CH 10 Drugs for the Cardiovascular System Flashcards
- Which drugs may be prescribed to treat edema associated with congestive heart failure (CHF) and hypertension?
Antihypertensives
Cardiac glycosides
Diuretics
Antilipemics
Diuretics
A diuretic is used in the treatment of congestive heart failure (CHF) and hypertension because of the edema. It reduces the fluid volume in the body by stimulating urine flow.
- Which medications may be prescribed to treat high cholesterol?
Diuretics
Antihypertensives
Antilipemics
Cardiac glycosides
Antilipemics
An antilipemic is a drug used to treat high cholesterol. It lowers the lipids in the blood.
- Warfarin sodium (Coumadin) is classified as an:
antiplatelet.
antilipemic.
anticoagulant.
antihypertensive.
anticoagulant.
Warfarin sodium (Coumadin) is an anticoagulant. It treats thrombus, embolism, phlebitis, and coronary occlusion by preventing or slowing the formation of blood clots. It also prevents enlargement of existing clots.
- Before administering digoxin, the healthcare worker must check the apical pulse. Digoxin should not be given if the pulse is below:
40 bpm.
50 bpm.
60 bpm.
70 bpm.
60 bpm.
The apical pulse must be checked before giving digoxin. It must be over 60 bpm. If it is not, contact the nurse.
- Which of the following is the average adult blood pressure?
110/80
120/80
130/80
140/80
120/80
The average adult blood pressure is 120/80.
- Which of the following is the average adult pulse?
60-80 bpm
70-90 bpm
60-100 bpm
80-120 bpm
60-100 bpm
The average adult pulse is between 60 and 100 bpm.
- Which are the three main kinds of blood cells?
Granulocytes; thrombocytes; hemoglobin
Monocytes; platelets; antibodies
Erythrocytes; leukocytes; platelets
Monocytes; granulocytes; lymphocytes
Erythrocytes; leukocytes; platelets
The three main kinds of blood cells are erythrocytes, leukocytes, and platelets.
- Which statement is correct?
Arterial blood is bright red, highly oxygenated, and travels from the heart to the capillaries.
Venous blood is bright red, highly oxygenated, and travels from the heart to the capillaries.
Arterial blood is dark red, low in oxygen, and travels from the capillaries to the heart.
Venous blood is bright red, low in oxygen, and travels from the capillaries to the heart.
Arterial blood is bright red, highly oxygenated, and travels from the heart to the capillaries.
Arterial blood is bright red, highly oxygenated, and travels from the heart to the capillaries.
- Which is an effect that aging has on the heart? Select all that apply.
The heart becomes larger because it loses its elasticity.
The heart has a deeper color because there is more oxygen in the heart tissue.
The heart valves thin out and become less rigid.
The aorta and arteries are more elastic.
The heart becomes larger because it loses its elasticity.
The heart becomes larger as a person ages because it loses its elasticity. It has a deeper color because there is less oxygen in the heart tissue.
- Labored or difficult breathing that occurs because of fluid accumulation in the interstitial tissues and lungs is termed:
pneumonia.
dyspnea.
bradycardia.
edema.
dyspnea.
Dyspnea means labored or difficult breathing. It occurs because of the fluid accumulation in the interstitial tissues and lungs.
- Chest pain is also referred to as:
dyspnea.
cardialgia.
angina pectoris.
cardiac arrest.
angina pectoris.
The medical term for chest pain is angina pectoris.
- Irregular heartbeats or palpitations that may indicate heart problems are termed:
tachycardia.
bradycardia.
dysrhythmias.
heart blocks.
dysrhythmias.
Irregular heartbeats or palpitations are termed dysrhythmias.
- A sudden cessation of breathing and of sufficient circulation of blood by the heart is termed:
shock.
congestive heart failure.
cardiac arrest.
sudden cardiac death.
cardiac arrest.
A cessation of breathing and of sufficient circulation of blood by the heart is a cardiac arrest.
