Med Chart 6 practice questions Flashcards
A patient is taking Digoxin, what are some adverse effects would the the nurse might see? SATA (select all that apply)
A. colored vision B. Anorexia C. N/V D. dysrhythmias E. Hypotension
A. colored vision
B. Anorexia
C. N/V
D. dysrhythmias
Which is true regarding Digoxins MOA:
A. Negative Inotropic, Positive Dromotropic, Negative Chemotropic
B. Positive Inotropic, Negative Dromotropic, Negative Chemotropic
C. Positive Inotropic, Positive Dromotropic, Negative Chemotropic
B. Positive Inotropic, Negative Dromotropic, Negative
True or false:
Digoxin does not affect Blood pressure
True
Which Beta Adrenergic Antagonist is noncardioselective and may exacerbate asthma?
A. Propranolol (Inderal)
B. Metoprolol (Lopressor/ Toprol)
C. Atenolol (Tenormin)
A. Propranolol (Inderal)
What are Calcium Channel Blockers Dihydropyridines used for? SATA
A. Hypotension
B.Hypertension
C. Angina Pectoris
D. COPD
B.Hypertension
C. Angina Pectoris
Which statements shows the nurse the patient is educated about calcium channel blockers?
A. I can still smoke while taking calcium channel blockers
B. If i have headaches i should be concerned
C. I can not eat grapefruits will taking calcium channel blockers
C. I can not eat grapefruits will taking calcium channel blockers
What are Calcium Channel Blockers Nondihydropyridines used for? SATA
A. Angina pectoris
B. hypertension
C. coronary artery disease
D. hypotension
A. Angina pectoris
B. hypertension
C. coronary artery disease
A patient has hypertension and a Potassium level of 5.7. Which drug would be given to this patient?
A. Enalapril
B .Losartan
C. Clonidine
B .Losartan
it wouldnt be Enalapril because patient already has a high potassium level and hyperkalemia is an adverse effect of that drug
A patient is given Nitroglycerin for her angina. What adverse effects would the nurse look out for? SATA (select all that apply)
A. Hypotension B. Hypertension C. Headache D. Blurred vision E. Syncope F. Tolerance
A. Hypotension C. Headache D. Blurred vision E. Syncope F. Tolerance
A patient was given Nitroglycerin sublingual. The patient says her under her tongue is burning. What would the nurse do?
A. Notfiy HCP
B. Stop medication
C. Normal side effect
C. Normal side effect
A patient is given the topical ointment of nitroglycerin. What statements indicates proper patient education.
A. I will apply it with my hand
B. I will wash previous application site
C. I will put it in the same spot everytime
B. I will wash previous application site
HCP tells nurse to give patient a calcium channel blocker. The patient has a Blood pressure of 80/100. What should the nurse do?
A. hold the drug and question the HCP
B. proceed to give med to patient
C. none of the above
A. hold the drug and question the HCP
you would hold the drug since the systolic BP is less than 90
A patient recently started taking Verpamil. What statements indicates the patient is educated about this med. SATA
A. I will avoid eating grapefruit
B. I can still smoke and drink with this med.
C. I cant breastfeed with this med.
D. Report if i have and palpitations or nausea
A. I will avoid eating grapefruit
C. I cant breastfeed with this med.
D. Report if i have and palpitations or nausea
What is an adverse effect that can happen while taking Enalapril? SATA
A. dysrhythmias
B. hyperkalemia
C. persistent cough
D. angioedema
B. hyperkalemia
C. persistent cough
D. angioedema
What antihypertension drug only blocks effects of Angiotensin 2
A. Enalapril
B. Clonidine
C. Losartan
D.Prazosin
C. Losartan
What Alpha 2 Agonists drug would a HCP prescribe for hypertension
A. prazosin
B.Clonidine
C. Losartan
B.Clonidine
What are some adverse effects for Hydralazine? SATA
A. bradycardia
B. reflex tachycardia
C. fluid retention
D. lethargy
B. reflex tachycardia
C. fluid retention
A patient is experiencing heparin overdose. Which medication would the nurse prepare to administer?
vitamin K
factor VIII
antihistamine
protamine sulfate
protamine sulfate
The nurse monitors the aPTT of a patient receiving heparin for a deep vein thrombosis. The nurse notes that the aPTT is 70. What is the most important action to be taken by the nurse?
Notify the physician
Document the result
Increase the infusion rate
Decrease the infusion rate
Document the result
The patient in this situation has an aPTT of 70, which is in the therapeutic range. It would be appropriate to continue the infusion at the same rate and document the results.
What does the nurse recognize as the major adverse effect of low-molecular-weight heparin?
thrombocytosis
anaphylaxis
infection
bleeding
bleeding
Low-molecular-weight heparin interferes with the normal clotting cascade and may lead to bleeding. Additionally, these drugs can cause thrombocytopenia.
A patient is taking warfarin. The nurse knows that this drug works by which mechanism?
- Decreased number of circulating clotting factors
- Blocking of vitamin K-dependent factors
- Decreased numbers of platelets
- Altered cellular permeability
Blocking of vitamin K-dependent factors
Coagulation is suppressed by warfarin because of its ability to interfere with synthesis of vitamin K. Four clotting factors require vitamin K for synthesis, and without them, coagulation
Which statement below BEST describes how Heparin works as an anticoagulant?*
A. “It inhibits clotting factors from synthesizing Vitamin K.”
B. “It inactivates the extrinsic pathways of coagulation.”
C. “It prevents Factor Xa from activating prothrombin to fibrinogen.”
D. “It enhances the activation of antihrombin III, which prevents the activation of thrombin and the conversion of fibrinogen to fibrin.
D. “It enhances the activation of antihrombin III, which prevents the activation of thrombin and the conversion of fibrinogen to fibrin.
A patient, who is receiving continuous IV Heparin, has an aPTT of 105 seconds. What is your next nursing action per protocol?
A. Continue with the infusion because no change is needed based on this aPTT.
B. Increase the drip rate per protocol because the aPTT is too low.
C. Re-draw the aPTT STAT.
D. Hold the infusion for 1 hour and decrease the rate per protocol because the aPTT is too high.
D. Hold the infusion for 1 hour and decrease the rate per protocol because the aPTT is too high.
A patient is receiving a thrombolytic agent, alteplase (Activase), follwing an acute myocardial infraction. Which condition is most likely attributed to thrombolytic therapy with this agent?
- Skin rash with urticaria
- Wheezing with labored respirations
- Brusing and epistaxis
- Temperature elevation of 100.8F
- Brusing and epistaxis