Week 13: Chapter 17 Flashcards
Which drug produces more venous vasodilation than arterial vasodilation?
Isosorbide
Before administering a dose of digoxin, which action is essential?
Listen to then apical heart rate for a full minute
What must you teach a patient about how to take sublingual nitroglycerine?
A tingling sensation tells you that the drug is potent.
When you administer a vasodilator drug to an older adult, what is the primary risk?
Increased risk for falls
Which foods will you teach patients are good sources of magnesium?
- Almonds
- Black beans
- Soybeans
A pt who has just been prescribed enalapril (Vasotec) for heart failure asks you how the drug will work? What is your best response?
It will decrease the fluid and sodium in your blood and tissues
Which sx will you likely see in a pt with left heart failure?
+ Weak peripheral pulses
+ Pulmonary congestion
+ Hacking cough that is worse at night
+ Crackles in the lungs
A pt was recently started on a nitroglycerin ointment, 1 inch every 6 hours. The patient asks you why the patch is removed at night. What is your best response?
The drug loses its effectiveness when it is used continuously
Older adults are more sensitive to the effects of many heart failure drugs. Which drug is more likely to cause toxicity in older adults?
digoxin (Lanoxin)
An adult patient prescribed magnesium (Max-Oxide) 400 mg PO daily tells you he has nausea after taking this drug. What should you teach the pt about taking this drug?
- Take your magnesium with a full glass of water
- You can take your magnesium right after a meal to decrease nausea
- Always take your magnesium with food or a snack to avoid GI sx
- Good food sources of magnesium include green leafy vegetables and almonds
A pt is receiving dobutamine (Dobutrex) 0.5 mcg/ kg/ min by IV. Which manifestations indicate an infection at the IV site?
- Pain at the IV site
- Redness at the site
- Warmth at the site
- Swelling at the site
What are the most important teaching points for a pt who will go home with sublingual nitroglycerin to be used as needed for chest pain?
- Keep the tablet in place under your tongue until it dissolves
- You should experience a tingling sensation, which indicates the drug is potent
- If you experience a headache, acetaminophen can be taken for relief
- A decrease in BP can be a S/E of this drug
What should you teach a pt who has recently been prescribed nesirtide by IV infusion?
Monitoring your intake and output is important while you are receiving this drug
A patient is being discharged with a prescription for nitroglycerin ointment. Which actions are important for the nurse to teach the patient about this medication? (select all that apply)
- Wear gloves.
- Use a special ruled paper.
- Tape the special ruled paper in place.
A patient who has been taking a nitroglycerin patch for several days reports a headache. What is the best advice the nurse should give to this patient?
“Take a mild headache pain reliever such as acetaminophen (Tylenol).”
A patient is concerned about forgetting to take the morning dose of digoxin (Lanoxin) and it is now lunchtime. What should you tell the patient?
“Take the dose now.”
The nurse is giving a patient with heart failure a vasodilator. What is the reason why this medication is being given?
They are given when ACE inhibitors cannot be given.
How does the cardiac glycoside digoxin (Lanoxin) work to improve cardiac output? (select all that apply)
- It slows down a heart rate that is too fast.
2. It increases the force of contraction of each heartbeat.
The nurse is giving digoxin to a newly admitted telemetry patient with heart failure. What are possible side effects of digoxin? (select all that apply)
- Fatigue
- Decreased appetite, or anorexia
- Nausea/vomiting
Which foods are good sources of the electrolyte potassium? (select all that apply)
Baked potato
Tomato puree
Winter squash
Lima beans
The nurse is assessing a patient’s cardiac output. What factors can increase cardiac output (CO)? (select all that apply)
Increased heart rate (HR)
Increased stroke volume (SV)
A heart failure patient with shortness of breath and edema is prescribed a naturally occurring hormone. What hormone medication is most often given?
Nesiritide (Natrecor)
The nurse is administering nesiritide (Natrecor) to a patient. What life-threatening adverse effect must the nurse watch for after administering this drug?
Apnea
The nurse is discharging a patient with a prescription for a potassium supplement. What points are important for the nurse to teach this patient? (select all that apply)
Take with food.
Avoid salt substitutes.
Call the prescriber if muscle twitching or weakness occurs.
