Podcast
Questions and Answers
A patient with hypertension is prescribed amlodipine. The patient asks the nurse, “Why do I only take it once a day?” Which nursing response is appropriate?
A patient with hypertension is prescribed amlodipine. The patient asks the nurse, “Why do I only take it once a day?” Which nursing response is appropriate?
- “It’s easier to take medications that are dosed once daily.”
- “By just taking it once a day, there is a cost savings.”
- “Amlodipine has a long half-life so it is only needed once a day.” (correct)
- “Taking the drug once a day allows for peak effect at the right time.”
The charge nurse is teaching a class of nurses about nifedipine. Which teaching would the charge nurse include?
The charge nurse is teaching a class of nurses about nifedipine. Which teaching would the charge nurse include?
- Nifedipine is used to treat atrial arrythmias.
- Nifedipine blocks calcium channels in vascular smooth muscle. (correct)
- Nifedipine is only administered intravenously.
- Nifedipine has a long onset, occurring 2 hours after oral administration.
The nurse administers a prescribed dose of amlodipine to a patient at 0800 on Monday. At which time would the nurse anticipate the onset of this medication?
The nurse administers a prescribed dose of amlodipine to a patient at 0800 on Monday. At which time would the nurse anticipate the onset of this medication?
- 0830 on Monday
- 1200 on Monday
- 2000 on Monday
- 0800 on Tuesday (correct)
Which patient assessment data indicates additional teaching by the nurse is required for Ms. James?
Which patient assessment data indicates additional teaching by the nurse is required for Ms. James?
Which patient statements require further nursing action?
Select all that apply.
Which patient statements require further nursing action? Select all that apply.
The nurse is teaching a course on calcium channel blockers. Which description of the mechanism of action will the nurse provide?
The nurse is teaching a course on calcium channel blockers. Which description of the mechanism of action will the nurse provide?
The nurse administers a prescribed dose of intravenous verapamil to a patient with a baseline blood pressure (BP) of 210/110 mm Hg at 0800. Which BP reading would the nurse expect to see 15 minutes after administration?
The nurse administers a prescribed dose of intravenous verapamil to a patient with a baseline blood pressure (BP) of 210/110 mm Hg at 0800. Which BP reading would the nurse expect to see 15 minutes after administration?
The nurse is teaching about nondihydropyridine calcium channel blockers. Which medication would the nurse include?
The nurse is teaching about nondihydropyridine calcium channel blockers. Which medication would the nurse include?
The nurse is caring for a patient who is receiving prescribed digoxin and diltiazem. Which assessment data alerts the nurse to a potential interaction?
The nurse is caring for a patient who is receiving prescribed digoxin and diltiazem. Which assessment data alerts the nurse to a potential interaction?
Which teaching would the nurse include for a patient who is being discharged home from an acute care setting on a calcium channel blocker?
Which teaching would the nurse include for a patient who is being discharged home from an acute care setting on a calcium channel blocker?
A patient taking a newly prescribed calcium channel blocker states, “I can’t seem to get my shoes to fit. My feet feel puffy.” Which nursing response is appropriate?
A patient taking a newly prescribed calcium channel blocker states, “I can’t seem to get my shoes to fit. My feet feel puffy.” Which nursing response is appropriate?
A patient who is taking sustained-release diltiazem is having difficulty swallowing the medication. What teaching is appropriate?
A patient who is taking sustained-release diltiazem is having difficulty swallowing the medication. What teaching is appropriate?
What are key points a nurse would include while teaching another nurse about clonidine’s mechanism of action?
Select all that apply.
What are key points a nurse would include while teaching another nurse about clonidine’s mechanism of action? Select all that apply.
The nurse is preparing to administer an oral dose of clonidine. Which pharmacodynamics would the nurse anticipate?
The nurse is preparing to administer an oral dose of clonidine. Which pharmacodynamics would the nurse anticipate?
A patient who is prescribed transdermal clonidine asks the nurse, “Why do I only change the patch once a week?” Which response would the nurse provide?
A patient who is prescribed transdermal clonidine asks the nurse, “Why do I only change the patch once a week?” Which response would the nurse provide?
Which teachings would the nurse need to include for Ms. Abbott, who is being discharged home on clonidine?
Which teachings would the nurse need to include for Ms. Abbott, who is being discharged home on clonidine?
Which actions would the nurse take before administering clonidine?
Select all that apply.
Which actions would the nurse take before administering clonidine? Select all that apply.
Which statement is accurate regarding the central nervous system (CNS) side effects of clonidine?
Which statement is accurate regarding the central nervous system (CNS) side effects of clonidine?
The nurse is administering an oral dose of clonidine at 0600. At which time would the nurse anticipate the onset of the medication?
The nurse is administering an oral dose of clonidine at 0600. At which time would the nurse anticipate the onset of the medication?
