General Cardiac Medications NCLEX Questions with Verified Solutions

General Cardiac Medications NCLEX Questions with Verified Solutions A client has an order to begin an IV nitroglycerin (Nitrostat) drip. What consideration should the nurse make in preparing to administer this medication? a. cover the solution with a plastic bag b. maintain the solution in a glass bottle c. replace the solution every 2 hours due to instability d. prepare the solution under a laminar flow hood b. glass bottle A client with angina pectoris received nitroglycerin tablets sublingually for chest pain. The client reports a severe headache shortly after the medication is administered. What interpretation should the nurse make based on the client's statement? a. this is a common but unhealthy response b. this common response will diminish as tolerance to the medication develops c. this is a response caused by cerebral hypoxia induced by the medication d. this adverse reaction should be reported to the physician immediately. b. side effect will diminish over time (d/t vasodilation) diltiazem (Cardizem) is Rx for a client with chronic, stable angina. Which statement by the client indicates to the clinic nurse that the client needs additional medication information? a. I will call the physician is SHOB occurs b. I will rise slowly when getting out of bed c. I will take the medication after meals d. I may notice changes in mental alertness until my dose is regulated c. administer before meals and at bedtime to increase absorption A diabetic client newly diagnosed with hypertension also smokes. The nurse would question an order for which antihypertensive medication? a. diltiazem (Cardizem) b. propranolol (Inderal) c. prazosin (Minipress) d. furosemide (Lasix) b. propranolol is a beta blocker, adverse effects include: bronchospasm, mask hypoglycemia attacks. The nurse has given medication instructions to the client receiving nicardipine (Cardene) for angina. What statement by the client would indicate to the nurse that the teaching needs to be reinforced? a. I will keep track of angina episodes, and report them if they increase b. edema or weight gain are expected side effects of the medication c. I will report a pulse rate of fewer than 50 bp d. I will take any missed dose as soon as remembered, unless it is almost time for the next dose b. this drug is a calcium channel blocker, edema or weight gain could be signs of heart failure A client with hypertension has been given a Rx to treat the disorder. The nurse should explain that cough and loss of taste are side effects if which antihypertensive agent has been Rx? a. lisinopril (Prinivil) b. propranolol (Inderal) c. diltiazem (Cardizem) d. furosemide (Lasix) a. cough and loss of taste are common side effects of ACE inhibitors The physician Rx lasartan (Cozaar) for a client with hypertension. The nurse carrying out the order explains to the client that this medication promotes vasodilation by which action? a. preventing calcium from going into the cells b. promoting epinephrine and norepinephrine c. promoting release of aldosterone d. inhibiting conversion of a substance that would cause vasoconstriction d. angiotension II antagonist that inhibits the conversion of AT I to AT II. AT II is a powerful vasoconstrictor. A client with hypertension monitors his