ATI Week 13 Flashcards
Recognizing the potential for a drug interaction between the diuretic, furosemide, and the cardiac glycoside, digoxin, the PCP plans to monitor this client for which A/E?
Digoxin toxicity
Digoxin is effective in treating heart failure due to which pharmacological actions?
Exerts positive inotropic action
Decreases sympathetic tone
Increases myocardial contractility
A client starts drug therapy, but the following day he reports that he is having palpitations. His ECG at the ED indicates frequent premature ventricular contractions, so the PCP prescribes a stat dose of lidocaine, 50 mg via IV bolus. A health care professional who administers the drug monitors the client for which adverse reactions to lidocaine?
Paresthesias
A PCP prescribes captopril to treat the clients HTN and also help alleviate his heart failure. It is essential for a health care provider to make sure a client understands the he should not take which OTC while taking captopril?
Ibuprofen (Advil, Motrin)
A PCP prescribes quinidine gluconate as an oral antidysrhythmic agent. A health care professional should question the use of quinidine for a client taking digoxin, due to a possible drug interaction that can result in which A/E?
Digoxin toxicity
A client is taking bumetanide and spironolactone. You explain to the client that using these drugs together may reduce the risk of which A/E?
Hypokalemia
A client is about to start taking hydrochlorothiazide for HTN. To assess for A/E of this drug, you monitor for which during drug therapy?
Hyponatremia
Hypokalemia
Dehydration
You are administering lidocaine 50 mg via IV bolus, to a client with a ventricular dysrhythmia. You monitor the client for which adverse reactions to lidocaine?
Paresthesias
While talking with a client who is taking captopril to treat HTN, which instructions do you include to help her manage the drugs A/E?
Do not use salt substitutes to season your food
You are talking with a client who is taking losartan for HTN. She asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk?
Fetal injury
A client is about to start taking aliskiren to treat HTN. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug?
Fatty foods
While instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following?
Alcohol
Beta adrenergic blocker that controls atrial and ventricular tachycardia
Propranolol (Inderal)
Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia:
Amiodarone (Cordarone)
Calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter:
Verapamil (Calan)
Sodium channel blocker that treats supraventricular and ventricular dysrhythmias:
Quinidine
You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the A/E of amiodarone, you advise the client to watch for and report which of the following?
Cough
Blurred vision
Dizziness
Fever
You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You anticipate that the PCP might try which drugs whose off-label use includes refractory atrial dysrhythmias?
Flecainide (Tambocor)
A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential A/E of this drug?
Headache
A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?
Raisins
A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an A/E of this drug?
Hyperuricemia
A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include?
Report any new intolerance to fried foods
Report muscle tenderness
Expect periodic liver function testing
A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has sever digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?
Antigen-binding fragments
A nurse should identify that which of the following drugs is used only for the short-term treatment of cardiac dysrhythmia because of the serious A/E associated with long-term use?
Procainamide