Heart failure
Digoxin improves heart failure how?
A. Increases heart rate and output
B. Increases contractility and output
C. Decreases afterload through vasodilation
D. Reduces muscle thickening
B. Iontropic that increases the force of contractility and cardiac output. Also reduces the heart rate to increase ventricular filling and cardiac output.
Nitroglycerin may be taken every 5 minutes up to how many times?
A. 4
B. 2
C. 3
D. 6
C. 3 times and if pain is unrelieved, immediate emergency
Aspirin is strongly contraindicated in those with which medical history?
A. MI, stroke
B. Peptic ulcer
C. DVT
D. Neuropathy
B. Peptic ulcers are at risk of rebleeding
When taking atorvastatin, it is important to avoid which fruit juice?
A. Lemon
B. Ginger
C. Grapefuit
D. Grape
C. Grapefruit
What drug class is digoxin in?
A. Cardiac Glucose
B. Anticardiogenic
C. Cardiac glycoside
D. Adrenergic antagonist
C. Cardiac glycoside
Nitroglycerine commonly causes a headache, what medication is recommended?
A. Morphine
B. Acetaminophen
C. Aspirin
D. Sumatriptan
B. Acetaminophen
Which medication would be contraindicated with heparin infusion?
A. Albumin
B. Acetaminophen
C. Ibuprofen
D. Cyclobenzaprine
C. Ibuprofen, NSAIDs are contraindicated
Muscle pain and weakness while taking atorvastatin can lead to which serious condition?
A. Pancreatitis
B. Rhabdomylosis
C. Atherosclerosis
C. Pulmonary edema
B. Rhabdomylosis
A. Na 138
B. Glucose 215
C. Potassium 3.0
D. Calcium 9.0
C. Hypokalemia increases the effectiveness of digoxin and can cause harmful adverse arrythmias
Acebutolol is used to prevent angina, how does this drug work?
A. Increases cardiac contractility and blood flow
B. Reduces cardiac irritability and pain
C. Decreases heart rate and cardiac oxygen demand
D. Promotes removal of lactic acid
C. Decreases heart rate and allows more ventricular filling and increased cardiac output while also decreasing the workload of the heart.
A nurse is educating a postoperative patient on the enoxaparin injections ordered, what laboratory bloodwork monitoring does the medication require?
A. Platelets
B. PT/ INR
C. PTT
D. None
D. None
Cilostazol is used to treat which condition?
A. Urinary retention
B. PVD
C. Angina
D. Hypertension
B. PVD, cilostazol is a peripheral vasodilator
What are the common symptoms of digoxin toxicity? (Select all that apply)
A. Nausea
B. Diarrhea
C. Visual halos
D. Blurred vision
E. Bradycardia
A, B, C, D, E
Diltiazem is used to prevent angina, and can also be used to treat what kind of arrythmias?
A. Supraventricular tachycardia
B. Bradycardia
C. Asystole
D. Ventricular tachycardia
A. Tachycardias originating from the atria
Prior to giving alteplase, what medical history is imperitive to investigate?
A. Surgery 10 years ago
B. Recent hemorrhagic stroke
C. History of MI
D. Hypothyroidism
B. Recent hemorrhagic stroke
Which vital is important to monitor while taking cilostazol?
A. Temperature
B. Pain
C. Blood pressure
D. Oxygen
C. Blood pressure
Amiodarone has a risk of which life threatening adverse effect?
A. Diarrhea
B. Pulmonary edema
C. Decreased heart rate
D. Sinus rhythm
B. Pulmonary edema
A patient is on a heparin drip, the nurse notes oozing from puncture sites, dried blood around the patients mouth and a PTT 120 sec. What medication does the nurse anticipate will be given?
A. Vitamin K
B. Protamine sulfate
C. FFP
D. Naloxone
B. Protamine sulfate