Cardiovascular Meds Test Questions and Answers Rated A
A nurse is teaching a client who has a new purpose of the addition of the hydrochlorothiazide
prescription for transdermal nitroglycerin to treat (HCTZ) to the metoprolol dosage. When used in
angina pectoris. Which of the following combination with thiazide diuretics, a lower dose
instructions should the nurse include in the of the beta-blocker can be used. The benefit is
teaching? - ANSWERS - Apply the there are fewer side effects when beta-blockers
transdermal patch in the morning (and other antihypertensives) are used in lower
-The client should apply the patch every morning dosages.
and leave it in place for a 12 to 14 hr, then
remove it in the evening.
A nurse is caring for a pt who has heart failure
and a prescription for digoxin. Which of the
A nurse is teaching a client who has angina following statements by the pt indicate an
pectoris about starting therapy with SL adverse effect of the medication? -
nitroglycerin tablets. The nurse should include ANSWERS - I feel nauseated and have no
which of the following instructions regarding how appetite
to take the medication? - ANSWERS - - Anorexia, nausea, vomiting, and abdominal
Take one tablet at the first indication of chest discomfort are early signs of digoxin toxicity.
pain
- do not wait until chest pain is severe
A nurse in a provider's clinic is assessing a pt
who takes sublingual nitroglycerin for stable
A nurse is preparing to administer metoprolol 5 angina. The pt reports getting a headache each
mg IV bolus to a client for heart rate control. time he takes the medication. Which of the
Available is metoprolol injection 1 mg/mL. How following statements should the nurse make? -
many mL should the nurse administer per dose? ANSWERS - Try taking a mild analgesic to
- ANSWERS - 5 relieve the headache
A nurse is assessing an older adult pt who is A nurse is caring for a pt who is on warfarin
receiving digoxin. The nurse should recognize therapy for atrial fibrillation. The pt's INR is 5.2.
that which of the following findings is a Which of the following medications should the
manifestation of digoxin toxicity? - nurse prepare to administer? - ANSWERS -
ANSWERS - Anorexia Vitamin K
- vomiting, confusion, headache, and vision - reverses the effects of warfarin
changes are also manifestations of digoxin
toxicity
A nurse in the emergency department is caring
for a pt who took 3 nitroglycerin tablets
A nurse is providing teaching for a pt who has sublingually for chest pain. The pt reports relief
hypertension and a prescription change from from the chest pain but now he is experiencing a
metoprolol to metoprolol/hydrochlorothiazide. headache. Which of the following statements
Which of the following statements by the pt should the nurse make? - ANSWERS - A
indicates an understanding of the teaching? - headache is an expected adverse effect of the
ANSWERS - With the new medication, I medication
should experience fewer side effects. - The vasodilation nitroglycerin induces increases
- The client has stated an understanding of the blood flow to the head and typically results in a
1/5
, Cardiovascular Meds Test Questions and Answers Rated A
headache.
A nurse is caring for a pt who is receiving heparin
A nurse is caring for a pt who has congestive by continuous IV infusion. Which of the following
heart failure and is taking digoxin daily. The pt medications should the nurse plan to administer
refused breakfast and is complaining of nausea in the event of an overdose? - ANSWERS -
and weakness. Which of the following actions Protamine
should the nurse take first? - ANSWERS -
Check the pt's vital signs
- It is possible that the client's nausea is A nurse is providing teaching to a pt who has
secondary to digoxin toxicity. By obtaining vital angina pectoris and a new prescription for
signs, the nurse can assess for bradycardia, nitroglycerin sublingual tablets. Which of the
which is a symptom of digoxin toxicity. The nurse following statements by the pt indicates an
should withhold the medication and call the understanding of the teaching? -
provider if the client's heart rate is less than 60 ANSWERS - I'll dial 911 if 1 nitroglycerin
bpm. tablet does not relieve my pain, and then take up
to 2 more tablets 5 min apart while waiting.
A nurse is preparing to administer digoxin 0.25
mg PO daily. The amount available is digoxin A nurse is providing teaching to a pt who has
0.125 mg tablets. How many tablets should the hypertension and a new prescription for captopril.
nurse administer? - ANSWERS - 2 Which of the following instructions should the
nurse provide? - ANSWERS - Do not use
salt substitutes while taking this medication
A nurse is reviewing the medication list for a pt - Captopril, an ACE inhibitor, can cause
who has a new prescription for warfarin. The hyperkalemia due to potassium retention by the
nurse should recognize that which of the kidney. The client should avoid salt substitutes,
following medications is incompatible with as most of them are high in potassium.
warfarin? - ANSWERS - Vitamin K
- These two medications are not compatible.
Vitamin K antagonizes the action of warfarin and A nurse is providing discharge teaching for a pt
is the antidote for warfarin toxicity. who has a new prescription for warfarin. Which of
the following instructions should the nurse
include in the teaching? - ANSWERS - Use
A nurse is providing teaching to a pt who has an electric razor while on this medication
hypertension and a new prescription for
verapamil. Which of the following beverages
should the nurse tell the pt to avoid while taking A nurse is reviewing the medical record of a pt
this medication? - ANSWERS - Grapefruit who has hypertension and a new prescription for
juice metoprolol. Which of the following findings should
- Grapefruit juice increases blood levels of the nurse investigate further? - ANSWERS -
verapamil, a calcium channel blocker, by A history of left-sided heart failure
inhibiting its metabolism. The excess amount of - The nurse should further investigate the client's
medication can intensify the medication's history of heart failure. Although metoprolol can
hypotensive effects, putting the client at risk for be used to treat heart failure, it can also cause
syncope and dizziness. heart failure, so this medication should be used
2/5
A nurse is teaching a client who has a new purpose of the addition of the hydrochlorothiazide
prescription for transdermal nitroglycerin to treat (HCTZ) to the metoprolol dosage. When used in
angina pectoris. Which of the following combination with thiazide diuretics, a lower dose
instructions should the nurse include in the of the beta-blocker can be used. The benefit is
teaching? - ANSWERS - Apply the there are fewer side effects when beta-blockers
transdermal patch in the morning (and other antihypertensives) are used in lower
-The client should apply the patch every morning dosages.
and leave it in place for a 12 to 14 hr, then
remove it in the evening.
