Pharm: Cardiovascular System

Question 1

Name the lab value the nurse should monitor for a patient taking heparin

Answer 1

aPTT (activated partial thromboplastin time)

Question 2

Which anticoagulant has a rapid onset?

Answer 2

Heparin

Question 3

What important dietary teaching should be given to a patient taking warfarin?

Answer 3

Maintain a consistent intake of vitamin K

Question 4

Which of the following lab values is NOT therapeutic for warfarin?

INR of 1.5, 2.0, or 2.5?

Answer 4

1.5 - therapeutic INR values are 2.0-3.0

Question 5

A patient taking heparin has a platelet level of 50,000mm3. What complication are they likely experiencing?

Answer 5

Heparin-induced thrombocytopenia (HIT)

Question 6

The nurse receives an order to administer Adenosine to a patient experiencing sinus tachycardia. What is the nurse’s priority action?

Answer 6

Question the order - This medication is not indicated for use in sinus tachycardia

Question 7

The nurse knows it is safe to administer Metoprolol and Atenolol to a patient with asthma. Why?

Answer 7

These are cardioselective beta blockers which do effect the lungs

Question 8

The nurse knows that a patient taking Procainamide is at risk for developing which inflammatory disease?

Answer 8

Systemic lupus erythematosus (SLE)

Question 9

What unique type of toxicity can a patient taking Nitroprusside experience?

Answer 9

Cyanide toxicity

Question 10

What is the mechanism of action for Eplerenone?

Answer 10

Lowers blood pressure by indicating the effect of aldosterone