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WorksheetsUnit 8: Drugs that Affect the Cardiovascular System
Total questions: 93
Worksheet time: 3hrs 4mins
A nurse is caring for a patient with edema. What assessments should the nurse perform on this patient to promote an optimal response to therapy? Select all that apply
measure & record patient's weight daily
check the pupils every 2 hours for dilation
measure fluid intake and output every 8 hours
assess respiratory rate every 4 hours
check the patient's response to light
A nurse is caring for a patient taking a diuretic. During assessment, the nurse observes that the patient is experiencing GI upset after taking the prescribed drug. Which of the following interventions should the nurse perform when caring for this client?
ensure that the drug is taken on an empty stomach
ensure that the drug is taken with food and milk
instruct the patient to reduce fluid intake
avoid any consumption of fibrous food by the patient
A nurse is caring for a patient with edema due to HF. The PHCP has prescribed with spironolactone drug to the patient. Which of the following adverse reactions to the drug should the nurse monitor for in the patient?
vertigo
paresthesias
hyperkalemia
anorexia
A PHCP has prescribed a chlorothiazide drug to a patient with hypertension. The patient informs the nurse that he is also taking an antidiabetic drug for controlling diabetes. What interaction between these two drugs should the nurse monitor for in the patient?
increased risk of ototoxicity
increased risk of hyperglycemia
increased hypersensitivity to antidiabetic
increased chlorothiazide effect
A PHCP has prescribed treatment with an antihypertensive drug along with a diuretic to a patient as a treatment for hypertension. The patient informs the nurse about his preference for herbal extracts over medical drugs. What information regarding herbal extracts should the nurse provide to the patient. Select all that apply
no herbal diuretic should be taken unless approved by PHCP
Some herbal extracts have been associated with renal damage
herbal extracts are more effective than caffeine
most plant and herbal extracts available as diuretics are nontoxic
consume diuretic teas like juniper berries
A nurse preparing diet information for the patient taking a diuretic. Which of the following food should be included in a diet to replenish potassium lost from the diuretic? Select all that apply
Dried apricots
carrots
green beans
molasses
a nurse is caring for a patient with renal dysfunction. The PHCP has prescribed a metolazone drug for the patient. what should the nurse monitor for in the patient before administering the drug. Select all that apply
serum cholesterol levels
levels of serum electrolytes
fluid loss every hour
creatinine clearance levels
blood urea nitrogen level
a nurse is caring for a Pt who complains of cramps and muscle pain. assessment reveals that the PT is experiencing oliguria, hypotension, and GI disturbances. which of the following conditions is the PT experiencing?
exercise exhaustion
electrolyte imbalance
influenza
HF
a PT is prescribed amiloride, a potassium sparing diuretic, by the HCP. in which of the following conditions should the nurse discontinue the drug?
If the patient experiences gout attacks
If the patient's urine tests positive for glucose
If the patient's serum potassium levels exceed 5.3 mEq/mL
If excess fluid has been removed from the patient's body
which of the following is an example of a loop diuretic?
Furosemide
Acetazolamide
hydrochlorothiazide
spironolactone
Which of the following exerts its diuretic effects by increasing the density of the filtrate in the glomerulus
Mannitol
Furosemide
Hydrochlorothiazide
Spironolactone
which of the following exerts is diuretic effect by antagonizing the action of aldosterone?
spironolactone
furosemide
Hydrochlorothiazide
acetazolamide
which of the following exerts is effects by depressing the reabsorption of sodium in the kidney tubules, thereby increasing sodium and water excretion?
Furosemide
Hydrochlorothiazide
Acetazolamide
Triamterene
which of the following exerts is diuretic effect by inhibiting the reabsorption of sodium and chlorine ions in the amending loop of Henle and the early distal tube of the nephron?
Hydrochlorothiazide
Acetazolamide
Furosemide
Spironolactone
A nurse is caring for a PT undergoing ezetimibe drug therapy. What instruction should the nurse provide to the PT if the drug is to be taken w/ Cholestyramine, a bile acid sequestrate?
Take the drug 2 hours before a bile acid sequestrate
Ensure a time gap of 1 hour between the intake of these two drugs
Take both drugs 30 minutes before meals
Take the bile acid sequestrate with warm water
A PT is to begin taking atorvastatin for hyperlipidemia. The nurse checks the patient's medical history for which of the following contraindicated conditions?
