Chapter 16 pharm advance cardio

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Questions and Answers

The LPN is called by a neighbor who reports her husband seems to be acting, "a little odd" and says he feels really tired and weak. The LPN discovers the client recently stopped taking his benazepril(Lotensin) due to the fear of side effects mentioned in a television commercial. Which of the following actions by the LPN is best?

  • Instruct the woman to have her husband take an aspirin and lie down for one hour to rest. (correct)
  • Ask the woman if she has a blood pressure cuff and instruct her to take the man’s blood pressure.
  • Tell the woman to call an ambulance or get her husband to an emergency department right away. (correct)
  • Inform the woman these are withdrawal symptoms of stopping the drug and suggest he call his doctor in the morning.

While grocery shopping, the nurse notes a middle-aged woman in the aisle stop frequently and rub her left arm and shoulder. As the nurse gets closer, he notes the woman is pale and appears slightly short of breath. The nurse’s additional assessment will be based on which of the following?

  • Awareness that symptoms of a myocardial infarction in woman are atypical in nature. (correct)
  • Knowledge that chronic respiratory disease is common among smokers.
  • Comprehension that early action in the presence of stroke symptoms saves lives.
  • Understanding that polypharmacy is a growing concern among middle-aged individuals.

The LPN is called into the room of a client with known cardiac disease at 7:30 a.m. The client reports heavy pressure and chest pain. Which action by the nurse is best?

  • Provide the client with the atenolol (Tenormin) scheduled for 9 a.m.
  • Provide the client nitroglycerin sublingual scheduled prn. (correct)
  • Determine the client’s level of consciousness.
  • Assess the client’s respiratory rate and effort.

An LPN is visiting a friend in the hospital who was recently diagnosed with a right-sided thrombotic stroke. The individual says, "I don’t understand why they want to give me blood thinners if I had bleeding in my brain." Which of the following responses by the nurse is best?

<p>Your stroke was caused by a clot that blocked blood flow to a portion of your brain, not bleeding within your brain. (D)</p> Signup and view all the answers

The LPN is providing care for a client in a rehab facility with angina pectoris with a prn order for sublingual nitroglycerin (Nitrostat). The client reports chest pain and her BP = 155/72. Five minutes after administering the Nitrostat, the client’s blood pressure is 124/60 and chest pain is not relieved. What action should the nurse take next?

<p>Provide a second dose of nitroglycerin (Nitrostat). (B)</p> Signup and view all the answers

An LPN provides a client a dose of nitroglycerin (Nitroquick) spray. Which of the following would the nurse expect?

<p>The client’s blood pressure will be decreased. (B)</p> Signup and view all the answers

The LPN is assisting in the care of a client newly prescribed warfarin (Coumadin). The nurse recognizes that teaching is effective if the client chooses which of the following meals?

<p>Pork chop, baked potato with butter, cooked carrots, and a sliced apple (C)</p> Signup and view all the answers

A new LPN is assisting in the admission of a client in a rehab facility that is being transferred from the hospital after a left hip replacement. The nurse would expect the client to be taking which of the following medications?

<p>Aminocaproic acid (Amicar) (C)</p> Signup and view all the answers

The LPN is assisting in the care of a client who is recovering from a myocardial infarction and was newly started on clopidogrel (Plavix). The nurse would include which of the following statements in the client teaching?

<p>This medication helps prevent platelets from sticking together and forming clots. (B)</p> Signup and view all the answers

A nurse working in the emergency department is assisting in the care of a client who came in with symptoms of a cerebral vascular accident (CVA). As the team considers the use of tissue plasminogen activator (tPA), the nurse recognizes the most important assessment would be:

<p>When the symptoms of stroke began (A)</p> Signup and view all the answers

An LPN working with a client on long-term warfarin (Coumadin) therapy would be most interested in which of the following lab values?

