Cardiovascular Meds Exam - Questions, Answers and Rationales

Cardiovascular Meds Exam - Questions, Answers and Rationales A nurse is caring for a pt who has thrombophlebitis and is receiving heparin by continuous IV infusion. The pt asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give? Heparin does not dissolve clots. It stops new clots from forming A nurse is teaching a pt who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? Bradycardia -Atenolol is a beta-blocker, which slows the heart rate. The nurse should instruct the client to monitor his pulse rate and report bradycardia. A nurse is providing teaching to a pt who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching? I should report a cough to my provider. A nurse is caring for a pt who is taking digoxin for HF and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? Fab antibody fragments - Fab antibody fragments, also called digoxin immune Fab, bind to digoxin and block its action. The nurse should prepare to administer this antidote IV to clients who have severe digoxin toxicity. A nurse is preparing to administer enoxaparin to a pt. Which of the following actions should the nurse plan to take? The nurse should not expel the air bubble in the profiled syringe A nurse is completing a medical interview with a pt who has elevated cholesterol levels and takes warfarin. The nurse should recognize that which of the following actions by the pt can potentiate the effect of warfarin? The pt uses garlic to lower cholesterol levels A nurse is caring for a pt who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The pt asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make? Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level A nurse is caring for a pt who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? Measure the pt's apical pulse A nurse is providing discharge teaching to a pt who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include? Increase your daily intake of dietary fiber A nurse is caring for a pt who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? Decreased blood pressure - Lisinopril, an ACE inhibitor, may be used alone or in combination with other antihypertensives in the management of hypertension and congestive heart failure. A therapeutic effect of the medication is a decrease in blood pressure. A nurse on a telemetry unit is caring for a pt who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the pt states that his chest pain is now a severity of 2. Which of the following actions should the nurse take? Administer another nitroglycerin tablet A nurse is teaching a pt who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? Monitor for leg cramps - Hydrochlorothiazide can cause hypokalemia. The client should monitor for manifestations of hypokalemia, such as fatigue, tachycardia, leg cramps, and muscle weakness.