Visual disturbances
biliary obstruction
serious liver disorders
renal dysfunction
A nurse is caring for a patient with primary hypercholesterolemia who is taking the drug ezetimibe. What adverse reaction to the drug should the nurse monitor for in the patient?
vertigo
headache
cholelithiasis
arthralgia
A patient is undergoing gemfribrozile drug therapy for high serum triglyceride levels. The patient is also receiving an anticoagulant as a blood thinner. What interaction of these two drugs should the nurse monitor for in the patient?
increased hypoglycemic effects
increased risk of severe myopathy
enhanced effect of the anticoagulant
increased risk of hypertension
in which of the following patient ailments should the nurse exercise caution and monitor for exacerbation of problems while caring for PT taking HMGCoA reductase inhibitors? Select all that apply
peptic ulcer
acute infection
visual disturbances
unstable angina
endocrine disorders
A PT tells a nurse that he has heard that garlic will lower serum cholesterol and triglyceride levels. This PT is taking warfarin as an anticoagulant. What should the nurse tell the PT is a potential adverse reaction when these are taken together?
bleeding
peptic ulcers
irritation
skin rashes
A nurse is caring for an older patient using bile acid sequestrates. What should the nurse monitor for in the Pt? Select all that apply
difficulty in passing stools
hard, dry stools
constipation
mouth dryness
urinary hesitancy
A nurse is caring for a PT receiving an antihyperlipidemic drug. The nurse paradoxical elevation of blood lipid levels in the PT. What is a priority nursing intervention in this situation?
Notify HCP for a different antihyperlipidemic drug
Collect blood samples for further examination
administer next dose of the drug with milk
record the fluid intake and output every hour
A PT informs the nurse that he has been taking a natural product - red yeast to improve his blood lipid profile. Which toxic reaction associated with red yeast when taking a statin drug should the nurse relay to the patient
headache
dyspnea
muscle damage
dyspepsia
A nurse is caring for a patient who has been prescribed colestipol for the treatment of hyperlipidemia. This drug is known to cause constipation. What instructions should the nurse provide to the PT to help prevent constipation? Select all that apply
exercise daily
consume food high in dietary fiber
take the drug 1 hour after meals
increase fluid intake
take oral Vitamin K supplements
Which of the following are examples of modifiable risk factors for hyperlipidemia? Select all that apply
weight
diet
postmenopause
age older than 55 years (women)
age older than 45 years (men)
Increased levels of low density lipoprotein (LDL) combined with certain risk factors can lead to the development of which medical condition?
diabetes
glaucoma
benign prostatic hyperplasia
heart disease
Which of the following herbal products have been promoted by the natural food industry to lower serum cholesterol and triglycerides? Select all that apply
ginseng
red yeast rice
garlic
feverfew
black cohosh
Which of the following classes of medications are used to treat hyperlipidemia? select all that apply
HMG-CoA reductase inhibitors
Fibric Acid derivatives
Bile acid resins
calcium channel blockers
angiotensin II receptor blockers
Bile acid resins can decrease serum levels of several medications, primarily via which mechanism
inhibition of hepatic enzymes
decreased GI absorption
modifying liver metabolism
increased renal excretion
when assessing a 40-year-old PT, the nurse observes an increase in the PT's blood pressure. Which of the following changes in BP is indicative of prehypertension?
systolic pressure between 120 and 130
systolic pressure between 100 and 119
systolic pressure between 80 and 99
systolic pressure between 60 and 79
A PT is diagnosed with renal impairment and hypertension. which of the following drugs is contraindicated in renal impairment?
doxazosin
captopril
hydralazine
minoxidil
a nurse monitoring a PT admitted to the ER in a hypertension emergency. which of the following drugs should be administered in such situations?
amlodipine
acebutolol
diltiazem
nitroprusside
a PT with diabetes mellitus and hypertension is on insulin and enalapril for hypertension. which of the following interactions would occur with the combined administration of both drugs?
increased risk of hypersensitivity reaction
increased risk of electrolyte imbalance
increased risk fo hypoglycemia
increased risk of hypotensive effect
a PT has developed a headache following the use of prazosin for hypertension. which of the following instructions should the nurse provide the PT receiving prazosin? select all that apply
lie down and elevate legs above head level
withhold administration of prazosin
apply a cool cloth over the forehead
engage in progressive body relaxation
take an analgesic drug for the pain
a nurse is monitoring a PT on minoxidil for hypertension. which of the following findings should the nurse report IMMEDIATELY to the HCP when the PT is taking minoxidil? select all that apply.