- A patient whose ventricles of the heart are not able to contract and pump properly, and who exhibits signs of fatigue, dyspnea, tachycardia, chest pain, and edema, may have:
a dysrhythmia.
congestive heart failure (CHF).
atherosclerosis.
orthostatic hypotension.
congestive heart failure (CHF).
A patient whose symptoms are fatigue, dyspnea, tachycardia, chest pain, and edema may have congestive heart failure (CHF). This occurs because there is an inability of the heart to pump adequately to meet the needs of the body’s metabolic needs.
- Which is the goal of cholesterol management?
High levels of HDL cholesterol, high levels of LDL cholesterol.
Low levels of HDL cholesterol, low levels of LDL cholesterol.
Low levels of LDL cholesterol, high levels of HDL cholesterol
High levels of HDL cholesterol, low levels of LDL cholesterol.
Low levels of LDL cholesterol, high levels of HDL cholesterol
The goal of cholesterol management is low levels of LDL cholesterol and high levels of HDL cholesterol.
- Aspirin, thrombolytics or clot busters, anticoagulants, analgesics, nitroglycerin, beta blockers, and antilipemics may be used to treat:
atherosclerosis.
angina pectoris.
thrombophlebitis.
myocardial infarction.
myocardial infarction
Myocardial infarction may be treated with aspirin, thrombolytics or clot busters, anticoagulants, analgesics, nitroglycerin, beta blockers, and antilipemics.
- Pooling of blood in the veins that is associated with immobility, obesity, pregnancy, CHF, and steroid therapy can lead to:
thrombophlebitis.
shock.
ventricular fibrillation.
hypertension.
thrombophlebitis.
Thrombophlebitis is a pooling of blood in the veins associated with immobility, obesity, pregnancy, CHF, and steroid therapy.
- Which is the most common arterial disorder that is characterized by thickening, loss of elasticity, and calcification of arterial walls?
Atherosclerosis
Thrombophlebitis
Arteriosclerosis
Embolus
Arteriosclerosis
Arteriosclerosis is the most common arterial disorder that is characterized by thickening, loss of elasticity, and calcification of arterial walls.
- Because _________________ is called the “silent killer” and may exist without symptoms for a long time, it is important to teach patients about the risk factors.
arteriosclerosis
hypertension
shock
atherosclerosis
hypertension
Because hypertension is called the “silent killer” and may go without symptoms for a long time, teach the patient about the risk factors.
- Which terms describe a decrease in the number of erythrocytes, the quality of hemoglobin, and the volume of hematocrit?
Thrombus
Cyanosis
Anemia
Leukemia
Anemia
Anemia is the result of decreased erythrocytes, the quality of hemoglobin, and volume of hematocrit.
- Which categories of drugs work to raise blood pressure by causing the blood vessels to contract?
Vasodilators
Antihypertensives
Cardiac glycosides
Vasoconstrictors
Vasoconstrictors
Vasoconstrictors raise the blood pressure by causing the blood vessels to contract.
- Vasodilators relax or dilate the walls of the arteries and are used to control angina pectoris. The most common vasodilator is:
digoxin.
iron.
nitroglycerin.
aspirin.
.
nitroglycerin.
Vasodiators relax or dilate the walls of the arteries and are used to control angina pectoris. The most common one is nitroglycerin
- Which term is used to describe a sudden, lowered blood pressure when the patient stands up quickly?
Positional hypotension
Reflexive hypotension
Orthostatic hypotension
Secondary hypotension
Orthostatic hypotension
A sudden lowering of the blood pressure when the patient stands up quickly is called orthostatic hypotension.
- Which must be checked on a daily basis to monitor a patient on digitalis?
Pulse
Blood pressure
Weight
Electrolytes
Pulse
Take the apical pulse before giving digitalis.
- Many over-the-counter (OTC) drugs such as aspirin, oral contraceptives, and antacids can affect the action of:
antilipemics.
antihypertensives.
anticoagulants.
antiarrhythmics.
anticoagulants.
