Ch. 22
When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem?
What is impotence
What step must be taken when applying nitroglycerin ointment after a previous dose has been given?
What is remove the old ointment before applying the new.
A nurse will hold a patients dose of digoxin and notify the provider if the patient's heart rate is...
Less than or equal to 60
What is the most common undesirable effect of thrombolytic therapy
What is internal and superficial bleeding
When instructing a patient that is starting simvastatin on medication administration, what time of day should they be taking the medication?
When is the evening
A patient has a new order for the adrenergic drug doxazosin. When providing education about this drug, the nurse will include which instructions?
“Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy.”
If chest pain is not relieved after the patient takes one nitroglycerin tablet, what should they do?
Call 911
What is a sign of digoxin toxicity?
What are nausea, visual disturbances, and abnormal heart rhythms.
What is the antidote for warfarin
What is vitamin K
What is a potential contraindication for antilipemic medication?
What is liver dysfunction or cirrhosis
A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?
ACE inhibitors
While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?
The nurse administering the phosphodiesterase inhibitor milrinone recognizes that this drug will have a positive inotropic effect. Which result reflects this effect?
Increased force of cardiac contractions.
Which lab test is used to monitor patients on heparin therapy
"Good Cholesterol" is also known as
What is HDLs (high density lipoproteins)
An older adult patient will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult patient taking this class of drug?
Hypotension
Calcium Channel Blockers can cause what adverse effect when used as an antianginal agent?
Constipation-encourage high fiber diet and fluids.
A patient has been placed on a milrinone infusion as part of the therapy for end-stage heart failure. What adverse effect of this drug will the nurse watch for when assessing this patient during the infusion?
What are cardiac dysrhythmias.
What is the primary goal of anticoagulant therapy
What is prevention of thrombus formation
Which class of antilipemic can cause muscle pain and breakdown
What are HMG-CoA reductase inhibitors
ACE inhibitors
A patient is prescribed nitrates for angina. The patients blood pressure is currently 88/62. What would the nurse do?
What is use caution and possibly hold the dose due to the potential for further hypotensive effects.
What is the antidote to use in case of digoxin toxicity or overdose?
digoxin immune Fab
A patient is receiving thrombolytic therapy as treatment for an acute MI. What is the reasoning for this?
What is to dissolve a clot in the coronary artery.
Niacin can cause what adverse effect?
Pruritis and cutaneous flushing