swelling of the face
pulse rate increase of more than 5 beats per minute
weight gain of 1 lb
difficulty breathing
angina and severe hypertension
a nurse is caring for a PT receiving captopril for hypertension. which of the following precautions should the nurse take when administering captopril?
administer captopril 1 hour before of 2 hours after food
rub the PT's back before administering captopril
ensure that the PT exercises before administering captopril
take captopril along with antacids
A PT receiving terazosin for hypertension complains o dizziness when sitting up. which of the following instructions should the nurse give the PT? select all that apply.
rise slowly from sitting or lying position
increase fluid intake
apply a cool cloth over the forehead
rest on the bed for 1 to 2 minutes before rising
stand still for a few minutes after rising
a nurse is required to educate PTs on the consequences of hypertension. which of the following may develop as a consequence of untreated hypertension? select all that apply.
adrenal tissue
blindness
stroke
heart disease
obesity
a PT asks the nurse about natural supplements to help reduce blood pressure. the nurse knows some products will interact with hypertensive medications. which o the following would the nurse identify as having possible interaction? select all that apply.
hawthorn tea
St. Johns wort
orange juice
grapefruit
a nurse checks a PT's BP and finds it to be 130/82. this PT should be classified as having which stage of hypertension?
prehypertension
stage 1 hypertension
stage 2 hypertension
normotension
which if the following lowers blood pressure primarily via suppression of rennin-angiotensin-aldosterone system?
verapamil
dilitiazem
lisinopril
furosemide
hypertension increases a person's risk for which of the following? select all that apply.
heart failure
tuberculosis
hearing loss
kidney disease
liver disease
Once a PT developed primary hypertension, therapy should last for how long?
until blood pressure is 120/80
1 year
for life
5 years
select the cause of secondary hypertension
weight gain
kidney disease
smoking
hip fractures
A patient has been admitted to an urgent care facility for treatment of sever acute angina. A nurse is administering sublingual nitroglycerin to the patient every 5 minutes. What is the maximum nitroglycerin the nurse should administer before reporting no improvement to HCP
3 doses in 15-minute period
5 doses in a 30-minute period
7 doses in a 30 minute period
9 doses in a 60-minute period
A nurse caring a PT who has been prescribed a nitrate for anginas attacks should assess which of the following before creating a written teach plan
what fruit juices does the PT like to drink
a thorough pain assessment
health literacy level
Im so tired :)
The drug minoxidil, used PVD, is also used for another condition because of one of the adverse reactions. What other condition is minoxidil used for?
male-pattern baldness
gynecomastia
hypertension
weight gain
Which activity is most likely to precipitate an angina attack?
Watching TV late at night
cutting vegetables at a sink
sitting in a boat
climbing a flight of stairs
A patient has been admitted for the management of PVD. Which of the following drugs are used to treat PVD? Select all that apply
Hydralazine
Nitroglycerine
minoxidil
bosentan
A nurse is educating a group of nursing student on the various effects of calcium channel blockers on the heart. Which of the following are the effects of calcium channel blockers on the heart? Select all that apply
increase the heart rate
slow the conduction velocity
depress myocardial contractility
cause rapid atrial muscle contraction
dilate the coronary arteries
A PT is admitted to a telemetry unit for angina management and is started in IV dilitazem. Which of the following adverse reactions should the nurse monitor for in the patient? Select all that apply
hypertension
tachycardia
rash
headache
dizziness
A nurse is caring for a patient in the ICU with an IV nitroglycerin drip. The student nurse asks why there is special tubing with this IV. What is the correct rationale?
the drug is light sensitive
the hospital is switching IV products
Nitroglycerin reacts w/ plastic tubing
The IV does not need special tubing
A PT taking transdermal nitrates lives with his and two small grandchildren. What should the nurse teach the family as a safe method to dispose of the transdermal patches?
cut into small pieces before disposal
fold the adhesive sides together when removing
flush them immediately in the toilet
put in a plastic bag
Pulmonary arterial hypertension (PAH) is associated with autoimmune diseases. Which of the following patient panels should the primary health care provider routinely screen for PAH?