Anticoagulants’ actions may be affected by OTC drugs such as aspirin, oral contraceptives, and antacids.
- Which are effective for the treatment of a myocardial infarction if given within six hours of the onset of chest pain?
Thrombolytics
Anticoagulants
Calcium channel blockers
Nitrates
Thrombolytics
Thrombolytics are effective for the treatment of myocardial infarction if given within six hours of the onset of chest pain.
- A patient with anemia may be prescribed which medication for this condition?
Feosol (ferrous sulfate)
Plavix (clopidogrel)
Lanoxin (digoxin)
Coumadin (warfarin)
Feosol (ferrous sulfate)
Ferrous sulfate (Feosol) may be prescribed for patients with anemia.
- Which medication helps prevent or reduce the formation of a thrombus?
Coumadin (warfarin)
Lasix (furosemide)
Lipitor(atorvastatin)
Norvasc (amlodipine)
Coumadin (warfarin)
Coumadin may be given to prevent the formation of a thrombus.
- Aspirin and Plavix are both medications that may be prescribed for which condition?
Hypertension
Myocardial infarction
Anemia
Congestive heart failure
Myocardial infarction
Aspirin and Plavix (clopidogrel) may be prescribed for myocardial infarction.
- Patients should expect their stools to look dark and tarry if they were prescribed which medication?
Lipitor (atorvastatin)
Feosol (ferrous sulfate)
Norvasc (amlodipine)
Lanoxin (digoxin)
Feosol (ferrous sulfate)
Black, tarry stools is a harmless side effect of taking Feosol.
- The heart, the blood vessels, and the blood make up the ___________________ system.
cardiovascular
Explanation: The cardiovascular system is made up of the heart, blood vessels, and blood.
- Arteries carry blood __________ from the heart, while veins carry blood __________ the heart.
away; toward
Explanation: Arteries carry blood away from the heart, while veins carry blood toward the heart.
- The arterioles and venules are connected by thin-walled vessels called ____________.
capillaries
Explanation: The arterioles and venules are connected by thin-walled vessels called capillaries.
- The capillaries serve the important function of carrying ___________ and other nutrients to the tissues and taking away the ___________ products.
oxygen; waste
Explanation: The functions of the capillaries are to carry oxygen and other nutrients to the tissues and take away the waste products.
- The point of maximum impulse (PMI) is an important landmark when taking the _________ pulse before administering cardiac drugs.
apical
Explanation: The point of maximum impulse (PMI) is an important landmark when taking the apical pulse before administering cardiac drugs.
- The middle, muscular layer, and most important structure of the heart, is the _______________.
myocardium
Explanation: The middle, muscular layer, and the most important structure of the heart, is the myocardium.
- Cardiac glycosides such as digoxin increase cardiac output by affecting the force of myocardial ____________________.
contractions
Explanation: Certain cardiac drugs affect the force of myocardial contractions. Digoxin is a cardiac glycoside that increases cardiac output.
- The myocardium and heart are supplied with blood from the ______________ arteries.
coronary
Explanation: The myocardium and heart are supplied with blood from the coronary arteries.
- Antianginal drugs such as nitroglycerin or calcium channel blockers produce coronary dilation and increase the _________ to the heart, relieving chest pain.
oxygen
Explanation: Antianginal drugs such as nitroglycerin or calcium channel blockers produce coronary dilation and increase the oxygen to the heart, relieving chest pain.
- The electrical signals of the heart can be picked up by a machine and recorded on a chart called a(n) ______________________.
electrocardiogram
Explanation: An electrocardiogram is a graphic record showing the spread of electrical excitation to different parts of the heart.
- The force of the blood against the walls of the blood vessels is termed __________________.
blood pressure
Explanation:
Blood pressure is the force of the blood against vessel walls.
- A diagnosis of _____________________ is made after two blood pressure readings greater than 140/90 mm Hg on separate occasions.
hypertension
Explanation: When a patient’s systolic blood pressure readings are above 140/90 mm Hg on two separate occasions, he or she is diagnosed with hypertension.