ATI Pharmacology Made Easy 5.0 - The Cardiovascular System Test

Which of the following actions should the nurse take?

Select all that apply.

Monitor for tachycardia

Administer atropine 1 mg IV bolus

Assess for medication interactions

Monitor for bradycardia

Assess mental status

Administer adenosine 6 mg IV bolus

Administer magnesium sulfate 1 mg IV bolus

Administer physostigmine 0.5 mg IV bolus

Collect blood sample for magnesium sulfate

Assess deep tendon reflexes

Monitor for tachycardia

Administer atropine 1 mg IV bolus

Assess for medication interactions

Monitor for bradycardia

Assess mental status

For each current assessment finding, click to specify if the finding is consistent with myopathy, hepatotoxicity, or hyperlipidemia. Each finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

Myopathy - Muscle pain, elevated creatine kinase

Hepatoxicity - Abdominal pain, elevated liver function enzymes

Hyperlipidemia - Cholesterol / LDL Cholesterol

A nurse in an outpatient clinic is preparing to provide education to a client who has heart failure.

Indicated - Same day and then every morning, report manifestations of hypokalemia, monitor blood glucose, notify provider of hearing loss, check blood pressure and notify provider if it drops.

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

Myopathy

Which of the following client laboratory values requires immediate intervention?

Potassium 5.2 mEq/L

New prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this medication?

Headache

New prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following medications is prescribed to treat hyper cholesterolemia?

Simvastatin

New prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to the medication and needs reported?

Facial edema

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?

Second-Degree AV block

GFR of 10mL/min and reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the medication?

This medication does not promote dieresis for clients who have renal insufficiency

Gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this medication?

Hyperuricemia

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?

Raisins

New prescription for verapamil to treat atrial fibrillation. 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?

Hypotension

Transdermal nitroglycerin to treat angina pectorals. When speaking to the client about the medication, which of the following instructions should the nurse include?

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 hrs each day

Client who is taking lithium for manic-depressive disorder and requires a prescription medication to treat hypertension. The nurse should recognize that which of the following anti hypertensive medications is contraindicated and should be given with caution for this client?

Captopril

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

Grapefruit juice

Caring for a client who is taking carvedilol and has a prescription for an oral anti diabetic medication to manage their new diagnosis of type 2 diabetes Mellitus. By taking both medications concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

Hypoglycemia

About to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue medication therapy?

Rash, Distorted Taste, Swelling of the Tongue, Dry Cough

Taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following medications should the nurse expect to administer to treat this complication?

Antigen-binding fragments

New prescription for quinidine. Which of the following statements should the nurse include?

Monitor your pulse rate and report changes

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 medication while taking propranolol

NSAIDs

New prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of this medication?

Hyperkalemia, throat swelling, cough

New prescription for gemfibrozil. Which of the following instructions should the nurse include?

Report interpolate to fried foods, report muscle tenderness, expect periodic liver function testing

New prescription for Dobutamine. The nurse should clarify the prescription with a provider if the client is receiving which of the following types of medications?

MAOI, General Anesthetic. Tricyclic antidepressant, Beta Blocker

Milrinone is contraindicated for a client who has which of the following conditions?

Heart valve disorders