Cardiovascular Meds Review Questions and Answers Latest Update Graded A+
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina
pectoris. Which of the following instructions should the nurse include in the teaching? - Answers Apply
the transdermal patch in the morning
-The client should apply the patch every morning and leave it in place for a 12 to 14 hr, then remove it in
the evening.
A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets.
The nurse should include which of the following instructions regarding how to take the medication? -
Answers Take one tablet at the first indication of chest pain
- do not wait until chest pain is severe
A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is
metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? - Answers 5
A nurse is assessing an older adult pt who is receiving digoxin. The nurse should recognize that which of
the following findings is a manifestation of digoxin toxicity? - Answers Anorexia
- vomiting, confusion, headache, and vision changes are also manifestations of digoxin toxicity
A nurse is providing teaching for a pt who has hypertension and a prescription change from metoprolol
to metoprolol/hydrochlorothiazide. Which of the following statements by the pt indicates an
understanding of the teaching? - Answers With the new medication, I should experience fewer side
effects.
- The client has stated an understanding of the purpose of the addition of the hydrochlorothiazide
(HCTZ) to the metoprolol dosage. When used in combination with thiazide diuretics, a lower dose of the
beta-blocker can be used. The benefit is there are fewer side effects when beta-blockers (and other
antihypertensives) are used in lower dosages.
A nurse is caring for a pt who has heart failure and a prescription for digoxin. Which of the following
statements by the pt indicate an adverse effect of the medication? - Answers I feel nauseated and have
no appetite
- Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin toxicity.
A nurse in a provider's clinic is assessing a pt who takes sublingual nitroglycerin for stable angina. The pt
reports getting a headache each time he takes the medication. Which of the following statements
should the nurse make? - Answers Try taking a mild analgesic to relieve the headache
A nurse is caring for a pt who is on warfarin therapy for atrial fibrillation. The pt's INR is 5.2. Which of
the following medications should the nurse prepare to administer? - Answers Vitamin K
- reverses the effects of warfarin
, A nurse in the emergency department is caring for a pt who took 3 nitroglycerin tablets sublingually for
chest pain. The pt reports relief from the chest pain but now he is experiencing a headache. Which of
the following statements should the nurse make? - Answers A headache is an expected adverse effect of
the medication
- The vasodilation nitroglycerin induces increases blood flow to the head and typically results in a
headache.
A nurse is caring for a pt who has congestive heart failure and is taking digoxin daily. The pt refused
breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse
take first? - Answers Check the pt's vital signs
- It is possible that the client's nausea is secondary to digoxin toxicity. By obtaining vital signs, the nurse
can assess for bradycardia, which is a symptom of digoxin toxicity. The nurse should withhold the
medication and call the provider if the client's heart rate is less than 60 bpm.
A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg
tablets. How many tablets should the nurse administer? - Answers 2
A nurse is reviewing the medication list for a pt who has a new prescription for warfarin. The nurse
should recognize that which of the following medications is incompatible with warfarin? - Answers
Vitamin K
- These two medications are not compatible. Vitamin K antagonizes the action of warfarin and is the
antidote for warfarin toxicity.
A nurse is providing teaching to a pt who has hypertension and a new prescription for verapamil. Which
of the following beverages should the nurse tell the pt to avoid while taking this medication? - Answers
Grapefruit juice
- Grapefruit juice increases blood levels of verapamil, a calcium channel blocker, by inhibiting its
metabolism. The excess amount of medication can intensify the medication's hypotensive effects,
putting the client at risk for syncope and dizziness.
A nurse is caring for a pt who is receiving heparin by continuous IV infusion. Which of the following
medications should the nurse plan to administer in the event of an overdose? - Answers Protamine
A nurse is providing teaching to a pt who has angina pectoris and a new prescription for nitroglycerin
sublingual tablets. Which of the following statements by the pt indicates an understanding of the
teaching? - Answers I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2
more tablets 5 min apart while waiting.
