods high in calcium
b) Foods low in phosphorus
c) Foods high in potassium
d) Foods low in protein
What are foods high in potassium?
A patient has a total urinary output of 360mL in 12 hours. Calculate the hourly urinary output.
What is 30mL/hour?
What is the normal therapeutic range for serum digoxin?
What is between 0.8-2ng/mL?
The patient has been taking spironolactone for heart failure. The nurse should closely monitor the patient for which condition?
a) hypocalcemia
b) hypercalcemia
c) hyperkalemia
d) hypermagnesemia
What is hyperkalemia?
A patient with hypertension is admitted to the medical-surgical unit. The patient tells the nurse that he has noticed excess hair growth after he was prescribed a new blood pressure medication. Which blood pressure medication is the patient likely taking?
a) metoprolol
b) lisinopril
c) minoxidil
d) valsartan
What is minoxidil?
A patient is showing signs of digoxin toxicity. Which of the following medications will the nurse expect the health care provider to order?
What is digoxin-immune Fab?
A client reports drinking 80% of an 8-ounce cup of coffee. How many milliliters did the client drink?
What is 192 mL?
The blood lipid results of a patient are LDL 90mg/dL, cholesterol 180mg/dL, and triglyceride 135mg/dL. What does the nurse understand regarding these results?
a) These results are normal
b) These results are elevated
c) These results will need to be repeated
d) These results were done without the patient fasting
What is normal?
What is the most common side effect of nitroglycerin use?
What causes headaches?
A patient is prescribed an ACE inhibitor for hypertension. What adverse effects will the nurse monitor for?
a) hypotension and bradycardia
b) reflex hypertension and bradycardia
c) hypotension and tachycardia
d) hypertension and edema
What is hypotension and tachycardia?
Which of the follow is an appropriate nursing intervention for a patient taking amiodarone?
a) Advise the patient to avoid alcohol
b) Educate the patient to take an extra dose if they experience angina
c) Educate the patient to get at least 30 minutes of moderate exercise every day
d) Instruct the patient to eat foods high in potassium
What is A?
Determine the rate in milliliters per hour for the following continuous feeding: Ensure 450 mL by NG tube over 8 hours. Follow with 120 mL of water after each feeding. Round answers to the nearest whole number.
What is 56.3mL/hour?
Thiazide diuretics are contraindicated in patient with a creatinine clearance less than what?
What is less than 30mL/min?
A patient is prescribed verapamil. What side effects should the nurse monitor for?
a) hypertension and nausea
b) diarrhea and headaches
c) hypotension and bradycardia
d) diaphoresis and constipation
What causes hypotension and bradycardia?
The nurse assesses a patient’s blood pressure to be 125/75 while the patient is sitting down and 100/64 within three minutes of the patient standing. Which of the patient’s medications could be causing this orthostatic hypotension?
a) aspirin
b) ferrous sulfate
c) telmisartan
d) digoxin
What is telmisartan?
A patient who has angina is prescribed nitroglycerin. Which are appropriate nursing interventions for nitroglycerin? Select all that apply.
a) Educate the patient to avoid alcohol
b) Educate the patient to call 911 if angina persists after taking 3 tablets
c) Apply the nitroglycerin patch to a hairless area for maximum effect
d) Educate the patient to sit or lie down when taking a nitroglycerin sublingual tablet
What is A, C, and D?
Erythromycin 200 mg in 50 mL D%W to infuse over 1 hour. Drop factor: 10 gtt/mL.
Calculate the rate in gtt/min. Round to the nearest whole number.
What is 8 gtt/min?
An 85 year old woman has a brain natriuretic level of 120pg/mL. What nursing intervention should the nurse perform?
a) Call the doctor for new orders.
b) Acknowledge this as a normal result.
c) Weigh the patient daily.
d) Educate the patient about a low-sodium diet.
What is B.
Frequently the BNP is greater than 100pg/mL in women 65 years of age and older.
A patient with heart failure is taking furosemide and digoxin. The nurse assesses the patient to find poor skin turgor, poor muscle tone, irregular pulse rate, and decreased bowel sounds. Lab results show potassium 2.9 mEq/L, sodium 137 mEq/L, and chloride 96 mEq/L. What does the nurse suspect?
What is digoxin toxicity?
A patient with hypertension is prescribed the alpha-adrenergic blocker called labetalol. Which of the following might the nurse find when assessing the patient? Select all that apply.
a) orthostatic hypotension
b) impotence
c) tachycardia
d) irritating cough
What are A and B?
Which of the following are appropriate nursing interventions for a patient taking furosemide? Select all that apply.
a) Advise the patient to take the furosemide in the evening and not in the morning
b) Teach patients to rise slowly from lying or sitting to a standing position
c) Observe for signs and symptoms of hyperkalema
d) Suggest taking furosemide with food to avoid nausea
What are B and D?
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse should program the infusion pump at how many ml/hour?
What is 3mL/hour?