Pharm Cardiac and Resp Practice Questions

The client is taking an ACE inhibitor. What is the priority to report to the provider?

• Dry cough

• Angioedema

• Hypokalemia

• Increased urine output

Answer explanation

Angioedema is a life threatening reaction. Dry cough is an expected side effect and is not the priority. ACE inhibitors can cause hyperkalemia not hypo.

A client has an MI. Which of the following class of medications does the nurse suspect to be ordered? (select all that apply)

• Beta blocker

• Alpha blocker

• Aspirin

• Statin

• Calcium Channel blocker

Answer explanation

BB are ordered to protect the heart after an MI reducing catecholamines. Statins are to reduce LDL chol which is responsible for plaque formation. Some type of anti-platelet such as ASA would be ordered to decrease platelet aggregation....Most MI's are caused by clots

The drug Clonidine should never be stopped abruptly due to_______

• Tachycardia

• Orthostatic hypotension

• Rebound HTN

• Bronchospasms

Which of following are side effect to beta blockers?

(select all that apply)

• Tachycardia

• Bradycardia

• Erectile dysfunction

• Dry cough

• Orthostatic hypotension

Answer explanation

Tachycardia and cough are incorrect. Impotence, hypotension and bradycardia are expected side effects and vary on dosage.

When should the nurse instruct the client to take their alpha adrenergic blocker?

• With breakfast

• Bedtime

• Before a meal

• Anytime of the day

Answer explanation

Bedtime is recommended to avoid syncope and orthostatic hypotension

A client with hepatitis is taking Captopril. Why would the provider specifically choose this particular medication?

• It is a mild ACE inhibitor

• It is not a prodrug

• It has a long half life

• It is well tolerated

Answer explanation

This particular ACE inhibitor not a prodrug meaning that it is has to metabolized by the body first before getting to the liver.

The other answers are incorrect.

What are signs/symptoms of Digoxin toxicity?

(select all that apply)

• Nausea

• Anorexia

• Visual disturbances

• Palpitations

• Diarrhea

The client taking Digoxin complains of nausea and vomiting. What is the nurses priority action?

• Check the client's vital signs

• Administer Dig Immune Fab

• Check the client's Digoxin level

• Administer an anti-nausea drug

Answer explanation

The priority action here is to check the dig level before administering the antagonistic Dig Immune Fab.

The nurse is caring for client taking Niacin and is bothered by the flushing. What teaching should the nurse include regarding this medication?

• Take with a snack or NSAID before bedtime

• Take on an empty stomach

• Ask your provider to change the medication

• This side effect will stop after several days

Answer explanation

To reduce flushing it is recommended to take Niacin with a snack or Ibuprofen before bedtime.

The nurse caring for a client taking Atorvastatin. What is a common adverse effect of this class of drug?

• Headache

• Lethargy

• Jaundice

• Myalgia