Drugs Used to Treat Dysrhythmias
What is the pacemaker of the heart?
A. SA node
B. AV node
C. The atria
D. The ventricles
A. SA node
Which of the following is the most common drug in the class of nitrates (used to treat angina)?
A. Esmolol
B. Nitroglycerin
C. Furosemide
D. Digoxin
B. Nitroglycerin
Raynaud disease occurs in which parts of the body?
A. Biceps, triceps, and other large muscles
B. Hands, fingers, toes
C. Cardiac muscles
D. Eyes, mouth and sensory organs
B. Hands, fingers, toes
A sublingual drug is administered by placing the drug in what part of the body?
A. Between the cheek and the upper jaw
B. Under the tongue
C. In the nose
D. In the eyes
B. Under the tongue
What volume is required for an injection if 500mg are ordered and stock ampules contain 250mg/ml?
A. 2mL
B. 3 mL
C 0.5 mL
D. 4 mL
A. 2mL
Esmolol and metoprolol are examples of which type of medication?
A. ACE inhibitors
B. Diuretics
C. Beta blockers
D. Calcium channel blockers
C. Beta blockers
Which of the following should be included in patient education for the patient with angina?
A. It is ok to exercise through chest pain as it will go away with repeated muscle use
B. Avoid fatigue and cold weather
C. Smoking can still be done as long as it is done in moderation
D. Nitroglycerin can be kept for up to a year before obtaining a new bottle
B. Avoid fatigue and cold weather
Serious adverse effects of Cilostazol (Pletal) includes?
A. Chest pain, palpitations, dysrhythmias, shortness of breath
B. Severe headache, stroke
C. Loss of balance, personality disturbances
D. There are no serious side effects associated with Cilostazol (Pletal)
A. Chest pain, palpitations, dysrhythmias, shortness of breath
What is the best way for the nurse to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented?
A. Ask the patient to state his or her name
B. Check the patient's wrist band
C. Look at the patients chart
D. Have the patient state his or her name and birth date.
D. Have the patient state his or her name and birth date.
The order reads: Lanoxin 0.125 mg PO now. The medication is available in 0.25 mg tablets. Which of the following represent the number of tablets the nurse will give.
A. 2 tab
B. 1/2 tab
C. 1 1/2 tab
D. 1/4 tab
B. 1/2 tab
Before administering digoxin it is essential to check what?
A. Apical pulse
B. Radial pulse
C. Hearing and vision
D. Orthostatic blood pressure
A. Apical pulse
What causes the pain/chest discomfort associated with angina pectoris?
A. Decreased heart rate
B. Increased blood pressure
C. Headache
D. Lack of oxygen to the heart muscle
D. Lack of oxygen to the heart muscle
The following are characteristics of which peripheral vascular disease?
- Caused by vasospasm and ischemia of arteries
in hands, fingers, toes
- Signs and symptoms: Numbness, tingling, skin
tightness, blanching of the skin with
vasoconstriction followed by vasodilation
A. Arteriosclerosis obliterans
B. Deep vein thrombosis
C. Buerger's Disease
D. Raynaud Disease
D. Raynaud Disease
The nurse is giving morning medications to patient who refuses to take an oral dose of docusate (Colace).What is the nurse's best response?
A. Your prescriber ordered that you must take this drug twice a day.
B. Docusate will soften your bowel movements so that you do not strain
C. this drug will help prevent constipation while you are on bed rest.
D. Can you tell me why you do not want to take the docusate?
D. Can you tell me why you do not want to take the docusate?
Order: Calan 10 mg Available: Calan 2.5 mg tablets Give __________
4 tablets
For which cardiac rhythm is the use of
amiodarone (Cordarone, Pacerone), a
potassium channel blocking agent,
contraindicated?
A) Supraventricular tachycardia
B) Atrial fibrillation
C) Third-degree heart block
D) Atrial flutter
C) Third-degree heart block
The following are characteristics of which type of angina?:
- Precipitated by stress or exertion, short duration
- Relieved by rest or nitroglycerin
- Probable cause: Fixed atherosclerotic obstruction
A. Variant angina
B. Unstable angina
C. Chronic stable angina
D. Prinzmetal angina
C. Chronic stable angina
Which of the following are not one of the goals of treatment for peripheral vascular disease?
A. Reversal of the progression of atherosclerosis
B. Improvement of blood flow
C. Promoting a sedentary lifestyle to avoid exacerbating symptoms
D. Pain relief
C. Promoting a sedentary lifestyle to avoid exacerbating symptoms
Which of the following represents the proper way for a nurse to administer an oral capsule?
A. tell the patient to swallow it whole
B. pierce it with a needle and squeeze into the mouth
C. crush and dilute it in warm water.
D. tell the patient to chew it completely
A. tell the patient to swallow it whole
If Phenergan is available in 100 mg/2 mL ampules, which of the following represents the amount is needed in mL to give a dose of 12.5 mg IM?
A. 0.20
B. 0.25
C. 0.50
D. 0.75
B. 0.25
Quinidine is an example of which class of antidysrhythmic agents?
A. Class II
B. Class Ia
C. Class Ib
C. Class III
B. Class Ia
Which of the following is not one of the drug classes used to treat angina?
A. Nitrates
B. Diuretics
C. Beta blockers
D. Fatty oxidase enzyme inhibitors
B. Diuretics
Nonpharmacologic treatment of peripheral vascular disease includes what? (Select all that apply)
A. Control of diet, reduce hypercholesterolemia
B. Cessation of smoking
C. Daily exercise and weight control
D. Administration of Cilostazol (Pletal)
E. Elevation of the head of bed to increase
circulation to extremities
A, B, C, E
What administration technique does the nurse use to give an adult ear drops?
a. Pull the earlobe down and out
b. Pull the earlobe up and back
c. Keep the earlobe straight
d. Hang the patient's head over the side of the bed.
B. Pull the earlobe up and back
A patient with terminal cancer is prescribed hydromorphone (Dilaudid) 0.015 mg/kg for pain management. The patient weighs 150 pounds. The nurse has on hand hydromorphone 4 mg/mL. How many milliliters should the nurse administer?
0.26 mL