Pharmacology - Lecture notes 3626 PDF

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UNIT # 3 EXAM PHARMACOLOGY ON CARDIOVASCULAR ●

A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?

Correct Answer:

C. Take the medication at the first indication of chest pain.

●

Question 2 ●

2 out of 2 points ●

A client is receiving fosinopril. Which adverse effect would the nurse caution the client about to help to promote compliance?

Correct Answer:

A. Cough

●

Question 3 ●

2 out of 2 points ●

The nurse is teaching a client about dietary concerns related to the administration of warfarin. The nurse determines the teaching session is successful when the client correctly points out that a consistent intake of which foods is necessary when using warfarin?

Correct Answer:

●

Question 4 ●

2 out of 2 points ●

C. Green leafy vegetables

The nurse is completing a teaching session with a client with heart failure. The nurse determines that additional teaching is needed about the cardiotonic drug therapy when the client states which comment?

Correct Answer:

C. “I should call if my pulse rate is below 60 beats per minute.”

●

Question 5 ●

2 out of 2 points ●

A nurse is analyzing the medical records of several clients who have come to the clinic for a visit. The nurse determines that a client with which blood pressure readings would be identified as prehypertensive?

Correct Answer:

B. 128/86 mm Hg

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Question 6 ●

2 out of 2 points ●

A client who has been treated with warfarin after cardiac surgery is found to have an INR of 9.0. Which medication will be administered to assist in the development of clotting factors?

Correct Answer:

●

Question 7

A. vitamin K

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0 out of 2 points ●

A client with heart failure is receiving furosemide (Lasix) and digoxin (Lanoxin) daily. When the nurse enters the room the client complains anorexia, nausea and yellow vision. The nurse should do which of the following first?

Correct Answer:

C.Check the morning serum digoxin level

●

Question 8 ●

2 out of 2 points ●

When teaching a client how to use a transdermal nitroglycerin patch, which instructions would be most important for the nurse to include?

Correct Answer:

A. Remove the old patch before applying the new patch

●

Question 9 ●

2 out of 2 points ●

A practitioner orders a 2-g sodium diet for a patient with hypertension. Which food should the nurse teach the patient to avoid?

Correct Answer:

A. American cheese

●

Question 10 ●

2 out of 2 points ●

A nurse is preparing to administer digoxin to a client who has heart failure. For which of the following findings should the nurse withhold the medication and report to the provider?

Correct Answer:

B. Report of blurred vision

●

Question 11 ●

2 out of 2 points ●

A client receiving amlodipine for angina is now reporting dizziness. Which intervention should the nurse prioritize to help alleviate the condition?

Correct Answer:

B. Instruct the client to lie down

●

Question 12 ●

2 out of 2 points ●

A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

Correct Answer:

A. Bradycardia

●

Question 13 ●

2 out of 2 points ●

The client is diagnosed with primary hypertension. The nurse is educating a client about dietary changes that help decrease blood pressure. Which menu selection indicates the need for further client education?

Correct Answer:

C. Fried chicken sandwich with mustard and cheesy dip

●

Question 14 ●

0 out of 2 points ●

An adult client experiences angina pectoris upon exertion. The nurse informs the client that the leading cause of angina is what?

Correct Answer:

C. Infarction of the myocardium

●

Question 15 ●

2 out of 2 points ●

A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer:

C. "I will sit on the side of the bed before I stand up

●

Question 16 ●

2 out of 2 points ●

The nurse instructs a client with a diagnosis of atrial fibrillation and receiving anticoagulation therapy, to use an electric razor for shaving. The nurse tells the client that the importance of its use is that:

Correct Answer:

A.Cuts need to be avoided to prevent bleeding

●

Question 17 ●

2 out of 2 points ●

A nurse is reinforcing teaching with a client who has hypertension and asks if there is a herbal supplement he can use to help lower blood pressure. The nurse should identify that the client can use which of the following herbal supplement to help lower blood pressure?

Correct Answer:

C. Garlic

●

Question 18 ●

2 out of 2 points ●

When providing care for older adults who are taking furosemide on a regular basis, the nurse should prioritize assessments that are

relevant to what health problem?

Correct Answer:

A.Dehydration

●

Question 19 ●

2 out of 2 points ●

A nurse is preparing to administer digoxin to a client who has heart failure. Before administering this medication, which of the following actions should the nurse take?

Correct Answer:

C. Measure the client’s apical pulse.

●

Question 20 ●

2 out of 2 points ●

When assessing an older adult, the nurse finds the apical impulse below the fifth intercostal space. The nurse should further assess the client for:

Correct Answer:

B. Left ventricular enlargement

●

Question 21 ●

0 out of 2 points ●

A client with heart failure is receiving digoxin. Which assessment will the nurse prioritize if the client is noted to be edematous?

Correct Answer:

B. Measurement of intake and output

●

Question 22 ●

2 out of 2 points ●

A nurse is collecting data about a client’s circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

Correct Answer:

B. Carotid

●

Question 23 ●

2 out of 2 points ●

After reviewing the various antihypertensive agents, a group of students demonstrate the need for additional teaching when they identify which agent as a calcium channel blocker?

Correct Answer:

A. Valsartan

●

Question 24 ●

2 out of 2 points ●

The nursing caring for a patient on a cardiac unit realizes that the pacemaker of the patients heart can be found on the left chest wall and is called

Correct Answer:

B.SA node

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Question 25 ●

2 out of 2 points ●

A client is diagnosed with angina. What would the nurse include when explaining this condition to the client?

