Clicker Qs Exam 2 Flashcards

1
Q

Why administer opioids such as morphine sulfate following an MI?

A

Reduces acute pain associated with MI

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2
Q

Why would an ACE be prescribe for a client with a recent MI?

A

Reduces MI mortality by decreasing myocardial after-load

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3
Q

A primary adverse event of a thrombolytic includes

A

Excessive bleeding

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4
Q

The function of thrombolytic therapy is to

A

Restore blood supply to damaged tissue

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5
Q

Three goals of a cute MI pharmacotherapy

A

Restore blood supply as quickly as possible

Prevent dysrhythmia

Reduce post MI mortality

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6
Q

This medication has ability to inhibit calcium ions into myocardial cells and to relax coronary and peripheral blood vessels

A

Diltiazem

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7
Q

What is the primary mechanism calcium channel blocker‘s decrease angina attacks

A

Reduce cardiac workload

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8
Q

Atenolol is….

A- Selective B1 receptor blocker
B- nonselective beta blocker
C- selective B2 receptor blocker
D- has no effect on beta receptors, it is an alpha blocker

A

Selective B1 receptor blocker, one heart two lungs

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9
Q

Beta adrenergic blockers decreases the frequency of angina attacks by

A

Reduce cardiac workload

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10
Q

Most common adverse event of nitroglycerin

A

Headache, due to vasodilation

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11
Q

Warning signs of a heart attack

A

Feeling of chest pressure

sudden shortness of breath

weakness and fatigue

nausea and indigestion

anxiety and fear

atypical

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12
Q

Medications at decrease preload

A

Furosemide
nitro tab
Lisinopril
Losartan

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13
Q

What medications can slow heart rate

A

Atenolol
Verapamil
Diltiazem

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14
Q

This client is prescribed Digoxin for treatment of hurt failure. Which of the following statements by the client indicates a need for further teaching?
A- I may notice my heart rate decrease
B- I may feel tired during early treatment
C- this drug should cure my heart failure
D- my energy level should gradually improve

A

C- this drug should cure my heart failure

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15
Q

The nurse reviews laboratory studies of a client receiving to Jackson. Intervention by the nurse is required at the lab results include which of the following lab values?

A- serum digoxin 1.2
B- serum potassium 3
C- Hemoglobin 14.4
D- serum sodium 140

A

Potassium of 3

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16
Q

A client with heart failure has an order for lisinopril. Which of the following conditions in the clients history would lead to the nurse to confirm the order with the provider?

A

History of angioedema after taking enalapril (Vasotec)

17
Q

The teaching plan for a client receiving hydralazine should include what points?

A

Rising slowly to standing from laying or sitting position

18
Q

Lisinopril is part of the treatment regimen for a client with her failure the nurse managers the client for the development of which adverse reactions?

A

Hyperkemia, cough, dizziness

19
Q

The client who has not responded well to other therapies has been prescribed milrinone for treatment of his heart failure. What essential assessment must be done before starting this drug?

A

Electrolytes, especially potassium

20
Q

What drugs slow HR? SATA

Atenolol 
Atorvastatin
Verapamil
Diltiazem
Nitro tab
A

Atenolol
Verapamil
Diltiazem

21
Q

What medications decrease preload? SATA

Rosivastatin
Furosemide 
Lisinopril 
Nitro tab
ASA
Losartan
A

Furosemide
Nitro tab
Lisinopril
Losartan