The nurse is teaching a new nurse about the pharmacokinetics of oral clonidine. Which teachings would the nurse include?
The nurse is teaching a new nurse about the pharmacokinetics of oral clonidine. Which teachings would the nurse include?
Which description of the mechanism of action of clonidine is accurate?
Which description of the mechanism of action of clonidine is accurate?
Which teaching would the nurse include for a patient receiving a transdermal clonidine patch?
Which teaching would the nurse include for a patient receiving a transdermal clonidine patch?
A nurse is reviewing home medications with a patient at the time of admission and learns the patient is taking 2 mg of clonidine twice a day. Which nursing intervention would be the priority?
A nurse is reviewing home medications with a patient at the time of admission and learns the patient is taking 2 mg of clonidine twice a day. Which nursing intervention would be the priority?
A patient is taking clonidine 0.1 mg twice a day and questions if the medication is safe during pregnancy. Which response would the nurse provide?
A patient is taking clonidine 0.1 mg twice a day and questions if the medication is safe during pregnancy. Which response would the nurse provide?
Which teaching would the nurse provide to a patient receiving clonidine who reports xerostomia?
Which teaching would the nurse provide to a patient receiving clonidine who reports xerostomia?
A patient taking clonidine daily was unable to refill the medication and presents to the emergency department with rebound hypertension. What assessment data will the nurse anticipate?
A patient taking clonidine daily was unable to refill the medication and presents to the emergency department with rebound hypertension. What assessment data will the nurse anticipate?
The charge nurse is explaining to a group of nurses how toxicity with digoxin occurs. Which statement made by a nurse about digoxin indicates further teaching is necessary?
The charge nurse is explaining to a group of nurses how toxicity with digoxin occurs. Which statement made by a nurse about digoxin indicates further teaching is necessary?
The health care provider is changing medications from digoxin to a newer medication for heart failure. How will the nurse explain this change to the patient?
The health care provider is changing medications from digoxin to a newer medication for heart failure. How will the nurse explain this change to the patient?
The nurse is administering a dose of oral digoxin at 0800 on Monday. The nurse will anticipate the effects of the digoxin dose to last until which time?
The nurse is administering a dose of oral digoxin at 0800 on Monday. The nurse will anticipate the effects of the digoxin dose to last until which time?
Based on Mrs. Thomas’s history and current assessment, which adverse effect of digoxin would the nurse suspect?
Based on Mrs. Thomas’s history and current assessment, which adverse effect of digoxin would the nurse suspect?
The nurse is assessing a patient before the administration of an oral dose of digoxin. Which assessment data requires nursing action before medication administration?
The nurse is assessing a patient before the administration of an oral dose of digoxin. Which assessment data requires nursing action before medication administration?
The nurse is evaluating the patient’s digoxin level. Which digoxin level requires nursing intervention?
The nurse is evaluating the patient’s digoxin level. Which digoxin level requires nursing intervention?
Which statements about the pharmacodynamic and pharmacokinetic of digoxin toxicity are correct?
Which statements about the pharmacodynamic and pharmacokinetic of digoxin toxicity are correct?
The nurse is administering an intravenous (IV) dose of digoxin at 1130. At which time would the nurse anticipate the onset of the drug?
The nurse is administering an intravenous (IV) dose of digoxin at 1130. At which time would the nurse anticipate the onset of the drug?
A patient who is taking digoxin states, “I take this medication for my high blood pressure.” How would the nurse respond to educate the patient?
A patient who is taking digoxin states, “I take this medication for my high blood pressure.” How would the nurse respond to educate the patient?
The nurse is assessing a patient with a new prescription for digoxin. Which assessment data are contraindications or cautions for digoxin therapy?
The nurse is assessing a patient with a new prescription for digoxin. Which assessment data are contraindications or cautions for digoxin therapy?
Which patient assessment findings would the nurse associate with potential digoxin toxicity?
Which patient assessment findings would the nurse associate with potential digoxin toxicity?
The nurse is conducting teaching for a patient who is being discharged on digoxin. What patient statement indicates the need for further teaching?
The nurse is conducting teaching for a patient who is being discharged on digoxin. What patient statement indicates the need for further teaching?
Flashcards
Amlodipine half-life
Amlodipine half-life
Amlodipine stays in the body for a long time, needing only one dose a day.
Nifedipine action
Nifedipine action
Nifedipine prevents calcium from entering blood vessel muscles.
Amlodipine onset time
Amlodipine onset time
The medication starts to work about 24 hours after administration.
Hypertension medication
Hypertension medication
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Nursing response about Amlodipine
Nursing response about Amlodipine
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Calcium channel
Calcium channel
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Vascular smooth muscle
Vascular smooth muscle
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Medication Time
Medication Time
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Medication Onset
Medication Onset
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Medication Half-life
Medication Half-life
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