Adult Health II: Nursing Medications and Treatments Exam #1
Questions with Correct Answers
Aspirin - ✔✔Used for MI/ACS as an antiplatelet. Nursing considerations: assess
allergy and bleeding risk. Watch for GI bleeding, bruising, tinnitus. Exam tip: give
for suspected MI unless contraindicated.
Nitroglycerin - ✔✔Used for angina/chest pain/MI. Nursing considerations: check
blood pressure before giving. Do not give with recent erectile dysfunction
medications. Side effects: hypotension, headache, dizziness. Exam tip: hold if
hypotensive.
Morphine - ✔✔Used for severe MI pain not relieved by nitroglycerin and for
severe pain. Nursing considerations: monitor respiratory rate, sedation, and blood
pressure. Side effects: respiratory depression, hypotension, constipation. Exam
tip: pain relief lowers oxygen demand.
Atropine - ✔✔Used for symptomatic bradycardia. Nursing considerations:
monitor heart rate and rhythm. Side effects: tachycardia, dry mouth, urinary
retention. Exam tip: first-line medication for symptomatic bradycardia.
Amiodarone - ✔✔Used for ventricular tachycardia and other serious
dysrhythmias. Nursing considerations: monitor ECG, blood pressure, liver, thyroid,
and pulmonary status. Side effects: hypotension, bradycardia, pulmonary toxicity,
thyroid changes. Exam tip: used for stable VT with a pulse.
Dobutamine - ✔✔Used for cardiogenic shock and heart failure after MI. Nursing
considerations: monitor heart rate, blood pressure, ECG, chest pain, and urine
output. Side effects: tachycardia, hypertension, dysrhythmias. Exam tip: positive
inotrope that increases myocardial contractility and cardiac output.
, Beta blockers - ✔✔Used after MI, for hypertension, heart failure, and atrial
fibrillation rate control. Nursing considerations: check heart rate and blood
pressure before giving. Side effects: bradycardia, hypotension, fatigue. Exam tip:
hold for severe bradycardia or hypotension.
Calcium channel blockers - ✔✔Used for atrial fibrillation rate control,
hypertension, and angina. Nursing considerations: check heart rate and blood
pressure. Side effects: hypotension, bradycardia, edema, constipation. Exam tip:
diltiazem/verapamil can slow AV conduction.
Anticoagulants - ✔✔Used for atrial fibrillation, DVT/PE prevention, and stroke
prevention. Nursing considerations: monitor bleeding, labs as appropriate, and
fall risk. Side effects: bleeding, bruising. Exam tip: anticoagulants prevent clots but
do not dissolve existing clots.
Heparin - ✔✔Anticoagulant used for acute clot prevention/treatment. Nursing
considerations: monitor aPTT or anti-Xa depending on protocol. Antidote:
protamine sulfate. Side effects: bleeding, HIT. Exam tip: rapid onset and
commonly used in hospital.
Enoxaparin/Lovenox - ✔✔Low molecular weight heparin used for DVT/PE
prevention and treatment. Nursing considerations: administer subcutaneously in
abdomen, do not massage site. Side effects: bleeding, thrombocytopenia. Exam
tip: monitor platelets and bleeding.
Warfarin/Coumadin - ✔✔Oral anticoagulant used for long-term clot prevention.
Nursing considerations: monitor INR. Antidote: vitamin K. Side effects: bleeding.
Exam tip: many food and drug interactions; keep vitamin K intake consistent.
Questions with Correct Answers
Aspirin - ✔✔Used for MI/ACS as an antiplatelet. Nursing considerations: assess
allergy and bleeding risk. Watch for GI bleeding, bruising, tinnitus. Exam tip: give
for suspected MI unless contraindicated.
Nitroglycerin - ✔✔Used for angina/chest pain/MI. Nursing considerations: check
blood pressure before giving. Do not give with recent erectile dysfunction
medications. Side effects: hypotension, headache, dizziness. Exam tip: hold if
hypotensive.
Morphine - ✔✔Used for severe MI pain not relieved by nitroglycerin and for
severe pain. Nursing considerations: monitor respiratory rate, sedation, and blood
pressure. Side effects: respiratory depression, hypotension, constipation. Exam
tip: pain relief lowers oxygen demand.
Atropine - ✔✔Used for symptomatic bradycardia. Nursing considerations:
monitor heart rate and rhythm. Side effects: tachycardia, dry mouth, urinary
retention. Exam tip: first-line medication for symptomatic bradycardia.
Amiodarone - ✔✔Used for ventricular tachycardia and other serious
dysrhythmias. Nursing considerations: monitor ECG, blood pressure, liver, thyroid,
and pulmonary status. Side effects: hypotension, bradycardia, pulmonary toxicity,
thyroid changes. Exam tip: used for stable VT with a pulse.
Dobutamine - ✔✔Used for cardiogenic shock and heart failure after MI. Nursing
considerations: monitor heart rate, blood pressure, ECG, chest pain, and urine
output. Side effects: tachycardia, hypertension, dysrhythmias. Exam tip: positive
inotrope that increases myocardial contractility and cardiac output.
, Beta blockers - ✔✔Used after MI, for hypertension, heart failure, and atrial
fibrillation rate control. Nursing considerations: check heart rate and blood
pressure before giving. Side effects: bradycardia, hypotension, fatigue. Exam tip:
hold for severe bradycardia or hypotension.
Calcium channel blockers - ✔✔Used for atrial fibrillation rate control,
hypertension, and angina. Nursing considerations: check heart rate and blood
pressure. Side effects: hypotension, bradycardia, edema, constipation. Exam tip:
diltiazem/verapamil can slow AV conduction.
Anticoagulants - ✔✔Used for atrial fibrillation, DVT/PE prevention, and stroke
prevention. Nursing considerations: monitor bleeding, labs as appropriate, and
fall risk. Side effects: bleeding, bruising. Exam tip: anticoagulants prevent clots but
do not dissolve existing clots.
Heparin - ✔✔Anticoagulant used for acute clot prevention/treatment. Nursing
considerations: monitor aPTT or anti-Xa depending on protocol. Antidote:
protamine sulfate. Side effects: bleeding, HIT. Exam tip: rapid onset and
commonly used in hospital.
Enoxaparin/Lovenox - ✔✔Low molecular weight heparin used for DVT/PE
prevention and treatment. Nursing considerations: administer subcutaneously in
abdomen, do not massage site. Side effects: bleeding, thrombocytopenia. Exam
tip: monitor platelets and bleeding.
Warfarin/Coumadin - ✔✔Oral anticoagulant used for long-term clot prevention.
Nursing considerations: monitor INR. Antidote: vitamin K. Side effects: bleeding.
Exam tip: many food and drug interactions; keep vitamin K intake consistent.
