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WorksheetsUnit 5: Cardiovascular Drugs
Total questions: 10
Worksheet time: 10mins
The nurse is administering antihypertensive drugs to older adult patients. The nurse knows that which adverse effect is of most concern for these patients?
Dry mouth
Hypotension
Restlessness
Constipation
When a patient is being taught about the potential adverse effects of an ACE inhibitor, which of these effects should the nurse mention as possibly occurring when this drug is taken to treat hypertension? Select all that apply.
Diarrhea
Nausea
Angeoedema
Dry, nonproductive cough
Which statement by the patient reflects the need for additional patient education about the calcium channel blocker diltiazem (Cardizem)?
“I can take this drug to stop an attack of angina.”
“I understand that food and antacids alter the absorption of this oral drug.”
“When the long-acting forms are taken, the drug cannot be crushed.”
“This drug may cause my blood pressure to drop, so I need to be careful when getting up.”
A 68-year-old male patient has been taking the nitrate isosorbide dinitrate (Isordil) for 2 years for angina. He recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra). Which response would the nurse most likely hear from the prescriber?
“He will have to be switched to isosorbide mononitrate if he wants to take sildenafil.”
“Taking sildenafil with the nitrate may result in severe hypotension, so a contraindication exists.”
“I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one dose.”
“These drugs are compatible with each other, and so I'll write a prescription.”
During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as:
. apical pulse rate of 62 beats/min.
digoxin level of 1.5 ng/mL.
serum potassium level of 2.0 mEq/L.
serum calcium level of 9.9 mEq/L.
A patient with a rapid, irregular heart rhythm is being treated in the emergency department with adenosine. During administration of this drug, the nurse will be prepared to monitor the patient for which effect?
Nausea and vomiting
Transitory asystole
Muscle tetany
Hypertension
When monitoring laboratory test results for patients receiving loop and thiazide diuretics, the nurse knows to look for
decreased serum levels of potassium
increased serum levels of calcium
decreased serum levels of glucose
increased serum levels of sodium
When the nurse is checking the laboratory data for a patient taking spironolactone (Aldactone), which result would be a potential concern?
Serum sodium level of 140 mEq/L
Serum calcium level of 10.2 mg/dL
Serum potassium level of 5.8 mEq/L
Serum magnesium level of 2.0 mg/dL
A patient is taking an aminoglycoside antibiotic for pneumonia, and will also be taking the loop diuretic furosemide (Lasix) due to fluid overload. The nurse will monitor carefully for which potential effect from the interaction of these two drugs?
Nephrotoxicity
Ototoxicity
Pulmonary fibrosis
Hepatotoxicity
The nurse caring for a patient who is receiving beta1 agonist drug therapy needs to be aware that these drugs cause which effect?
Increased cardiac contractility
Decreased heart rate
Bronchoconstriction
Increased GI tract motility
