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Cholesterol & BP Meds

Total questions: 15

Worksheet time: 9mins

Name
Class
Date
1.
The nurse is administering nitroglycerin to a patient experiencing chest pain. Which describes the therapeutic action of nitrates? Select all that apply. 
a)
Decreased cardiac oxygen demand
b)
Decreased cardiac workload
c)
Decreased preload
d)
Constriction of peripheral veins
e)
Dilation of coronary arteries
2.
Where should a patient prescription of NTG SL tablets be stored?
a)
In a safely locked cabinet
b)
Kept with pt at all times
c)
In a cool, dark place  
d)
In the refrigerator
3.
When should a pt experiencing angina seek emergency response assistance?
a)
Following syncopal event
b)
Before taking a 2nd NTG tablet 
c)
After taking 3 NTG tablets
d)
As soon as symptoms resolve
4.
Which instructions should be included for patients to prevent tolerance of topical nitrates?
a)
Remove the patch in the PM  
b)
Heat skin before applying
c)
Increase the dose gradually
d)
Apply the patch twice daily
5.

A pt using transdermal NTG complains of chest pain at midnight (patch is not on). What is the BEST nursing action?

a)

Notify the provider of pain level

b)

Apply a new transdermal patch now

c)

Document how long the chest pain persists

d)

Administer a short-acting nitrate tablet

6.
Why should a patient rotate the site of a transdermal/topical NTG?
a)
To reduce skin irritation  
b)
To maintain therapeutic levels
c)
To reduce drug tolerance    
d)
To increase absorption of med
7.
The nurse is administering a nitrate medication to a patient experiencing chest pain. Which adverse effects should the nurse monitor for? Select all that apply. 
a)
Headache 
b)
Shortness of breath
c)
Dizziness
d)
Tachycardia
e)
Hypotension
8.
Muscle aches, joint pain, fatigue, darkened urine are s/s of which adverse effect of HmG-CoA reductase and fibrates?
a)
liver failure
b)
aplastic anemia
c)
fractures
d)
rhabdomyolysis  
9.
The nurse should educate the pt to take their HmG CoA reductase inhibitor at which time?
a)
In the evening before bed
b)
The same time with their antilipemic
c)
Any time of day
d)
In the morning before breakfast
10.
A nurse is taking care of a patient who takes antilipemic medication for coronary artery disease. Which assessment(s) should the nurse expect to be ordered? Select all that apply. 
a)
Liver function tests
b)
LDL & HDL 
c)
CBC 
d)
Renal function tests
e)
Triglycerides
11.
What should the nurse watch for in a patient taking both fibrates and warfarin?
a)
Risk for blood clots
b)
Increased bleeding
c)
Liver failure
d)
Joint pain
12.
A patient taking an ACE inhibitor experiences angioedema. What should the nurse do?
a)
Contact the provider for a reduced dose.
b)
Administer the dose with a dose of Benadryl
c)
Document the occurrence and hold the medication.
d)
Stop the medication & notify the provider
13.
Which medication will the nurse hold if the heart rate is less than normal?
a)
Carvedilol
b)
Clonidine
c)
Captopril
d)
Atorvastatin
14.
Which medication is administered with caution in patients who have a diagnosis of diabetes?
a)
ACE inhibitor
b)
Calcium channel blocker
c)
Beta adrenergic blocker
d)
Angiotensin receptor blocker
15.
Which patient(s) are most likely to experience adverse effects of medication to treat hypertension? Select all that apply.
a)
Age greater than 65
b)
Taking more than one BP med
c)
Decreased renal function
d)
Prescribed a large dose
e)
Diagnosed with pneumonia