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25 Cards in this Set

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1. A patient is taking a HMG-CoA reductase inhibitor (statin drug). Which patient outcome most suggests drug efficacy for this patient? Pick two (2).
lowering lipid levels in people with atherosclerosis
or high LDL's
2.Before administering digoxin (Lanoxin), an appropriate nursing action is checking:
Check urinary output because of digtoxicity
-Check HR (don't give if it's below 60)
-Check K+ level (if patient is hypokalemic it will potentiate the dig. And make it stronger)
-Check serum digoxin level (if higher than 1.8 call physician)
3.A patient is taking lisinopril (Zestril). Which teaching point is most important for the nurse to include in this patient’s teaching?
*preg cat x
prodrug for active ace inhibition-
4.Which assessment finding(s) alerts the nurse that the patient receiving digoxin (Lanoxin) may be experiencing an adverse drug reaction? (Pick two [2])
a/n/v/d h/a blurred vision, confusion and drowsiness
pg 585
5.In which situation would the nurse hold the morning digoxin (Lanoxin) and call the physician?
bp lower than 60- bradycardia
6. The physician prescribes 1mg of digoxin (Lanoxin) to be given in divided doses over 24 hours. The nurse:
the nurse give 250mcg digoxin every 6hrs not qid
7. The nurse cautions the patient taking captopril (Capoten) to:
Take 1st dose at bedtime, people starting this drug may become dizzy. And take at the same time of day qd
dry cough
report -jondice, swelling, or skin rash
8. A patient is admitted with congestive heart failure. To increase myocardial contractility, the nurse anticipates the physician may order:
increase contractility=
Inotropes-Cardiac glycosides-
digoxin (Lanoxin)
Phosphodiesterase Inhibitors-
inamrinone (Inocar)
Milrinone (Primacor)
9. A patient is receiving diltiazem (Cardizem). Which two (2) assessment findings does the nurse include prior to administration? (Pick two [2]).
BP & HR
10. The nurse recognizes which adverse reaction as a common concern for any patient on an
antiarrhtyhmic or dysrhythmic agent?
decreased HR= rhythm problems
-can cause arrhythmia coronary
11. A nurse is administering sublingual nitroglycerin to a patient for chest pain. Which action indicates the nurse is administering the medication in the correct manner? (Pick two [2])
administer when patient is seated (not laying)
-rinse mouth out before administering
-Allow med to dissolve under the tongue
-if chest pain is still present in 5min. call doctor
-don't' exceed more than 3 tablets
12. A patient’s heart rate is 30 beats per minute and the patient is lightheaded and confused. Which action by the nurse is most appropriate to treat this patient’s condition?
dopamine- alpha 1 stimulation@ 10-20 mcg/min
If dopamine is ineffective
A catecholamine, stimulates ll adrenergic receptors except beta 2
slide 30
13. A patient has been prescribed lovastatin (Mevacor). Which patient variable alerts the nurse to discuss this medication order with the physician prior to administration?
pregnancy, maoi inhibitor, decreased liver function, older
14. A physician prescribes a patient nitroglycerin by transdermal patch. Which follow-up question by the nurse is appropriate?
how to apply at home, remove & dispose of properly
ever had any unusual or allergic reactions to nitrates or nitrites
15. A patient is taking cholestramine (Questran). Which patient finding does the nurse interpret as a positive outcome when taking this drug? A decrease in:
Cholesterol -->LDL'S
16. A nurse is administering metoprolol XL (Toprol) to a patient. Which actions by the nurse show attention to safe and effective care? (Pick two [2])
increase fluids and monitor BP/ HR
SLIDE 25-26
17. A nurse is teaching a patient about taking metoprolol (Lopressor) at home. Which statement is most important for the nurse to include in this patient’s teaching? Call if you develop:
Call if you develop low blood pressure or bp drops by 40 pts or more systole
SLIDE 25-26
18. Which teaching point does the nurse include in patient education about statin drug therapy?
take at bedtime
no grapefruit juice increses toxicity
Preg Cat x
may cause liver damage- watch for jondice--> GI-N/V/D Myositis or rhabdomyolosis (muscle inflammation and disintegration)
19. Which patient response is most expected following sublingual nitroglycerin? Pick two (2)
vasodialating drug
releif of pain in the chest from angina
20.Afterload- Definition
amount of pressure heart exerts to move blood
vascular resistance and arterial pressure
21. Cardiac output- Definition
CO=HR x SV
22. Positive chronotrope- Definition
Chronotropic drugs may change the heart rate by affecting the nerves controlling the heart, or by changing the rhythm produced by the sinoatrial node. Positive chronotropes increase heart rate; negative chronotropes decrease heart rate.
23. Negative dromotrope- Definition
A dromotrope affects Atrioventricular node (AV node) conduction. A positive dromotrope increases AV nodal conduction, and a negative dromotrope decreases AV nodal conduction. A lusitrope is an agent that affects diastolic relaxation.
24. Negative inotrope- Definition
Negative inotropic agents decrease myocardial contractility, and are used to decrease cardiac workload in conditions such as angina. While negative inotropism may precipitate or exacerbate heart failure, certain beta blockers (e.g. carvedilol, bisoprolol and metoprolol) have been believed to reduce morbidity and mortality in congestive heart failure
25. Preload- Definition
amount of blood in heart prior to contraction
end-diastolic pressure