A nurse is caring for a pt who has heart failure
and a prescription for digoxin. Which of the
A nurse is teaching a client who has angina following statements by the pt indicate an
pectoris about starting therapy with SL adverse effect of the medication? -
nitroglycerin tablets. The nurse should include ANSWERS - I feel nauseated and have no
which of the following instructions regarding how appetite
to take the medication? - ANSWERS - - Anorexia, nausea, vomiting, and abdominal
Take one tablet at the first indication of chest discomfort are early signs of digoxin toxicity.
pain
- do not wait until chest pain is severe
A nurse in a provider's clinic is assessing a pt
who takes sublingual nitroglycerin for stable
A nurse is preparing to administer metoprolol 5 angina. The pt reports getting a headache each
mg IV bolus to a client for heart rate control. time he takes the medication. Which of the
Available is metoprolol injection 1 mg/mL. How following statements should the nurse make? -
many mL should the nurse administer per dose? ANSWERS - Try taking a mild analgesic to
- ANSWERS - 5 relieve the headache
A nurse is assessing an older adult pt who is A nurse is caring for a pt who is on warfarin
receiving digoxin. The nurse should recognize therapy for atrial fibrillation. The pt's INR is 5.2.
that which of the following findings is a Which of the following medications should the
manifestation of digoxin toxicity? - nurse prepare to administer? - ANSWERS -
ANSWERS - Anorexia Vitamin K
- vomiting, confusion, headache, and vision - reverses the effects of warfarin
changes are also manifestations of digoxin
toxicity
A nurse in the emergency department is caring
for a pt who took 3 nitroglycerin tablets
A nurse is providing teaching for a pt who has sublingually for chest pain. The pt reports relief
hypertension and a prescription change from from the chest pain but now he is experiencing a
metoprolol to metoprolol/hydrochlorothiazide. headache. Which of the following statements
Which of the following statements by the pt should the nurse make? - ANSWERS - A
indicates an understanding of the teaching? - headache is an expected adverse effect of the
ANSWERS - With the new medication, I medication
should experience fewer side effects. - The vasodilation nitroglycerin induces increases
- The client has stated an understanding of the blood flow to the head and typically results in a
1/5
, Cardiovascular Meds Test Questions and Answers Rated A
headache.
A nurse is caring for a pt who is receiving heparin
A nurse is caring for a pt who has congestive by continuous IV infusion. Which of the following
heart failure and is taking digoxin daily. The pt medications should the nurse plan to administer
refused breakfast and is complaining of nausea in the event of an overdose? - ANSWERS -
and weakness. Which of the following actions Protamine
should the nurse take first? - ANSWERS -
Check the pt's vital signs
- It is possible that the client's nausea is A nurse is providing teaching to a pt who has
secondary to digoxin toxicity. By obtaining vital angina pectoris and a new prescription for
signs, the nurse can assess for bradycardia, nitroglycerin sublingual tablets. Which of the
which is a symptom of digoxin toxicity. The nurse following statements by the pt indicates an
should withhold the medication and call the understanding of the teaching? -
provider if the client's heart rate is less than 60 ANSWERS - I'll dial 911 if 1 nitroglycerin
bpm. tablet does not relieve my pain, and then take up
to 2 more tablets 5 min apart while waiting.
A nurse is preparing to administer digoxin 0.25
mg PO daily. The amount available is digoxin A nurse is providing teaching to a pt who has
0.125 mg tablets. How many tablets should the hypertension and a new prescription for captopril.
nurse administer? - ANSWERS - 2 Which of the following instructions should the
nurse provide? - ANSWERS - Do not use
salt substitutes while taking this medication
A nurse is reviewing the medication list for a pt - Captopril, an ACE inhibitor, can cause
who has a new prescription for warfarin. The hyperkalemia due to potassium retention by the
nurse should recognize that which of the kidney. The client should avoid salt substitutes,
following medications is incompatible with as most of them are high in potassium.
warfarin? - ANSWERS - Vitamin K
- These two medications are not compatible.
Vitamin K antagonizes the action of warfarin and A nurse is providing discharge teaching for a pt
is the antidote for warfarin toxicity. who has a new prescription for warfarin. Which of
the following instructions should the nurse
include in the teaching? - ANSWERS - Use
A nurse is providing teaching to a pt who has an electric razor while on this medication
hypertension and a new prescription for
verapamil. Which of the following beverages
should the nurse tell the pt to avoid while taking A nurse is reviewing the medical record of a pt
this medication? - ANSWERS - Grapefruit who has hypertension and a new prescription for
juice metoprolol. Which of the following findings should
- Grapefruit juice increases blood levels of the nurse investigate further? - ANSWERS -
verapamil, a calcium channel blocker, by A history of left-sided heart failure
inhibiting its metabolism. The excess amount of - The nurse should further investigate the client's
medication can intensify the medication's history of heart failure. Although metoprolol can
hypotensive effects, putting the client at risk for be used to treat heart failure, it can also cause
syncope and dizziness. heart failure, so this medication should be used
2/5
