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WorksheetsCardiac Meds Quiz
Total questions: 31
Worksheet time: 18mins
When preparing to administer Metoprolol, the nurse takes the apical pulse. The client's pulse is 48 bpm. What is the priority action for the nurse to take?
The nurse knows that medications like metoprolol and propranolol are beta-blockers and are used to?
Select all that apply
Increase heart rate and blood pressure
Decrease the frequency of chest pain (angina)
Prevent MI and Ventricular Arrythmias
Decrease heart rate and blood pressure
Treat HTN, and Anxiety
When administering a beta-blocker the nurse should educate the patient to?
Select all that apply
Stop taking the medication if feeling dizzy to prevent fall injuries
Take the medication only when symptoms occur to prevent toxicity
Not stop abruptly to avoid rebound HTN, angina, arrythmias
Change positions slowly to prevent orthostatic hypotension
The nurse is preparing to give propranolol to a 45 y/o female client in for treatment of her HTN. She has a PMH: of diabetes, COPD, and HTN. What is the appropriate action?
Hold the medication and notify the HCP
Check her home meds to see if they also cause a decrease in HR before giving
Assess her BG level before giving
The nurse walks into a room of a female client receiving warfarin and notices the client looks pale and tired. On further inspection the client's IV site has a thin stream of blood leaking from it. The client's morning labs show: Hgb 10, Hct 30, RBC 3.7. What will the nurse expect to administer?
Warfarin
Protamine sulfate
Vitamin K
Andexanet Alfa
The nurse is preparing a client's 0800 meds. The client is taking warfarin and has an INR level of 4.6. What is the priority action?
Hold the warfarin and notify the HCP
A client is receiving bumetanide (Bumex) and asks the nurse to clarify the teaching the RN had given. The nurse should provide what educations?
Select all that apply
Take med earlier in the day, and avoid administering at night
Take w/ food or milk
Wear protective clothing and sunscreen when outside
Get your potassium level checked while on bumex
You should not take if you are allergic to sulfonamides
A client taking spironolactone is about to receive her 0800 dose. Her K+ level is 5.6. What is the priority action?
Hold the dose and notify the HCP.
Before administering spironolactone, the nurse knows to?
Select all that apply
Check blood pressure.
With all diuretics the nurse knows to monitor what?
Select all that apply
Daily weights
Intake and output
Serum potassium level
Blood pressure
The nurse is explaining all the dangers of potassium to the student nurse. The nurse knows to reinforce teaching when the student nurse says what?
"The antidote for potassium is protamine sulfate"
"I should never administer potassium IV push"
"I should monitor potassium levels when administering potassium"
"Too much potassium and too little potassium can cause lethal arrythmias"
The student nurse is taking an exam over cardiac problems and treatments. The nurse knows which are true when a patient is receiving potassium.
Select all that apply
Monitor K+ levels
Avoid salt substitutes and foods high in potassium
You should not crush or chew potassium tablets
Monitor for s/s of hyper/hypo-kalemia
Needs to be administered diluted and slowly if IV
What side-effect would the nurse expect a client taking lisinopril to report?
What is a common teaching with most medications that affect the heart?
Maintain bedrest while on medications for the heart
Stop taking when you feel better
Do not stop taking abruptly
Take medications only when symptoms appear
What is a common teaching when a client is taking medications that affect the heart by decreasing B/P, decreasing HR, or affecting the way it beats?
Encourage rapid position changes to stimulate heart rate
Advise on taking medications with food to enhance absorption
Monitor for signs of hypotension and educate on rising slowly
The nurse is caring for a client on digoxin. The nurse knows to educate the client on the s/s of digoxin toxicity.
Select all that apply
Visual disturbances Greenish/Yellow Halos
Blurred vision
Dry cough
Nausea and Vomiting
Muscle pain
The client taking digoxin reports blurred vision, yellow halos on the doorways, and nausea. What will the nurse expect to prepare?
Rumazenil
Vitamin K
Protamine sulfate
Digibind
A client receiving warfarin c/o of a headache 5/10 and requests pain medication. The doctor orders aspirin 500 mg. What is the priority action?
Provide a different pain medication without consulting the doctor
Administer the aspirin as ordered
Hold the med, call the HCP and question the order
For meds like aspirin, warfarin, enoxaparin, apixaban, and heparin what is the common thing to monitor for?
S/S of bleeds
S/S of decreased liver function
Changes in HR and B/P
Changes in oxygenation status
The nurse is preparing to administer enoxaparin sub-q. The nurse obtains the prefilled syringe and notices there is an air-bubble in the syringe. What is the priority action?
Expel the air bubble from the syringe
Get a new syringe, the air bubble indicates it has expired
Shake the syringe to disperse the air bubble
The nurse on night shift receives a call from a man who reports having chest pain. He has already taken 1 nitroglycerin med sublingually 2 minutes ago. He asks what to do next?
Wait 3 more minutes, if unrelieved call 911 and take another tablet. You can take a total of three doses
Drink a glass of water and wait 15 minutes before taking another tablet
Take B/P measurement in 25 minutes sitting down
Drive to the ER because this is a sign of an oncoming heart attack
The nurse is caring for a client taking atorvastatin. The nurse knows which of the following is a common side effect of this medication?
Muscle pain
For patients who are taking atorvastatin, what should be monitored to prevent complications related to toxicity and injury?
Liver function tests
For most diuretic therapies what are common nursing actions when caring for the patient?
Select all that apply
Monitor I/O and daily wt.
Check B/P before giving med
Monitor K+ levels
Take early in the day
Take w/ food or milk to prevent GI upset
For client's receiving furosemide, the nurse would expect to see what else ordered in their MAR?
Potassium supplements
Client's receiving furosemide should be assessed for what allergy?
For diuretics like HCTZ, furosemide and bumetanide, what education should the nurse give the client?
Take med with two bananas every time
Wear sunscreen and protective clothing
If a client is on a medication that wastes potassium, and is also on digoxin, what is the nurse monitoring very closely?
A client taking colchicine as a preventative measure for stroke reports that she has taken her med strictly as ordered and has not missed a dose. She says she takes it with a cup of grapefruit juice every day. What is the nurse's priority action?
Instruct the client to skip doses if feeling unwell
Suggest taking colchicine with diet coke instead
Educate the client to avoid grapefruit juice
Advise the client to increase grapefruit juice intake
Why should the client use caution when taking an NSAID while on warfarin therapy?
Increased risk of heart attack
Increased risk bleeding
Increased risk of kidney damage
Decreased effectiveness of warfarin
The nurse knows that which of the following is a serious medical emergency that can occur when taking atorvastatin?
Angioedema
