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Pharm cardio chpt 9

Total questions: 70

Worksheet time: 38mins

Name
Class
Date
1.

What affects NS control or blocks receptors that respond to body's natural adrenergic substances like epinephrine & norepinephrine

a)

Adrenergic

b)

Angiotensin II receptor blockers ARB

c)

Beta blockers

2.

What blocks vasoconstriction & aldosterone secreting effects of angiotensin II, it lowers B/P by blocking angiotensin II receptor sites

a)

Angiotensin II receptor blockers ARB

b)

Antidysrhythmic

c)

calcium channel blockers

3.

What type of medication can someone take to make heart rhythm more regular and to reduce dysrhythmias

a)

diuretic

b)

inotropic

c)

antidysrhythmic

4.

What can of medication treats hyperlipidemia, and targets blood cholesterol levels

a)

adrenergic

b)

calcium channel blockers

c)

antihyperlipidemics

5.

What type of medication is an antagonist that blocks activity of beta adrenergic receptors. Lowers B/P and slows HR also

a)

beta blocker

b)

calcium channel blockers

c)

diuretic

6.

What is an antihypertensive drug that lowers B/P by reducing effect of calcium in the heart

a)

channel blockers

b)

calcium channel blockers

c)

inotropic

7.

What classification of medication decreases fluid volume by increasing urine output

a)

lasix

b)

furosemide

c)

diuretic

8.

hydroxymehylglutary coenzyme A reductase inhibitor (statin) does what

a)

lowers B/P

b)

fluid retention

c)

lowers blood low density lipoproteins levels

d)

cholesterol

9.

Inotropic medications deals with what

a)

deals with EF

b)

cardiac output

c)

heart rate

d)

myocardium contractility

10.

What category does

Thiazides

Loop and

Potassium sparing belong to

a)

antihypertensives

b)

diuretics

c)

there all seperate

11.

Action: Increases urine output by preventing water, sodium, potassium and chloride from being reabsorb

a)

inotropic

b)

thiazide diuretics

c)

loop diuretics

d)

potassium sparing diuretics

12.

Expected side effects while taking this medication:

increases uric gout

a)

potassium sparing diuretic

b)

loop diuretic

c)

thiazide diuretic

13.

Adverse side effect while taking a thiazide diuretic

a)

dehydration & severe hypokalemia

b)

severe diaphoresis

c)

intense hunger

14.

When teaching the pt & fm about thiazide diuretics you need to include

a)

take drug when ever you notice more edema

b)

take drug only as prescribed

c)

double up on missed doses

d)

do not skip or double up on doses

15.

You can take this medication in low amounts if you are pregnant and breastfeeding

a)

thiazide diuretic

b)

statin

c)

lisinopril

d)

amlodipine

16.

Older adults are more likely to develop

while taking a thiazide diuretic

a)

postural hypotension

b)

confusion

c)

low potassium

d)

increased serum glucose

17.

What do you need to monitor for in older adults taking a thiazide diuretic

a)

dehydration

b)

symptoms of hypokalemia

c)

muscle weakness

d)

irregular heart beat

18.

Action: increases urine output by blocking active transport of chloride, sodium, and potassium in ascending loop of henle

a)

diuretic

b)

potassium sparing diuretic

c)

loop diuretic

19.

What should you watch for in pts taking a loop diuretic

a)

irregular HR, low B/P, dry mouth

b)

low potassium

c)

low potassium

dry mouth

increased thirst

muscle cramps

fatigue

mood changes

20.

What should you remind your diabetic pt to do after they have taken a loop diuretic. And what should you monitor as the nurse

a)

get up fast and do some walking

b)

get up slowly

c)

blood glucose

21.

What is an adverse side effects of loop diuretics

a)

hyperkalemia

b)

hypokalemia

c)

hypocalcemia

22.

things you should monitor for pts taking loop diuretics

a)

monior potassium levels

b)

monitor daily I&O

c)

monitor daily weight

23.

