Pharmacology Cardiovascular Drugs
NClex Questions
a. "Apply the patch to a nonhairy area of the upper torso or arm." - questions and
answers-A client is to be discharged home with a transdermal nitroglycerin patch. Which
instruction will the nurse include in the client's teaching plan?
a. "Apply the patch to a nonhairy area of the upper torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch."
a. "I take aspirin daily for headaches." - questions and answers-A client is taking
enoxaparin (Lovenox) daily. Which client statement requires additional monitoring?
a. "I take aspirin daily for headaches."
b. "I take ibuprofen (Motrin) at least once a week for joint pain."
c. "Whenever I have a fever, I take acetaminophen (Tylenol)."
d. "I take my medicine first thing in the morning."
a. "I will check my blood pressure daily and take my medication when it is over 140/90."
- questions and answers-Which statement indicates that the client needs additional
instruction about antihypertensive treatment?
a. "I will check my blood pressure daily and take my medication when it is over 140/90."
b. "I will include rest periods during the day to help me tolerate the fatigue my medicine
may cause."
c. "I will change my position slowly to prevent feeling dizzy."
d. "I will not mow my lawn until I see how this medication makes me feel."
a. 150 to 200 mg/dL - questions and answers-The nurse knows that the client's
cholesterol level should be within which range?
a. 150 to 200 mg/dL
b. 200 to 225 mg/dL
c. 225 to 250 mg/dL
d. Greater than 250 mg/dL
,a. A longer half-life than heparin - questions and answers-A client is prescribed
enoxaparin (Lovenox). The nurse knows that low-molecular-weight heparin (LMWH) has
what kind of half-life?
a. A longer half-life than heparin
b. A shorter half-life than heparin
c. The same half-life as heparin
d. A four-times shorter half-life than heparin
a. Administer an additional dose of warfarin (Coumadin). - questions and answers-The
client has an international normalized ratio (INR) value of 1.5. What action will the nurse
take?
a. Administer an additional dose of warfarin (Coumadin).
b. Hold the next dose of warfarin (Coumadin).
c. Increase the heparin drip rate.
d. Administer protamine sulfate.
a. Administer ordered dose of digoxin. - questions and answers-A client's serum digoxin
level is drawn, and it is 0.4 ng/mL. What is the nurse's priority action?
a. Administer ordered dose of digoxin.
b. Hold future digoxin doses.
c. Administer potassium.
d. Call the health care provider.
a. Alteration in cardiac output related to effects on the sympathetic nervous system -
questions and answers-Which is a priority nursing diagnosis for a client taking an
antihypertensive medication?
a. Alteration in cardiac output related to effects on the sympathetic nervous system
b. Knowledge deficit related to medication regimen
c. Fatigue related to side effects of medication
d. Alteration in comfort related to nonproductive cough
a. Assess for reperfusion dysrhythmias. - questions and answers-What nursing
intervention is essential for the client receiving alteplase?
a. Assess for reperfusion dysrhythmias.
b. Monitor liver enzymes.
, c. Administer vitamin K if bruising is observed.
d. Monitor blood pressure and stop the medication if blood pressure drops below 110
systolic.
a. Beta1 blocker - questions and answers-The nurse explains that which beta blocker
category is preferred for treating hypertension?
a. Beta1 blocker
b. Beta2 blocker
c. Beta1 and beta2 blockers
d. Beta2 and beta3 blockers
a. Call the health care provider to switch the medication. - questions and answers-A
nurse is caring for a client who is taking an angiotensin-converting enzyme inhibitor and
develops a dry, nonproductive cough. What is the nurse's priority action?
a. Call the health care provider to switch the medication.
b. Assess the client for other symptoms of upper respiratory infection.
c. Instruct the client to take antitussive medication until the symptoms subside.
d. Tell the client that the cough will subside in a few days.
a. Client states that she has no chest pain. - questions and answers-Which client
assessment would assist the nurse in evaluating therapeutic effects of a calcium
channel blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
a. Coronary thrombosis
b. Acute myocardial infarction
c. Deep vein thrombosis (DVT)
d. Cerebrovascular accident (CVA) (stroke)
e. Venous disorders - questions and answers-When a newly admitted client is placed on
heparin, the nurse acknowledges that heparin is effective for preventing new clot
formation in clients who have which disorder(s)? (Select all that apply.)
a. Coronary thrombosis
b. Acute myocardial infarction
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