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Pharm
quiz 4
| Question | Answer |
|---|---|
| 22. The Nurse is administering antihypertensive drugs to older adult patients. The nurse knows that which adverse effect is of most concern for these patients? Dry Mouth Hypotension Restlesssness Constipation | Hypotension |
| 22. When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class of drugs? Alpha blockers Diuretics such as furosemide ACE inhibitors such as captopril Vasodilators such as hydralazine | Alpha Blockers |
| 22. A 46 Y/O man started antihypertensive drug thearpy 3 mo earlier & is in the office for a F/U visit. While the N is taking his B/P, he informs the N that he has had some problems w/ intercourse. Which is the most appropriate response by the N? "Not to worry. Eventually, tolerance will develop" "The physician can work with you on changing the dose and/or drug" "Sexual Dysfucntion happens with this therapy, & you will learn to accept it" This is an unusual occurance | "The Physician can work with you on changing the dose and/or drugs." |
| 22. When a PT is being taught about the potential adverse effects of an ACE inhibitor, which of these effects should the N mention as possibly occurring when this drug is taken to treat HTN? SATA Fatigue Nausea Dry, non productive cough Diarrhea Dizziness | Fatigue Dry, nonproductive cough Dizziness |
| 22. A PT has a new Rx for an angiotensin II receptor blocker (ARB). During a review of the PT's list of current medications, which would cause concern for a possible interaction with this new Rx? SATA A Benzodiazepine taken as needed for allergies A potassium supplement taken daily An oral anticoagulant taken daily An opiod used for occasional severe pain An NSAID taken as needed for headache | A potassium supplement taken daily An NSAID taken as needed for headaches |
| 22. The N is assessing a PT who will be starting antihypertensive therapy with an ACE inhibitor. Which condition, if present in the patient, would be a reason for cautious use? Asthma Rheumatoid arthritis Hyperthyroidism Renal Insufficiency | Renal Insufficiency |
| 22. A PT is in the office for a F/U visit, and states that he does not like the side effects of his B/P medication, Clonidine, and wants to stop it immediately. The N knows that which of these conditions may occur if this medication is stopped abruptly? Heart Failure Hyperkalemia Severe rebound hypertension Dry, non productive cough | Severe rebound hypertension |
| 23. A PT has a new prescription for transdermal nitroglycerin patches. The N teaches the PT that these patches are most appropriately used for which reason? To relieve exertional angina To prevent palpitations To prevent the occurence of angina To stop an episode of angina | To prevent the occurence of angina |
| 23. A Nwith adequate knowledge about the administration of intravenous nitroglycerin will recognize that which statement is correct? The IV form is give by intravenous push injection Because the IV forms are short-lived, the dosing must be ever 2 hours IV nitroglycerin must be protected from exposure to light through use of special tubing. IV nitroglycerin can be given by gravity drip infusions | IV Nitro must be protected from exposue to light through use of special tubing |
| 23. Which statement by the patient reflects the need for additional patient education about the calcium channel blocker Diltiazem? "I can take this drug to stop an attack of angina" "I understand that food and antacids alter the absorption of this oral drug" "When long-acting forms are taken, the drug cannot be crushed" "This drug may cause my blood pressure to drop, so I need to be careful when getting up" | "I can take this drug to stop an attack of angina" |
| 23. While assessing a patient with angina who is to start beta blocker therapy, the N is aware that the presence of which condition may be a problem if these drugs are used? SATA Diabetes Mellitus Essential tremor Exertional angina Asthma Hypertension | Diabetes Mellitus Asthma |