Action: increases excretion of water and sodium, increases urine output without loss of potassium in the urine

a)

Benign prostatic hyperplasia

b)

diuretics

c)

potassium sparing diruretics

24.

What are the 2 common drugs for BPH

a)

Dihydrotestosterone inhibitors

Finasteride

b)

Selective alpha 1 blockers

Tamsulosin

c)

Lasix

d)

Finasteride

25.

what medication is an dihydrotesterone inhibitor

a)

Tamsulosin

b)

Finasteride

c)

Diuretic

26.

You need to warn patients and the family especially pregnant women not to handle or touch this medication because they can cause birth defects

a)

any medication

b)

bladder anesthetics

c)

Tamsulosin

27.

When taken orally they are excreted into the urine and acts as a local anesthetic on the mucous membranes of the urinary tract

a)

Cranberry pills

b)

lasix

c)

phenazopyridine

28.

Pts that are taking phenazopyridine you need to teach them

a)

this medication turns urine red/orange color

b)

only used for 2 days

c)

call your PCP if you notice any yellowing skin or eyes

29.

What occurs in both men and women but more common in women

a)

bladder issues

b)

hyperlipidemia

c)

diabetes

d)

overactive bladder

30.

what are Hmg Coa reductase inhibitors

a)

B/P meds

b)

anxiety meds

c)

statins

31.

what medication is an Hmg-Coa reductase inhibitor

a)

simvastatin

b)

lasix

c)

furosemide

32.

Action: lowers blood LDL levels by slowing liver production and does not remove dietary cholesterol from the bloodstream

a)

Hmg Coa reductase inhibitors (statins)

b)

antihyperlipidemics

c)

antidysrrhymics

33.

When a pt is taking a Hmg Coa reductase inhibitor (statin) you need to teach them to

a)

drink plenty of fluids

b)

avoid fried fatty foods

c)

avoid alcohol

34.

Expected side effects when taking Hmg Coa reductase inhibitors (statin)

a)

abdominal pain

b)

diarrhea

c)

muscle pain (myalgia)

d)

hypertension

35.

When taking a Hmg Coa reductase inhibitor (statin) what is an adverse effect

a)

liver function

b)

increased liver enzymes

c)

increased hypertension

36.

When a pt is taking a statin (Hmg-Coa Reductase Inhibitor) what do you need to teach them

a)

avoid grapefruit juice

b)

look for light colored stools

c)

check for dark urine, and severe muscle aches

d)

All of the above

37.

Non statin antihyperlipidemic drug are

a)

Bile Acid Sequestrants

b)

Statins

c)

Antihypertensives

38.

Action: reduce absorption of fat soluble vitamins (A,D,E,K)

a)

Antihyperlipidemics

b)

Non statin antihyperlipidemic drugs: Bile acid sequestrants

c)

Antihypertensives

39.

Primary HTN specific cause is

a)

comes with aging

b)

from stress

c)

unknown

40.

Secondary HTN is from a

a)

lifestyle modifications

b)

stress

c)

specific cause

41.

Antihypertensives are:

a)

Renin-angiotensin-aldosterone system (RAA's) Drugs

b)

Calcium channel blockers

c)

Adrenergic agents

42.

Antihypertensives

Renin-angiotensin-aldosterone system Drugs includes:

a)

Angiotensin converting enzyme inhibitor

(ACE I)

b)

Angiotensin II receptor blockers (ARB)

c)

Calcium channel blockers

43.

Pts taking Angiotensin converting enzyme inhibitor (ACE I) may experience what

a)

dry cough

b)

increased thirst

c)

cough with sputum

44.

Action: reduces high blood pressure by stopping the conversion of angiotensin I to angiotensin II

a)

ACE inhibitor

(angiotensin converting enzyme inhibitor)

b)

ARB

(angiotensin II receptor blocker)

c)

Adrenergic agents

45.