Systemic lupus erythematosus
sarcoidosis
scleroderma
Sjorgen syndrome
Which of the following statements are true in regards to nitrates? Select all that apply
Nitrates relax the smooth muscle layer of blood vessels
nitrates increase the lumen of the artery or arteriole
nitrates slow the conduction velocity of the cardiac impulse
nitrates depress myocardial contractility
nitrates increase the amount of blood flowing through the vessel
Nitrates are available in which of the following dosage forms? Select all that apply
sublingual
transdermal
parenteral
rectal
aerosol spray
Which of the following laboratory tests should be done before a patient starts drug therapy for PAH
hepatic enzymes
thyroid stimulating hormone (TSH) level
IGRA tuberculosis test
pregnancy test
Nitrates can result in which of the following adverse reactions? Select all the apply
headache
flushing
diarrhea
hypotension
blurred vision
Nitrates should not be used in PT's with which of the following
closed-angle glaucoma
asthma
diabetes
hypertension
alteplase has been prescribed to a PT with acute ischemic stroke. which of the following adverse reactions associated with drug administration should the nurse monitor for in the PT? select all that apply.
gingival bleeding
erythema
epistaxis
ecchymosis
anemia
a nurse is caring for a PT who has been prescribed abcixmab for coronary angioplasty. the PT is also taking aspirin for pain relief. what effects of the interactions between these two drugs should the nurse observe for in the PT?
decreased effectiveness of aspirin
increased effectiveness of abciximab
increased risk of bleeding
decreased absorption of abciximab
a nurse is required to start anticoagulant drug therapy for a patient. in which of the following conditions of the PT is an anticoagulant contraindicated? select all that apply.
diabetic retinopathy
tuberculosis
GI bleeding
leukemia
hemorrhage disease
a PT says he must refuse the anticoagulant die to a religious objection to pork products. which of the following drugs is not derived from pork?
warfarin
fondaparinux
enoxaparin
dalteparin
a nurse caring for a PT taking antiplatelet drugs. what instruction should the nurse include in the teaching plan for this PT?
use a soft toothbrush
take foods low in vitamin K
take meds with food
take the drug at a different time each day
A Pt is undergoing warfarin therapy. after taking the drug the Pt develops signs of GI bleeding. which of the following tasks is the best intervention to monitor bleeding by the nurse?
inspect urine for red-orange color
monitor VS every 4 hours
inspect for bright red to black stools
monitor PTs I&O
a nurse is caring for a PT who has been administered heparin after the administration of a thrombolytic drug to prevent another thrombus from forming. what should the nurse monitor for in the PT after the administration of heparin?
internal bleeding
difficulty in breathing
excessive perspiration
skin rash
a nurse is required to administer heparin to a PT. what should the nurse do to avoid the possibility of the development of local irritation, pain, or hematoma?
avoid application of firm pressure after the injection
avoid administration sites such as the button and lateral thighs
use an area 2 in of the umbilicus for drug administration
avoid intramuscular (IM) administration of the drug
a nurse is caring for a PT receiving parenteral anticoagulant drug therapy. the nurse suspects the patient may have an overdose of the drug. what intervention should the nurse perform if administration of this drug is necessary?
measure the PT's body temp every hour
monitor the Pt's pulse rate every 2 hours
observe the PT for new evidence of bleeding
administer the drug to the PT via the IV route
a PT is administered a thrombolytic drug. the drug us known to cause bleeding. which of the following symptoms of internal bleeding should the nurse monitor for in the PT? select all that apply.
black, tarry stools
hematuria
leg cramps
petechiae
coffee-ground emesis
which of the following is used to treat a warfarin (Coumadin) overdose?
protamine
urokinase
phytonadione
alteplase
use of St. Johns wort during warfarin therapy can result in which of the following?
increased risk of bleeding
increased risk of thrombus formation
increased blood pressure
increased platelet count
when is it indicated to administer a 300-mg dose of clopidogrel (Plavix) to a PT, instead of the 75-mg oral dose?
as a maintenance dose
in treatment of myocardial infarction
in treatment of stroke
as a loading dose
thrombolytic drugs are contraindicated in which of the following? select all that apply.
active bleeding
history of stroke
active infection
history of aneurysm
recent abdominal surgery
enoxaparin (lovenox) should be administered via which route?