<p>An international normalized ration (INR) (B)</p> Signup and view all the answers

An LPN working in a gynecologist’s office is discussing medication use with a client who takes ferrous sulfate (Feosol). The nurse would assess for which of the following side effects?

<p>Gastric irritation (C)</p> Signup and view all the answers

In talking to a neighbor who is undergoing chemotherapy for breast cancer, the nurse learns the woman’s most recent chemotherapy treatment was not given because her white blood cell count was too low. The nurse would expect the woman to also be receiving which of the following medications?

<p>Filgrastim (Neupogen) (D)</p> Signup and view all the answers

While working in a primary care physician’s office, the LPN is collecting history data for a client who takes sargramostim (Leukine). The nurse would be most interested in which of the following lab results for this client?

<p>White blood cell count (C)</p> Signup and view all the answers

While assisting in the care of a client with pernicious anemia, the LPN would anticipate which of the following medications?

<p>Cyanocobalamin (Vitamin B12) injection monthly (B)</p> Signup and view all the answers

The LPN is working with clients in the long-term care facility. Which of the following individuals is most likely to have frequent vital sign assessment for blood pressure monitoring included in their plan of care?

<p>An 84-year-old patient who takes quinapril (Accupril) (C)</p> Signup and view all the answers

The LPN is called to the room of a client because the nurse aide determined the client’s blood pressure is 195/101. The client complains of a moderate headache but denies blurry vision or other symptoms. What action should the nurse take next?

<p>Provide the client’s morning dose of ramipril (Altace) 30 minutes early. (B)</p> Signup and view all the answers

The LPN is assisting in the care of a client newly prescribed captopril (Capoten). The nurse would instruct the client to take which of the following precautions?

<p>Avoid changing positions rapidly (D)</p> Signup and view all the answers

A client newly prescribed hydrochlorothaizide (Esidrix) daily should be instructed to take this medication at what time?

<p>In the morning with or without food (B)</p> Signup and view all the answers

The LPN is reviewing client medications and lab values. Which of the following clients is most likely to be taking potassium gluconate?

<p>A client with heart failure taking bumetanide (Bumex) (A)</p> Signup and view all the answers

The LPN notes that many of the clients in the long-term care facility take nisoldipine (Sular). The LPN is aware that in addition to treating hypertension, this medication can be used to treat which of the following conditions?

<p>Angina (B)</p> Signup and view all the answers

While providing care for a client taking diltiazem (Dilacor) the nurse would monitor for which of the following side effects?

<p>Edema (D)</p> Signup and view all the answers

The LPN caring for a client with heart failure is preparing to provide multiple medications. Which of the following medications will impact the heart contractility?

<p>Digoxin (Cardoxin) (D)</p> Signup and view all the answers

An LPN is working with a client who takes isosorbide dinitrate (IsoBid). The LPN would include which of the following instructions to the client?

<p>This medication will interact with medications for erectile dysfunction. (A)</p> Signup and view all the answers

The LPN answers the phone at a primary care physician’s office. The client reports, "I recently started taking hydralazine (Apresoline) and have been feeling very nauseated." Which of the following responses by the nurse is best?

<p>This is a side effect of the medication, and I will leave a note for the physician to determine what course of action should be taken. (B)</p> Signup and view all the answers

The LPN is passing morning medications which include digoxin (Digetek) for a 68-year-old man with congestive heart failure. The nurse notes the client’s BP = 112/68, P = 60, R = 18. Which action by the nurse is best?

<p>Provide the medication as ordered. (C)</p> Signup and view all the answers

The LPN receives an early morning phone call from a client with heart failure. The client typically takes digoxin (Digetek), quinapril (Accupril), and valsartan (Diovan). The client reports flu-like symptoms and states, "I haven’t been able to keep much down for about 2 days." Which response by the nurse is best?

<p>Have you noticed any greenish halos around lights? (D)</p> Signup and view all the answers

Flashcards

法国的首都(示例闪卡)

巴黎

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