Cardiovascular 1
1
What drug classification does lisinopril belong to?
ACE inhibitor
What is the KEY difference between type 1 and type 2 diabetes?
type 1 requires insulin, but type 2 might not
A patient has a new prescription for fluoxetine to treat depression. Which suggestion should the nurse make to manage a common adverse reaction of this medication?
dry mouth....chew gum or suck on hard candy
The nurse is caring for a patient on long-term levodopa treatment who suddenly experiences the on-off phenomenon, alternating between improved clinical status and loss of therapeutic effect. Which of the following may be prescribed?
A) discontinue levodopa permanently
B) increase levodopa dose
C) add phenothiazine prescription
D) a drug holiday
D) a drug holiday
What class of diuretics does spironolactone belong to?
Potassium sparing diuretic
What is an adverse effect should the nurse instruct the patient that is often associated with nitroglycerin tablets sublingual?
Headache and dizziness
The nurse is preparing to administer aspart insulin to a patient with diabetes. When should the nurse give the insulin related to meals?
Right before the patient eats
The nurse is administering medication for patients in a mental health unit. A patient refuses to take the prescribed antipsychotic medication. What action should the nurse take next?
Try to persuade the patient to take the med
The nurse is administering tolcapone to a patient with Parkinson's disease. The nurse knows this drug belongs to which class?
Catechol-O-Methy transferase inhibitors (COMT)
Which lab value should the nurse be checking before administering warfarin to a patient after surgery?
International Normalized Ratio (INR)
A patient is experiencing an angina attack. The nurse has given the patient one dose of nitroglycerin. The patient's HR is 58 and BP 84/58. The patient now reports heavy chest pressure. What is the nurse's best action?
Contact the healthcare provider
A 52 year old patient is prescribed testosterone supplements. The nurse understands which is the most likely reason for this therapy?
To manage menopause symptoms
A patient is prescribed haloperidol develops fine tremors and dystonia. The nurse knows which is the most likely reason for these new symptoms?
Extrapyramidal syndrome
The nurse is monitoring a patient who is taking a bisphosphonate medication. Which lab should be frequently checked?
Calcium
A patient is on a loop diuretic and has a potassium of 2.0 mEq/L. What are the symptoms that the nurse would monitor for?
numbness and tingling
A Jewish patient is admitted with a deep vein thrombosis (DVT). Which prescription dose the nurse anticipate for this patient?
Fondaparinux
A) dry skin
B) goiter
C) moon face
D) weight loss
C) moon face
The nurse is preparing to administer scheduled lorazepam for a patient with anxiety. The nurse checks the patients BP and notes the BP is 162/70, the previous BP was 182/80. Which act6ion should the nurse take next?
A)Document BP reading
B)Hold med and contact HCP
C)Administer med and retake BP in an hour
D)Give med with glass of water
B)Hold med and contact HCP
The nurse is reinforcing teaching to a patient receiving (DMARD) methotrexate. The nurse understands this med has which action when prescribed for a patient with rheumatoid arthritis?
suppress immune system
The nurse is reviewing the lab results for a patient being treated with heart failure. Which lab result is most concerning and needs to be reported immediately?
A) Potassium of 3.2 mEq/L
B) Sodium of 148 mEq/L
C) Magnesium of 1.8 mEq/L
D) Digoxin of 2.4ng/mL
D) Digoxin of 2.4ng/mL
A patient is receiving a statin medication and reports muscle pain, tenderness and weakness. The nurse understands that this could be which condition?
The nurse is caring for a woman that is going to be taking the anterior pituitary hormones, follicle stimulating hormone and luteinizing hormone. Which instruction will the nurse include in patient teaching?
A) med is taken sublingual
B) med is taken orally
C) med must be taken via inhalation
D) med must be taken via IM or subQ injection
D) med must be taken via IM or subQ injection
The nurse is monitoring a patient who has a seizure disorder. Which type of information should be recorded if the patient has a seizure?
-type of motor activity during seizure
-length of seizure
-whether or not an aura was present
-what activity patient was doing before seizure
The nurse is caring for a patient with Parkinson's who is taking a dopamine agnoist. The nurse understands that which of the following medications decreases the effectiveness of dopamine agonists?
Phenothiazines