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Questions and Answers
What adverse effect can occur if a client drinks grapefruit juice while taking verapamil?
Hypotension
What finding should a client report as an adverse reaction to losartan?
Facial Edema
Which food should a client include in their diet to increase potassium intake while taking a diuretic?
Raisins
What is a potential adverse effect of nitroglycerin?
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What types of drugs should a client clarify a prescription for dobutamine if they are receiving?
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What type of over-the-counter drugs should a client avoid while taking propranolol?
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What should a client monitor while taking quinidine?
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What adverse effect should a nurse identify in a client taking a loop diuretic with thready pulse and orthostatic hypotension?
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What instructions should a client follow for using transdermal nitroglycerin? (Select all that apply)
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Which condition contraindicates the use of milrinone?
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What instructions should a nurse include for a client taking gemfibrozil? (Select all that apply)
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Why should hydrochlorothiazide be clarified for a client with a glomerular filtration rate of 10 mL/min?
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What adverse effect should the nurse monitor for when a client is taking atorvastatin and gemfibrozil?
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What drug is prescribed to treat hypercholesteremia?
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What should a client taking amiodarone avoid?
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What adverse effects should be reported when starting captopril therapy? (Select all that apply)
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What potassium level should require immediate intervention in a client taking spironolactone?
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What finding should a nurse monitor for in a client with gouty arthritis taking hydrochlorothiazide?
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What adverse effects should a nurse monitor for in a client taking aliskiren? (Select all that apply)
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What condition does combining carvedilol with oral antidiabetic medications increase the risk of?
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In which condition should a nurse clarify a prescription for verapamil?
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What drug is used only for short-term treatment of cardiac dysrhythmia?
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What treatment should a nurse expect to administer for severe digoxin toxicity?
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What manifestation should a client on simvastatin report as a serious adverse reaction?
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Which hypertensive drug is contraindicated for a client with a depressive disorder?
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Study Notes
Verapamil and Atrial Fibrillation
- Grapefruit juice can cause hypotension in clients taking verapamil.
Losartan and Hypertension
- Facial edema may indicate an adverse reaction to losartan that requires immediate reporting.
Diuretics and Potassium Intake
- Foods like raisins can help increase potassium levels in clients on diuretics.
Nitroglycerin and Adverse Effects
- Headaches are a common potential adverse effect of nitroglycerin.
Dobutamine and Drug Interactions
- Caution is advised with dobutamine if the client is taking MAOIs, general anesthetics, tricyclic antidepressants, or beta blockers.
Propranolol and OTC Drugs
- Clients should avoid NSAIDs while taking propranolol for tachydysrhythmia.
Quinidine Monitoring
- Clients taking quinidine should monitor and report any pulse rate changes.
Loop Diuretics and Hypokalemia
- Thready, irregular pulse and confusion in clients on loop diuretics may indicate hypokalemia.
Transdermal Nitroglycerin Instructions
- Apply the patch to a hairless area, change patches daily, and remove for 10 to 12 hours daily.
Milrinone Contraindications
- Milrinone is contraindicated in clients with acute myocardial infarction.
Gemfibrozil Patient Instructions
- Report intolerance to fried foods, muscle tenderness, and undergo periodic liver function testing.
Hydrochlorothiazide and Renal Insufficiency
- Hydrochlorothiazide is ineffective for clients with renal insufficiency due to low glomerular filtration rate.
Atorvastatin and Gemfibrozil Risks
- Atorvastatin and gemfibrozil combination increases the risk of myopathy.
Medications for Hypercholesterolemia
- Simvastatin is commonly prescribed to manage hypercholesterolemia in heart failure clients.
Amiodarone Precautions
- Clients should avoid grapefruit juice while taking amiodarone for atrial fibrillation.
Captopril Adverse Effects
- Monitor for rash, distorted taste, tongue swelling, and dry cough as potential adverse effects needing attention.
Spironolactone and Laboratory Values
- A potassium level of 5.2 mEq/L in clients on spironolactone requires immediate intervention.
Hydrochlorothiazide and Gout
- Monitor clients with gouty arthritis for hyperuremia as an adverse effect of hydrochlorothiazide.
Aliskiren Monitoring
- Adverse effects of aliskiren include hyperkalemia and throat swelling/cough.
Carvedilol and Hypoglycemia Risk
- Concurrent use of carvedilol and oral antidiabetics increases the risk of hypoglycemia.
Verapamil and AV Block
- Clarification of verapamil prescriptions is necessary for clients with a history of second-degree AV block.
Procainamide Usage
- Procainamide is indicated for short-term treatment of cardiac dysrhythmia due to serious long-term adverse effects.
Digoxin Toxicity Treatment
- Administer antigen binding fragments for severe digoxin toxicity indicated by ECG changes.
Simvastatin Adverse Reactions
- Clients should report muscle pain as a potential serious adverse reaction requiring discontinuation of simvastatin.
Contraindicated Hypertensive Drugs
- Reserpine is contraindicated for clients with depressive disorders requiring hypertension treatment.
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Description
This quiz features flashcards on pharmacology focused on the cardiovascular system. It covers essential knowledge such as medication interactions and patient teaching for drugs like verapamil and losartan. Perfect for nursing students looking to enhance their pharmacology comprehension.