A nurse is providing teaching to a pt who has hypertension and a new prescription for captopril. Which
of the following instructions should the nurse provide? - Answers Do not use salt substitutes while
taking this medication
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina
pectoris. Which of the following instructions should the nurse include in the teaching? - Answers Apply
the transdermal patch in the morning
-The client should apply the patch every morning and leave it in place for a 12 to 14 hr, then remove it in
the evening.
A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets.
The nurse should include which of the following instructions regarding how to take the medication? -
Answers Take one tablet at the first indication of chest pain
- do not wait until chest pain is severe
A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is
metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? - Answers 5
A nurse is assessing an older adult pt who is receiving digoxin. The nurse should recognize that which of
the following findings is a manifestation of digoxin toxicity? - Answers Anorexia
- vomiting, confusion, headache, and vision changes are also manifestations of digoxin toxicity
A nurse is providing teaching for a pt who has hypertension and a prescription change from metoprolol
to metoprolol/hydrochlorothiazide. Which of the following statements by the pt indicates an
understanding of the teaching? - Answers With the new medication, I should experience fewer side
effects.
- The client has stated an understanding of the purpose of the addition of the hydrochlorothiazide
(HCTZ) to the metoprolol dosage. When used in combination with thiazide diuretics, a lower dose of the
beta-blocker can be used. The benefit is there are fewer side effects when beta-blockers (and other
antihypertensives) are used in lower dosages.
A nurse is caring for a pt who has heart failure and a prescription for digoxin. Which of the following
statements by the pt indicate an adverse effect of the medication? - Answers I feel nauseated and have
no appetite
- Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin toxicity.
A nurse in a provider's clinic is assessing a pt who takes sublingual nitroglycerin for stable angina. The pt
reports getting a headache each time he takes the medication. Which of the following statements
should the nurse make? - Answers Try taking a mild analgesic to relieve the headache
A nurse is caring for a pt who is on warfarin therapy for atrial fibrillation. The pt's INR is 5.2. Which of
the following medications should the nurse prepare to administer? - Answers Vitamin K
- reverses the effects of warfarin
, A nurse in the emergency department is caring for a pt who took 3 nitroglycerin tablets sublingually for
chest pain. The pt reports relief from the chest pain but now he is experiencing a headache. Which of
the following statements should the nurse make? - Answers A headache is an expected adverse effect of
the medication
- The vasodilation nitroglycerin induces increases blood flow to the head and typically results in a
headache.
A nurse is caring for a pt who has congestive heart failure and is taking digoxin daily. The pt refused
breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse
take first? - Answers Check the pt's vital signs
- It is possible that the client's nausea is secondary to digoxin toxicity. By obtaining vital signs, the nurse
can assess for bradycardia, which is a symptom of digoxin toxicity. The nurse should withhold the
medication and call the provider if the client's heart rate is less than 60 bpm.
A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg
tablets. How many tablets should the nurse administer? - Answers 2
A nurse is reviewing the medication list for a pt who has a new prescription for warfarin. The nurse
should recognize that which of the following medications is incompatible with warfarin? - Answers
Vitamin K
- These two medications are not compatible. Vitamin K antagonizes the action of warfarin and is the
antidote for warfarin toxicity.
A nurse is providing teaching to a pt who has hypertension and a new prescription for verapamil. Which
of the following beverages should the nurse tell the pt to avoid while taking this medication? - Answers
Grapefruit juice
- Grapefruit juice increases blood levels of verapamil, a calcium channel blocker, by inhibiting its
metabolism. The excess amount of medication can intensify the medication's hypotensive effects,
putting the client at risk for syncope and dizziness.
A nurse is caring for a pt who is receiving heparin by continuous IV infusion. Which of the following
medications should the nurse plan to administer in the event of an overdose? - Answers Protamine
A nurse is providing teaching to a pt who has angina pectoris and a new prescription for nitroglycerin
sublingual tablets. Which of the following statements by the pt indicates an understanding of the
teaching? - Answers I'll dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2
more tablets 5 min apart while waiting.
A nurse is providing teaching to a pt who has hypertension and a new prescription for captopril. Which
of the following instructions should the nurse provide? - Answers Do not use salt substitutes while
taking this medication