subcutaneous injection
IM injection
intravenous infusion
orally
A patient arrives at an urgent care center complaining of dyspnea and a hacking cough. The nurse assessing the patient notes that there are distended jugular veins, edema of the extremities, and reduced ejection fraction. Which of the following conditions do these symptoms indicate
heart failure
glomerulonephritis
pulmonary disease
hypothyroidism
A patient is diagnosed with heart failure and is started on digoxin. The patient informs the nurse that he is taking a benzodiazepine for anxiety. Which of the following interventions should the nurse implement?
increase the dosage of digoxin
monitor for signs of digoxin toxicity
increase the dosage of benzodiazepine
monitor for signs of reduced effectiveness of digoxin
A nurse educating a group of nursing students on the uses of digitalis. For which of the following conditions may digitalis be used?
ventricular tachycardia
atrioventricular block
atrial fibrillation
renal failure
When caring for a patient on digoxin, the nurse observes that the patient's pulse rate is 56 BPM. the patient is also complaining of nausea and vomiting. Which of the following is the most appropriate intervention in this situation
administer milrinone
increase the rate of digoxin infusion
perform GI suction
withhold drug and notify HCP
Digitalis comes from a natural plant source. Identify the plant
St. John's Wort
Garlic
Foxglove
hawthorn
A PT has been admitted for heart failure and is on digoxin. The nurse monitoring the patient notes that the serum digoxin level is 2.5 mg/mL. Which of the following signs would validate a case of digoxin toxicity? Select all that apply
anorexia
headache
weakness
blurred vision
vomiting
A PT is being digitalized for HF. The HCP assessing the PT orders an analysis of serum electrolytes. Which of the following electrolyte changes indicates digoxin toxicity and needs to be reported? Select all that apply
hyponatremia
hypokalemia
hypomagnesemia
hypophosphatemia
hypocalcemia
A nurse is caring for a PT on digitalis. The PT complains of nausea and vomiting after 2 days of digitalis administration. Which of the following is the appropriate nursing intervention in this situation? Select all that apply
ensure that the PT takes double the drug dosage
Ensure that the PT consumes small, frequent meals
Ensure that the PT consumes fluids 1 hr before meal
ensure that the PT rinses his or her mouth after the consumption of meals
Restrict fluid consumption at meals times
A PT is admitted to an ED with atrial flutter. The PT complains of headache after the first does of digitalis is administered. Which of the following additional adverse effects of digitalis should a nurse assess for in such a situation. Select all that apply
hepatotoxicity
angina
drowsiness
vomiting
arrhythmia
Cardiotonic drugs are used to treat which medical condition? Select all that apply
heart failure
hypothyroidism
hyperlipidemia
atrial fibrillation
hypertension
Milrinone is an inotropic drug used in the short-term management of heart failure. What is the only way this drug is approved to be administered?
IV
IM
SubQ
PO
Which of the following classes of medications are currently used as first-line treatments of heart failure? Select all that apply
Angiotensin-converting enzyme inhibitors (ACEIs)
Loop diuretic
cardiotonics
beta blockers
ARBS
Which of the following is the result of positive inotropic activity?
increased cardiac output
decreased heart rate
increased preload
increased conduction velocity
a PT has been prescribed antiarrythmic drugs for cardiac arrhythmia. which of the following possible side effects of the drug should the nurse inform the PT of?
hypertension
insomnia
lightheadedness
urinary frequency
a PT on amiodarone reports that she is pregnant. the HCP informs her to stop the use fo the drug as it might cause fetal harm. which of the following FDA pregnancy categories does amiodarine belong to?
category b
category c
category d
category x
a nurse is required to monitor the VS of a PT with paroxysmal atrial tachycardia who is on an antiarrythmic agent. which of the following pulse rates should be IMMEDIATLY reported to the HCP?
82
92
102
142
a PT who is on antiarrhytmic drug therapy complains of nausea after taking the drug. which of the following instructions should the nurse provide the PT to help nausea?
take the drug 2 hours before taking food
lie down flat at least 1 hour after taking the drug
eat small, frequent meals rather than large meals
drink lots of water after taking the med
a nurse is caring for an 86-year-old PT on antiarrhytmic drugs. which of the following signs, if present, indicates the development of HF in the PT?
decrease in weight
shortness fo breath
increased volume of urine
chills and fever
when drug therapy is started and a new or worsening arrhytmia happens, what is the term for this cardiac event?
atrial fibrillation
proarrhythmic effect
atrial flutter
threshold
