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Pharmacology - Cardiovascular Medications Questions With Complete Solutions
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Pharmacology - Cardiovascular Medications Questions With Complete Solutions
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Pharmacology - Cardiovascular Medications Questions WithComplete Solutions
A client admitted to the hospital is taking atenolol (Tenormin).
The nurse monitors the client for which sign or symptom of an
adverse effect of the medication?
1. Nausea
2. Diaphoresis
3. Hypotension
4. Tachycardia Correct Answer 3. Hypotension
A client being treated for heart failure is administered
intravenous bumetanide. Which outcome indicates the
medication has achieved the expected effect?
1. Cough becomes productive of frothy pink sputum
2. The serum potassium level changes from3. 8 to 3.1 mEq/L
3.B-natriuretic peptide (BNP) factor increases from 200 to 262
pg/mL
4. Urine output increases from 10 mL/hour to greater than 50
mL hourly Correct Answer 4. Urine output increases from 10
mL/hour to greater than 50 mL hourly
A client has been prescribed pindolol (Visken) for hypertension.
The nurse provides anticipatory guidance, knowing that which
common side effect of this medication may decrease client
compliance?
1. Impotence
2. Mood swings
3. Increased appetite
4. Difficulty swallowing Correct Answer 1. Impotence
,A client has developed paroxysmal nocturnal dyspnea. Which
medication should the nurse anticipate will be prescribed by the
health care provider?
1. Bumetanide
2. Lidocaine (Xylocaine)
3. Propranolol (Inderal LA)
4. Streptokinase (Streptase) Correct Answer 1. Bumetanide
A client has recently begun medication therapy with propranolol
(Inderal LA). The long-term care nurse should plan to notify the
health care provider (HCP) if which assessment finding is
noted?
1. Complaints of insomnia
2. Audible expiratory wheezes
3. Decrease in heart rate from 86 to 78 beats/min
4. Decrease in blood pressure from 162/90 to 136/84 mm Hg
Correct Answer 2. Audible expiratory wheezes
A client in the hospital emergency department who received
nitroglycerin for chest pain has obtained relief but now
complains of a headache. The nurse should interpret that this
client is most likely experiencing which condition?
1. An expected medication side effect
2. An allergic reaction to nitroglycerin
3. An early sign of tolerance to the medication
4. A warning that the medication should not be used again
Correct Answer 1. An expected medication side effect
A client in the postpartum care unit who is recovering from
disseminated intravascular coagulopathy is to be discharged on
low dosages of an anticoagulant medication. In developing
,home care instructions for this client, the nurse should include
which priority safety instruction regarding this medication?
1. Avoid brushing the teeth.
2. Avoid taking acetylsalicylic acid (aspirin).
3. Avoid walking long distances and climbing stairs.
4. Avoid all activities because bruising injuries can occur.
Correct Answer 2. Avoid taking acetylsalicylic acid (aspirin).
A client is admitted to a hospital with acute myocardial
infarction and is started on tissue plasminogen activator (tPA,
Activase) by infusion. Of the following parameters, which one
should a nurse determine requires the least frequent assessment
to detect complications of therapy with tPA?
1. Neurological signs
2. Blood pressure and pulse
3. Presence of bowel sounds
4. Complaints of abdominal and back pain Correct Answer 3.
Presence of bowel sounds
A client is admitted to the emergency department with a
diagnosis of myocardial infarction (MI). The health care
provider (HCP) prescribes the administration of alteplase
(Activase). To achieve the best therapeutic outcome, the nurse
understands this medication must be administered at which
time?
1. Within 4 to 6 hours after onset of chest pain
2. Concurrently with the administration of heparin
3. With the administration solution set protected from light
4. After the results of all laboratory tests have been received
Correct Answer 1. Within 4 to 6 hours after onset of chest pain
, A client is being discharged on warfarin sodium (Coumadin),
and the nurse provides instructions to the client regarding the
medication. Which statement, if made by the client, indicates to
the nurse that the client understands the teaching provided?
1. "I'll stop my medication if I see bruising."
2. "Stiff joints are common while taking warfarin."
3. "This medication will prevent me from having a stroke."
4. "If I notice blood-tinged urine, I will call the health care
provider." Correct Answer 4. "If I notice blood-tinged urine, I
will call the health care provider."
A client is being treated for moderate hypertension and has been
taking diltiazem (Cardizem) for several months. The client
schedules an appointment with the health care provider because
of episodes of chest pain, and Prinzmetal's angina is diagnosed.
The nurse understands that this medication will provide which
therapeutic effect for this new diagnosis?
1. Increases oxygen demands within the myocardium
2. Increases the force of contraction of ventricular tissues
3. Prevents influx of calcium ions in vascular smooth muscle
4. Leads to an increase in calcium absorption in the vascular
smooth muscle Correct Answer 3. Prevents influx of calcium
ions in vascular smooth muscle4.Leads to an increase in calcium
absorption in the vascular smooth muscle
A client is being treated with procainamide for a cardiac
dysrhythmia. Following intravenous administration of the
medication, the client complains of dizziness. What intervention
should the nurse take first?
1. Measure the heart rate on the rhythm strip.
2. Administer prescribed nitroglycerin tablets.
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