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Nutritional teaching for patient who has a high low density lipoprotein (LDL) level should include
Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding
The patient is receiving gemfibrozil (Lopid). The nurse has completed discharge instructions about this medication when the patient says
"I must take this medication with food or I can have heartburn."
Lab values you recognize as an indicator that the patient is at the highest risk of developing heart disease would be like a
Total 220, LDL 162, HDL 20.
When your client is receiving nifedipine (Procardia XL). The nurse needs make sure they
avoid grapefruit juice
A patient has been started on enalapril (Vasotec). The nurse would hold this drug and discuss which findings with the prescriber if the client has angioedema like
Swelling around the eyes, difficulty swallowing
Digoxin (Lanoxin) an assessment finding recognized as adverse effect to this medication would be something like
anorexia and nausea
Clients on metoprolol (Toprol-XL) would need to be closely monitored for the effects of this drug on the patient with
chronic bronchitis
A patient is taking metoprolol (Lopressor), and is going to stop taking it. You should advise that stopping the drug all at once may cause
rebound hypertension
in teaching about lisinopril (Prinivil)
The use of ACE inhibitors can lead to electrolyte disturbances so levels should be monitored.
Potassium should be limited to avoid hyperkalemia.
Blood pressure should be monitored to assess effectiveness of the medication.
It takes a while for lisinopril (Prinivil) to become effective.
In providing care to a patient who has experienced several episodes of angina, the primary desired outcome is
the patient will experience relief of chest pain with nitrate therapy
In teaching a class on antianginal drugs patients who have experienced myocardial infarctions (MIs). The nurse includes
these medications decrease how much oxygen your heart needs
The nurse is administering reteplase (Retavase) intravenously (IV) this is a medication that is
dissolving the clot that is causing your heart attack.
Medication education for a patient who is receiving nitroglycerine (Nitrostat) as therapy for angina. When directed to do so, patients should follow the time frame of taking a nitroglycerine (Nitrostat) tablet
every 5 minutes and not exceed three tablets.
If pain is not gone 10-15 minutes after taking 2-3 tablets, EMS should be notified.
The patient should not take additional NTG until directed to do so.
The patient should not delay when chest pain occurs and should take a tablet immediately.
When directed to do so, nitroglycerine (Nitrostat) tablets should be taken every 5 minutes.
A patient who has been started on an antiarrhythmic drug for complaints of chest pain and palpitations, a nursing diagnosis would be
Risk for Decreased Cardiac Tissue Perfusion.
The expected medication outcome for a patient receiving verapamil (Calan) is that the patient
heart rate is between 70 to 90 beats at each visit by the nurse.
A patient prescribed a once-daily antidysrhythmic drug to control persistent atrial fibrillation you should teach them to take the first dose of this new medication
before you go to bed at night
In teaching regarding taking a potassium channel blocker you want want the client to
wear sunglasses and sunscreen every time they are outdoors.
When discontinueing the intravenous (IV) norepinephrine(Levophed) once it has infused into the patient. A priority action of the more experienced nurse would be to
Assess the patients blood pressure
The nurse is reviewing the adverse effects associated with statins with a patient who has recently been started on this classification of medication to reduce blood cholesterol levels. The nurse knows the patient has understood the teaching when the patient states that serious adverse effects associated with statins include
Rhabdomyolysis
A patient with past Rheumatic fever has had great difficulty controlling hypertension and asks about hydralazine (Apresoline) your response should be that
if you had rheumatic fever that damaged your heart, this is not a good drug for you
Note 
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