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Antiarrhythmics
Diuretics and antihypertensives
Antihyperlipid and coronary
Anticoagulants
G.I.
100
The nurse understands that under normal circumstances, digoxin exerts which of the following effects
What are Negative chronotropic; negative dromotropic; positive inotropic because it slows the heart rate, slows impulse conduction and strengthens contractility of the heart.
100
Diuretics are used in the treatment of all of the follwing except: a. edema b. ascites c. obesity d. hypertension
What is obesity?
100
When teaching the client about cholesterol, the nurse should instruct the client that the highest level of cholesterol is found in:
What is LDL contains the highest level of cholesterol.
100
Alteplase is administered to a client following an MI. The nurse knows that the treatment must begin within: a. 7-8 hours b. 4-6 hours c. 8-10 hours d. 12-15 hours
What is B. 4-6 hours in order for treatment to have the most effectiveness
100
The nurse's priority focus when a client begins to vomit is to: a. obtain the client's vital signs b. notify the health care provider c. initiate IV fluids as prescribed d. maintain a patent airway
What is d. maintain a patent airway. ABC's are nurse's priority
200
For a client taking a cardiac glycoside, the nurse should monitor for:
What is bradycardia. Because cardiac glycosides slow and strengthen the heart rate, bradycardia is the most common adverse effect.
200
During the care for a hypertensive client, the client's bp becomes 180/122. After reporting this to the dr., the nurse administers the prescribed: a. metoprolol tartrate d. prazosin b. captopril c. nitroprusside
What is Nitroprusside which is used in hypertensive emergency
200
Which of the following shold be included in client teaching for clients on lovastatin therapy? A. Liver function studies should be monitored B. Pulse should be checked before taking each dose C. Lovastatin should be mixed with juice or water D. Therapy should be discontinued if flushing occurs
What is A. Liver function tests need to be monitored
200
What is the rationale for using both heparin and coumadin together? A. It takes time before action of coumadin is evident B. Heparin is more effetive when used with warfarin C. If coumadin is given with Heparin, less heparin is needed D. The client is less likely to experience adverse effects
What is A? Heparin is given for rapid effects but it takes time for oral anticoagulants to produce results
200
The nurse understands that which class of laxatives are most likely to cause laxative dependence? a. stimulant lax b. saline lax c. bulk forming lax d. fecal wetting agents
What is A. stimulant laxatives
300
The nurse monitors which client for the greatest risk of digoxin toxicity? The client with: a. Digoxin level of 1.3 mg/ml d. potassium level of 3 b. creatinine level of 0.8mg/dL c. potassium level of 5.2
What is the client with a potassium level of 3? Hypokalemia is a risk factor for digoxin toxicity.
300
When monitoring clients receiving thiazide diuretics, the nurse would not need to monitor the client for: a. gynecomastia d. hyperglycemia b. hypokalemia c. hyperuricemia
What is a. gynecomastia? This is not an adverse effect of thiazide diuretics.
300
Clients taking antilipidemia agents should be taught: a. restrict fluids while taking these medications b. to consume 2-3 liters of fluid per day c. treat the medication-associated diarrhea with antidiarrheals d. this therapy is short term usually lasting about 6 months
What is B. To consume 2-3 liters of fluid per day in order to combat constipation?
300
The client who is experiencing an overdose of heparin overdosage may be treated by:
What is protamine sulfate?
300
which type of laxative is usually recommended for pregnant women a. stimulants b. saline laxatives c. bulk-forming laxatives d. lubricant laxatives
What is C. Bulk forming laxatives, because they produce normally formed stools without the risk of F & E imbalance or stimulation of uterine contractions.
400
When teaching a client about home administration of digoxin, the nurse realizes that further instruction is needed when the client states: a. "I should not take the digoxin with an antacid b. "I can still take echinacea" c. "My family should know the symptoms of digoxin toxicity d. "I can still take my Saint John's Wort"
What is D because St. John's Wort decreases digoxin levels by increasing digoxin renal excretion.
400
The health care provider prescribes furosemide for a client. The nurse understands that this drug is a (an): a. loop diuretic b. angiotensin-converting enzyme (ACE) inhibitor c. thiazide diuretic d. osmotic diuretic
What is a loop diuretic. Lasix is a loop diuretic.
400
The nurse prepares to administer a transdermal nitro patch to a client with CAD. The nurse should first: a. check the client's ID band b. wash his or her hands c. cleanse the client's left leg d. apply clean gloves
What is B. wash his or her hands?
400
The nurse understands that enoxaparin is frequently used for: a. treatment of post MI clients b. prevention of strokes in middle-aged males c. prophylaxis for DVT in clients undergoing hip replacement d. preoperative med for angiographic procedures
What is C. DVT is the most common complication for joint replacement
400
The nurse understands that which of the following factors is necessary for the treatment of both diarrhea and constipation? a. increased activity d. increased fluid intake b. decreased exercise c. decreased dietary fiber
What is D. Increased fluid intake.
500
Nifedapine is typically used to
What is treat angina and hypertension? Nifedapine is a Calcium channel antagonist used to treat hypertension and angina.
500
When caring for a client who has experienced an acute MI, the nurse would question which of the following prescriptions a. 325 mg enteric-coated aspirin STAT b. 2 mg IV morphine sulfate STAT c. initiate nitro 5mcg/min IV d. administer O2 to maintain oxygen sat of greater than 90%
What is a. 325 mg of enteric-coated aspirin? Non-enteric should be used for faster absorption.
500
The client in the CVICU is to receive an IV infusion of nitroglycerin. The nurse prepares to: a. monitor the client's vital signs every 2 hours b. infuse the solution through a 0.22 micron filter c. mix and administer the solution in a glass bottle d. mix the solution in lactated ringer's fluid only
What is C. Mix and administer the solution in a glass bottle.
500
A desirable end point for oral anticoagulant therapy is a prothrombin time that is what multiple of the control value
What is 2
500
A client with CAD is prescibed a laxative. Which prescription would the nurse question for this client? a. bisacodyl tabs 2 b. magnesium citrate 240ml c. mineral oil 30ml d. senna 15ml
What is b. because saline laxatives are contraindicated in clients with cardiovascular disease