| 23. A 68 Y/O Male PT has been taking the Nitro Isosorbide Dinitrate for 2 yrs for angina. He recently has been experiencing ED & wants a Rx for Sildenafil. Which response would the N mostly likely hear from the prescriber? "He will have to be switched to Isosorbide mononitrate if he wants to take Sildenafil" "Taking Sildenafil w/ the Nitrate may result in severe hypotension, so a contraindication exists" "I'll write a Rx, but if he uses it, he needs to stop taking the Isosorbide for one dose" | "Taking Sildenafil w/ the Nitrate may result in severe hypotension, so a contraindication exists |
| 23. The N is reviewing drug interactions with a male PT who has a Rx for Isosorbide Dinitrate as Tx for angina Sx. Which substances listed below could potentially result in a drug interaction? SATA A glass of wine Thyroid replacement hormone Tadalafil, an erectile dysfunction drug Metformin, an antidiabetes drug Carvedilol, a Beta Blocker | A glass of wine Tadalafil, an erectile dysfunction drug Carvedilol, a Beta Blocker |
| 23. A PT w/ Angina has been given a Rx for a Calcium Channel Blocker. The N knows that this class of drugs is used to treat which type of angina? Effort Unstable Crescendo Vasospastic | Vasospastic |
| 24. When teaching the PT about the S/Sx of cardiac glycoside toxicity, the N should alert the PT to watch for which of these? SATA Dizziness Visual Changes such as halos around lights H/A Increased urine output Dark stools | Dizziness Visual changes such as halos around lights H/A |
| 24. During assessment of a PT who is receiving Digoxin, the N monitors for findings that would indicate an increased possibility of toxicity, such as apical pulse rate of 62 beats/min Digoxin level of 1.5 ng/mL serum potassium level of 2.0 mEq/L serum calcium level of 9.9 mEq/L | serum potassium level of 2.0 mEq/L |
| 24. When monitoring a PT who is receiving Ivabradine, the N will look for which adverse effect? Atrial Fibrillation Proteinuria Tachycardia Hypotension | Atrial Fibrillation |
| 24. A PT is taking a Beta Blocker as part of the Tx plan for heart failure. The N knows that the purpose of the BB for this PT is to Increase urine output prevent stimulation of the heart by catecholamines Increase the contractility of the heart muscle cause peripheral vasodilation | prevent stimulation by catecholamines |
| 24. The N is assessing a patient who is receiving a Milrinone infusion & checks the PT's cardiac rhythm on the heart monitor. What adverse cardiac effect is most likely to occur in a PT who is receiving IV Milrinone? Hypertension Bradycardia Atrial Fibrillation Ventricular dysrhythmia | Ventricular dysrhythmia |
| 24. The N is administering an IV infusion of a Phosphodiesterase inhibitor to a patient who has heart failure. The nurse will evaluate the PT for which therapeutic effects? SATA Positive Inotropic effects Vasodilation Decreased heart rate increased B/P Positive chronotropic effects | Positive Inotropic effects Vasodilation Positive chronotropic effects |
| 24. A PT w/ Heart failure will be starting the Beta Blocker Metoprolol. The N will monitor for which expected cardiovascular effects? SATA Increased HR Increased myocardial contractility Delayed AV node conduction Reduced HR Decreased myocardial automaticity | delayed AV node conduction reduced HR decreased myocrdial automaticity |
| 25. A PT with rapid, irregular heart rhythm is being treated in the ED w/ Adenosine. During administration of this drug the N will be prepared to monitor the PT for which effect? N/V a brief period of asystole muscle tetany hypertension | a brief period of asystole |
| 25. In assessing a PT who has been taking Amiodarone for 6 mo, the N monitors for which potential adverse effect? hyperglycemia dysphagia photophobia urticaria | photophobia |
| 25. The N is assessing a PT who has been taking Quinidine who asks about adverse effects. Which of these are potential adverse effects of Quinidine? SATA muscle pain tinnitus dyspnea diarrhea anorexia | tinnitus diarrhea anorexia |
| 25. A PT calls the FP office to report that he has seen his pills in his stools when he has a bowel movement. How will the N respond? "The pills are not being digested properly. You need to take them on an empty stomach" "The pills are not being digested properly. You need to take them w/ food" "What you are seeing is the wax matrix that contained the med, but the drug has been absorbed" "This indicates that you are not tolerating this med and will need to switch to a different form" | "What you are seeing is the wax matrix that contained the medication, but the drug has been absorbed" |