Action: blocks vasocontrition and aldosterone secreting effects of angiotensin II

a)

(ARB)

Angiotensin II receptor blocker

b)

(ACE I)

Angiotensin converting enzyme inhibitor

c)

Calcium channel blockers

46.

When a male pt is taking a antihypertensives renin angiotensin aldosterone system Drug what should you ask about

a)

hypertension

b)

side effects/impotence

c)

decreased liver function

47.

When a patient is taking an antihypertensive

Renin-angiotensin-aldosterone system Drug what do you need to teach the pt and family

a)

take this drug as needed when B/P is elevated

b)

every day

c)

take this drug exactly as prescribed

d)

if you miss a dose take it as soon as you remember

48.

Calcium channel blocking agents are

a)

amlodipine

b)

verapamil

c)

atorvastatin

d)

labatolol HCL

49.

Action: slow flow of calcium for muscle contraction and produces relaxation of coronary and systemic arteries

a)

adrenergic agents

b)

alpha/beta blockers

c)

calcium channel blocking agents

50.

What is a common side effect of calcium channel agents like amlodipine & verapamil

a)

edema in lower extremities

b)

fluid retention

c)

decreased liver function

51.

what should be avoided in patients with heart failure

a)

calcium channel blocking agents

b)

adrenergic agents

c)

alpha beta blockers

52.

Adrenergic agents are

a)

alpha blockers

b)

alpha/beta blockers

c)

calcium channel blockers

53.

Labetalol HCL is an adrenergic agent and a

a)

alpha/beta blocker

b)

nitrate

c)

diuretic

54.

hydralazine is a

a)

vasoconstrictor

b)

vasodilator

c)

diuretic

55.

Action: dilate blood vessels by relaxing vascular smooth muscle in peripheral venous system and reduces resistance to blood flow in arterial system

a)

vasodilator

b)

vasoconstrictor

c)

nitrate

56.

What is an expected side effect of taking a Nitrate

(more than 50% of people experience this)

a)

hypertension

b)

migraines

c)

throbbing headaches

57.

Pt having acute angina you as the nurse should get what information

a)

onset, duration, location, characteristics of pain

b)

ask pt if they have taken a nitrate

c)

what medications do you take

58.

What happens when you swallow a NGT tablet

a)

nothing you can take them orally

b)

increases potency

c)

decreases potency

59.

NGT tablets are absorbed best where

a)

orally

b)

under the tongue

c)

above the tongue

60.

When patients are taking a nitrate you may see a drop in what, since nitrates are vasodilators

a)

increased blood pressure

b)

decreased blood pressure

c)

elevated heart rate

61.

Do NOT give this medication if blood pressure is lower than 90/60

a)

nitrate

b)

beta blockers

c)

inotropic drugs

62.

Nitates should be kept where to prevent breakdown

a)

in your car in your dash

b)

dark container

c)

openly in there pocket

63.

Beta blockers often end with

a)

-olol

b)

-pril

c)

-sartan

64.

ACE I often end with

a)

-sartan

b)

-olol

c)

-pril

65.

ARB's often end with

a)

-olol

b)

-sartan

c)

-pril

66.

Action: affects contractility of the myocardium heart muscle

a)

beta blockers

b)

inotropic drugs

c)

antihypertensives

67.

A _________ inotropic like digoxin for example activates proteins in heart muscle increasing ability to contract

a)

positive

b)

negative

c)

sartan

68.

Patients with HF an increased force of contractility may lead to an improvement in

a)

cardiac output

b)

stroke volume

c)

cardiac input

69.

Adverse reactions from taking Digoxin toxicity include

a)

anorexia

b)

N/V, diarrhea

c)

visual disturbances

d)

irregular heart beat

70.

Digoxin dosage for adults is

a)

0.5 to 0.25mg

b)

10-20mg

c)

0.125 to 0.25mg