The Cardiovascular System Test

Question 1

A nurse is providing teaching to a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy?

Answer 1

Muscle pain

Question 2

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include?

Answer 2

“Monitor your pulse rate and report changes.”

Question 3

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? (Select all that apply.)

Answer 3

“Apply the patch to a hairless area and rotate sites”/ “Apply a new patch when you start your day” / “Remove patches for 10 to 12 hr each day”

Question 4

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions?

Answer 4

Acute myocardial infarction

Question 5

A nurse is caring for a client who has a glomerular !ltration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug?

Answer 5

The drug does not promote diuresis for clients who have renal insufficiency.

Question 6

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values requires immediate intervention?

Answer 6

Potassium 5.2 mEq/L

Question 7

A nurse should identify that which of the following drugs is used only for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use?

Answer 7

Procainamide

Question 8

A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia?

Answer 8

Simvastatin

Question 9

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs? (Select all that apply.)

Answer 9

MAOI/ General anesthetic/ Tricyclic antidepressant / Beta blocker

Question 10

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug?

Answer 10

Headache

Question 11

A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client?

Answer 11

Reserpine

Question 12

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gem!brozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects?

Answer 12

Myopathy

Question 13

A nurse is caring for a client who is taking amiodarone to treat atrial !brillation. Which of the following should the nurse instruct the client to avoid while taking this drug?

Answer 13

Grapefruit juice

Question 14

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse e!ects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? (Select all that apply.)

Answer 14

Rash/ Distorted taste/ Swelling of the tongue/ Dry cough

Question 15

A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (Select all that apply.)

Answer 15

Hyperkalemia/ Throat swelling/ Cough

Question 16

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include? (Select all that apply.)

Answer 16

Report any new intolerance to fried foods/ Report muscle tenderness /
Expect periodic liver function testing

Question 17

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?

Answer 17

Raisins

Question 18

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

Answer 18

Hypoglycemia

Question 19

A nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over-the-counter drugs while taking propranolol?

Answer 19

NSAIDs

Question 20

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?

Answer 20

Antigen-binding fragments

Question 21

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

Answer 21

Hypokalemia

Question 22

A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?

Answer 22

Hyperuricemia

Question 23

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

Answer 23

Second-degree AV block

Question 24

A nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following !ndings could indicate an adverse reaction to the drug and needs to be reported?

Answer 24

Facial edema

Question 25

A nurse is caring for a client who has a new prescription for verapamil to treat atrial !brillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?

Answer 25

Hypotension