| 25. The N is administering Lidocaine & considers which condition, if present in the PT, is a caution for the use of this drug? Tachycardia Hypertension Ventricular dysrhythmias Liver impairment | Liver impairment |
| 25. When the N is teaching a PT about taking an antidysrhythmic drug, which statements by the N are correct? SATA "Take this medication w/ an antacid if stomach upset occurs" "If a weight gain of 5lb occur within 1 week, notify your provider at the next office visit" "Do NOT chew sustained-released capsules" "If stomach upset occurs, you may take the medication w/ food" "If you experience severe adverse effects, stop the drug & notify your physician" | "Do not chew sustained-release capsules" "If stomach upset occurs, you may take the medication w/ food" |
| 25. A PT is in the clinic for F/U visit. He has been taking Amiodarone for almost 1 yr, & today he tells the N, "I am noticing some blue color around my face, neck and upper arms. Is that normal" Which is the N's correct response? This is an expected side effect & should go away soon This is harmless effect. As long as the med is working, we'll just monitor your skin. This can happen with Amiodarone. I will let your Dr know about it right away. How much sun exposure have you had recently? | This can happen iwth Amiodarone. I will let your Dr know about it right away |
| 26. The N is monitoring a PT who is receiving antithrombolytic therapy in the ED because of a poss MI. Which adverse effect would be of the greatest concern at this time? Dizziness B/P of 130/98 mm Hg Slight bloody oozing from the IV insertion site Irregular heart rhythm | Irregular heart rhythm |
| 26. A PT is receiving instructions regarding Warfarin therapy & asks the N about what med she can take for H/A. The N will tell her to avoid which type of med? SATA Aspirin Acetaminophen NSAIDs The herbal product Gingko | Aspirin NSAIDs The herbal product Gingko |
| 26. The N is teaching a PT about self-administration of Enoxaparin. Which statement will be included in this teaching session? We will need to teach a family mem how to give this drug in your arm. This drug is given in the fold ofyour abdomen, but at least 2 in away from your navel. This drug needs to be taken at the same time every day w/ a full glass of water. Be sure to massage the injection site thoroughly after administering the drug. | This drug is given in the fold of your abdomen, but at least 2 in away from your navel. |
| 26. A PT is receiving Dabigatran 150mg BID as part of Tx for Atrial Fibrillation. Which condition, if present, would be a concern if the PT were to receive this dose? Asthma Elevated liver enzymes Renal Impairment Hx of myocardial infarction | Renal Impairment |
| 26. A PT received a double dose of IV Heparin after surgery and is bleeding through the incision site. The surgeon is assessing the bleeding incision, and the N will prepare to take what action? Give IV Vit K as an antidote Give IV Protamine Sulfate as an antidote Call the blood bank for an immediate platelet transfusion Obtain an order for packed red blood cells | Give IV Protamine Sulfate as an antidote |
| 26. A PT is starting Warfarin therapy as part of treatment for Atrial Fibrillation. The N will fallow which principles of Warfarin therapy? SATA Teach proper subcutaneous administration Admin the oral dose a the same time every day Assess carefully for excessive bruising or unusual bleeding Monitor laboratory results for a targe INR of 2 or 3 Monitor lab results for a therapeutic aPTT value of 1.5 to 2.5 times the control value. | Administer the oral dose at the same time every day. Assess carefully for excessive bruising or unusual bleeding. Monitor lab results for a target INR of 2 to 3. |
| 26. The N is assessing a PT who has a new Rx for Vorapaxar. Which of these conditions are considered contraindications to the use of Vorapaxar? SATA Impaired renal function Impaired liver function Hx of myocardial infarction Peripheral artery disease Hx of intracranial hemorrhage | Impaired renal function Impaired liver function Hx of intracranial hemorrhage |
Created by:
Mmm2024