summer final

Question 1

how would a nurse assess for adequate cardiac output?

Answer 1

pulse, cap refill, pallor, sensation, blood pressure

Question 2

what are the effects of positive inotropic medications?

Answer 2

increased force of contraction

Question 3

clients should receive education to avoid what type of over the counter medication when taking beta blockers?

Answer 3

decongestants

Question 4

which lab is important to monitor when administering an “Ace” inhibitor?

Answer 4

potassium- d/t K+ sparing effects

Question 5

what side effect can an “Ace” inhibitor cause that is irritating to clients?

Answer 5

dry cough

Question 6

which organ should be monitored while taking flecainide?

Answer 6

liver

Question 7

digoxin works to. . .

Answer 7

increase myocardial contractility

Question 8

which vital sign is a priority to assess with digoxin?

Answer 8

pulse

Question 9

what should a nurse teach a client to avoid when taking digoxin?

Answer 9

bran/fiber d/t decrease in absorption

Question 10

therapeutic level of digoxin

Answer 10

0.125-0.5 mg/day

Question 11

what signs and symptoms would alert a nurse that digibind needs to be given?

Answer 11

hyperkalemia, bradycardia, OD (more than 10mg in adults, 4mg in children)

Question 12

what medication is commonly used for angina?

Answer 12

metoprolol

Question 13

what s/s occur when a client ingests alcohol and takes antabuse?

Answer 13

sweating, violent vomiting, h/a, sob, tachycardia, vertigo, confusion

Question 14

which medication would help a client reduce cravings for alcohol?

Answer 14

naltrexone (ReVia)

Question 15

what medication could cause a potentially lethal issue?

Answer 15

large doses at once can produce a high, which is usually a lethal amount

Question 16

how would a nurse recognize s/s of withdrawal in a client who has been taking lorazepam and has now stopped?

Answer 16

agitation, GI upset/cramps, insomnia, seizure activity

Question 17

how would the nurse treat OD in a client taking lorazepam?

Answer 17

flumazenil (Romazicon) administered IV- onset 1-2 min with full effects in 6-10. Repeat after 20 mins if needed

Question 18

what dietary restrictions are indicated with the use of lorazepam?

Answer 18

grapefruit juice

Question 19

what is the therapeutic level of lithium?

Answer 19

• long-term: 0.6-1.2
• acute manic phase: 1.0-1.5

Question 20

how often should a lithium level be drawn?

Answer 20

every 1-3 months for the duration of therapy

Question 21

what foods should be avoided when taking MAOI’s

Answer 21

foods with tyramine (herring, salami, smoked fish, cheese, beer, wine

Question 22

what assessment findings would be concerning in a client taking MAOI’S

Answer 22

hypertension, orthostatic hypotension, n/v, dry mouth, occipital h/a (hypertensive crisis when taken with tyramine)

Question 23

what are the S/S of serotonin syndrome?

Answer 23

• mild: HTN, agitation, tachycardia, tremors, diarrhea
• severe: muscle rigidity, diaphoresis, fever, seizures

Question 24

what black box warning should be noted with SSRI’s?

Answer 24

• use w caution w impaired liver/kidney function
• do not use St. John’s Wart d/t increased risk for serotonin syndrome

Question 25

why should patients with cardiac history avoid tricyclic antidepressant?

Answer 25

anticoagulants d/t increased bleeding potential