Correct Answer:

A. "The heart muscle isn't getting enough oxygen."

●

Question 26 ●

2 out of 2 points ●

Bleeding resulting from the administration of heparin is treated with which substance?

Correct Answer:

C. Protamine sulfate

●

Question 27 ●

2 out of 2 points ●

A nurse is assessing a client with angina who has received diltiazem. Which finding should the nurse prioritize and notify the health care provider for further instructions?

Correct Answer:

D. Pulse rate is 45 beats per minute

●

Question 28 ●

0 out of 2 points ●

A nurse is assessing a client who is prescribed warfarin and notes a positive occult blood screen, petechiae on both legs, and bloodtinged toothbrush. The nurse anticipates the health care provider will prescribe which antidote to counteract these findings?

Correct Answer:

B. Protamine

●

Question 29 ●

2 out of 2 points ●

A client presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan and quit taking abruptly because she felt it was responsible for the dizziness. Which assessment should the nurse prioritize?

Correct Answer:

B. Rebound hypertension

●

Question 30 ●

2 out of 2 points ●

Which factors increase a client’s risk for a cardiovascular disease

Correct Answer:

A.Hypertension

●

Question 31 ●

0 out of 2 points ●

A primary healthcare provider prescribes furosemide (Lasix) for a client with hypertension. What should the nurse suggest that the client ingest daily when taking this medication?

Correct Answer:

B. Orange juice or a banana

●

Question 32 ●

2 out of 2 points ●

A client is ordered to receive a subcutaneous injection of heparin twice a day. When administering this drug, which would be most important for the nurse to do to minimize tissue damage?

Correct Answer:

D.Rotate the injection site regularly

●

Question 33 ●

2 out of 2 points ●

The nurse is teaching a client with angina who is prescribed sublingual tablets. The nurse would instruct the client to use a tablet at which frequency when experiencing an acute attack?

Correct Answer:

A. Every 5 minutes

●

Question 34 ●

2 out of 2 points ●

The nurse is preparing to teach a group of middle-aged client's ways to reduce hypertension. Which instructions should the nurse point out during this session?

Correct Answer:

B. Stop smoking

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Question 35 ●

2 out of 2 points ●

Which types of pain are classified as acute pain?

Correct Answer:

A. tooth pain

●

Question 36 ●

2 out of 2 points ●

An adult client is brought to the emergency department after deliberately overdosing on acetaminophen. Based on priority, the client is as at risk for which adverse reaction?

Correct Answer:

●

Question 37

B. liver failure

●

2 out of 2 points ●

A nurse is collecting data from an older adult client who has been taking digoxin for the past several months. For which of the following manifestations of digoxin toxicity should the nurse monitor?

Correct Answer:

A. Anorexia

●

Question 38 ●

2 out of 2 points ●

The nurse educates a client diagnosed with atrial fibrillation about the prescribed warfarin. Which client statements establish the need for further clarification?

Correct Answer:

C. “I will not eat green leafy vegetables, broccoli, yogurt, or cheese.”

●

Question 39 ●

0 out of 2 points ●

A client with a diagnosis of cardiovascular disease is taking atorvastatin calcium to reduce serum cholesterol. What is the goal of therapy for LDL cholesterol for a client taking atorvastatin calcium?

Correct Answer:

D. less than 130 mg/dL

●

Question 40 ●

2 out of 2 points ●

A client is experiencing orthostatic hypotension that is due to antihypertensive therapy. Which nursing diagnosis would be most appropriate?

Correct Answer:

A. Risk for injury

●

Question 41 ●

2 out of 2 points ●

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Correct Answer:

B. Sublingual

●

Question 42 ●

2 out of 2 points ●

A nurse is caring for a client undergoing warfarin therapy for the treatment of venous thrombosis. The nurse suspects that the client is experiencing an overdose based on which finding?

Correct Answer:

C. Melena (dark stool

●

Question 43 ●

0 out of 2 points ●

A client presents to the emergency department with rales, wheezing, and blood-tinged sputum. The nurse should choose interventions to address what health problem?

Correct Answer:

D. Pulmonary edema

●

Question 44 ●

0 out of 2 points ●

A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider?

Correct Answer:

D. Heart failure

●

Question 45 ●

0 out of 2 points ●

A client began taking hydrochlorothiazide one week ago and is reporting occasional dizziness when she stands up quickly from sitting or lying. What is the nurse’s best action?

Correct Ans wer:

b. Teach the client about the blood pressure effects of the medication and relevant safety measures

●

Question 46 ●

0 out of 2 points ●

After teaching a group of nursing students about antianginal drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as a calcium channel blocker?

Correct Answer:

D. Nifedipine

●

Question 47 ●

0 out of 2 points ●

A nurse is reinforcing teaching about transdermal nitroglycerin paste with a client. Which of the following client statements indicates understanding of the teaching?

Correct Answer:

C. "I should get up slowly when I stand or get out of bed."

●

Question 48 ●

0 out of 2 points ●

The client reports to the nurse that the client is having ringing in the ears. The nurse questions the client on use of what medication?

Correct Answer:

A. Aspirin

●

Question 49 ●

0 out of 2 points ●

A nurse is caring for a client who is going home on warfarin (Coumadin). The nurse will schedule the client for what laboratory test to help evaluate therapeutic effects of the drug.

Correct Answer:

C. Prothrombin time (PT) and international normalized ratio (INR)

●

Question 50 ●

0 out of 2 points ●

A hospital client demonstrating peripheral edema has been prescribed furosemide. How should the nurse best determine the extent of the client's desired fluid loss?

Correct Answer:

C.Weigh the client daily

Wednesday, October 21, 2020 3:16:08 PM EDT...