Cardiac meds

Quinapril hydrochloride is prescribed for a client with heart failure. After administering the first dose, the nurse should monitor which item as the priority?

• Blood pressure

• Lung sounds

• Urine output

• Weight

The nurse provides medication instructions to a client about digoxin.Which statement by the client indicates understanding of its adverse effects?

• Blurred vision is expected side effect of this medication

• If my pulse drops below 60 bpm, I should let my cardiologist know

• This medication may cause headache and weakness but that is nothing to worry about

• If I am nauseated or vomiting, I should stay on liquids and take some liquid antacids.

The nurse is caring for a client admitted to the ED with a chief complaint of nausea, and vomiting. The nurse asks the client about the home medications being taken. The nurse would be most concerned if the client stated that which medication was being taken at home?

• Digoxin

• Captopril

• Losartan

• Furosemide

A nurse is prepared to administer a prescribed cardiotonic drug to a client based on the understanding that this group of drugs act in which way?

• They affect intracellular calcium levels in the heart muscle

• They block the sympathetic nervous system

• They block the renin angiotensin system

• They block the parasympathetic influence on the heart muscle

The stepped care approach to the treatment of hypertension includes

• lifestyle modification, including exercise, diet, and decreased smoking, and alcohol intake.

• use of a diuretic, beta-blocker, or ACE inhibitor to supplement lifestyle changes

• a combination of antihypertensive drug classes to achieve desired goal.

• all of the above

ACE inhibitors work on the renin-angiotensin system to prevent the conversion of angiotensin I to angiotensin II. Because this blocking occurs in the cells in the lung, which is the site of this conversion, the use of ACE inhibitors often results in

• pneumothorax

• pneumonia

• unrelenting cough

• respiratory depression

A client taking an ACE inhibitor is scheduled for surgery. The nurse should

• stop the drug

• alert the surgeon and mark the chart prominently

• cancel the surgery and consult with the prescriber

• monitor fluid levels and make sure fluids are restricted prior to the surgery

A client with hypertension becomes pregnant. The drug of choice for this client is

• an angiotensin II receptor blocker

• centrally acting adrenergic inhibitor

• an ACE inhibitor

• a calcium channel blocker

The nurse would expect the physician to prescribe epoetin alfa (Epogen) as the drug of choice

• for acute blood loss during surgery

• to replace blood loss from traumatic injury

• for treatment of anemia during lactation

• for treatment of anemia associated with renal failure

A patient with anemia who is given iron salts could expect to show a therapeutic increase in hematocrit

• within 72 hours

• within 2 to 3 weeks

• within 6 to 10 months

• withing 1 to 2 weeks