ATI Cardiovascular Exam
A nurse is administering hydrochlorothiazide to a client who is gouty arthritis. The nursing module client
for which of the following findings that indicate an adverse effect of the drug? - correct Answer-
Hyperuricemia -- (Hyperuricemia, or increased uric acid levels, along with gouty arthritis, can occur in
clients who have a history of these conditions and are taking hydrochlorothiazide.)
A nurse is assessing a client who is taking a loop diuretic and is experiencing thready, the regular pulse,
orthostatic hypotension, and confusion.The nurse should identify that these manifestations indicate
which of the following adverse effects? - correct Answer-Hypokalemia -- (Manifestations of hypokalemia
include a thready, irregular pulse, orthostatic hypotension, anxiety, confusion, skeletal muscle weakness,
hypoactive bowel sounds, polyuria, nausea, and vomiting.)
A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the
prescription with the provider if the client is receiving which of the following types of drugs? - correct
Answer-- MAOIs can cause toxicity when clients take them while also taking dobutamine. This
significantly increases the client's risk for tachydysrhythmias.
- General anesthetics can cause dysrhythmias when clients take them while also taking dobutamine.
- Tricyclic antidepressants can cause toxicity when clients take them while also taking dobutamine. This
significantly increases the client's risk for tachydysrhythmias.
- Beta blockers, such as propranolol, can decrease the effects of dobutamine.
A nurse is caring for a client who is taking a diuretic. The nurse instructed client to include which of the
following foods in their diet to increase potassium intake? - correct Answer-Raisins -- (Diuretics can
deplete the body of potassium, so the nurse should instruct the client to include potassium-rich foods in
their diet, such as raisins and other dried fruits.)
A nurse is Providing teaching to a client who is taking simvastatin. The nurse should instruct the client to
report which of the following manifestations as an indication of a serious adverse reactions that could
require discontinuing drug therapy? - correct Answer-Muscle pain -- (an HMG-CoA reductase inhibitor
(statin), can cause myopathy or pain in muscles and joints that can progress to rhabdomyolysis. With this
rare but serious adverse effect, muscle protein breaks down and is excreted, resulting in kidney damage.)
, A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following
instructions should she include? - correct Answer-- Because gemfibrozil, a fibrate, can cause gallstones,
clients should monitor and report any new intolerance to fried foods, as well as any bloating or upper
abdominal discomfort.
- Because gemfibrozil, a fibrate, can cause myopathy, clients should monitor and report any unexplained
muscle or joint pain.
- Because gemfibrozil, a fibrate, increases the risk for liver toxicity, clients will require liver function
testing while taking this drug.
A nurse is teaching client who has a new prescription for quinidine. Which of the following statements
should the nurse include? - correct Answer-"Monitor your pulse rate and report changes." -- (Sodium
channel blockers, like quinidine, can worsen dysrhythmias, or cause new ones. The nurse should teach
the client to monitor their pulse rate and report changes from prescribed parameters. It can be helpful
to instruct the client to keep a written record of their pulse0 rate for the provider.)
A nurses caring for a client was a new prescription for verapamil to treat atrial fibrillation. The nurse
should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause
the client experience which of the following conditions? - correct Answer-Hypotension -- (Large amounts
of grapefruit juice can increase blood levels of verapamil by inhibiting its metabolism. An excess amount
of the drug in the body can intensify otherwise therapeutic effects like hypotension, causing serious risk
for syncope and dizziness.)
A nurses caring for a client was taking spironolactone to treat hypertension. The nurse should recognize
that which of the following client lab values requires immediate intervention? - correct Answer-
Potassium 5.2 mEq/L -- (Spironolactone is a diuretic and an aldosterone antagonist that can cause
hyperkalemia and places the client at risk for cardiac dysrhythmias. This potassium level is outside the
expected reference range of 3.5 to 5.0 mEq/L and requires immediate intervention.)
A nurses caring for a client who has a depressive disorder and requires a prescription drug to treat
hypertension. the nurse should recognize that which of the following antihypertensive drugs is
contraindicated for this client? - correct Answer-Reserpine -- (Severe depression and an increased risk for
suicide are adverse effects of adrenergic neuron blockers, such as reserpine. These adverse effects
A nurse is administering hydrochlorothiazide to a client who is gouty arthritis. The nursing module client
for which of the following findings that indicate an adverse effect of the drug? - correct Answer-
Hyperuricemia -- (Hyperuricemia, or increased uric acid levels, along with gouty arthritis, can occur in
clients who have a history of these conditions and are taking hydrochlorothiazide.)
A nurse is assessing a client who is taking a loop diuretic and is experiencing thready, the regular pulse,
orthostatic hypotension, and confusion.The nurse should identify that these manifestations indicate
which of the following adverse effects? - correct Answer-Hypokalemia -- (Manifestations of hypokalemia
include a thready, irregular pulse, orthostatic hypotension, anxiety, confusion, skeletal muscle weakness,
hypoactive bowel sounds, polyuria, nausea, and vomiting.)
A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the
prescription with the provider if the client is receiving which of the following types of drugs? - correct
Answer-- MAOIs can cause toxicity when clients take them while also taking dobutamine. This
significantly increases the client's risk for tachydysrhythmias.
- General anesthetics can cause dysrhythmias when clients take them while also taking dobutamine.
- Tricyclic antidepressants can cause toxicity when clients take them while also taking dobutamine. This
significantly increases the client's risk for tachydysrhythmias.
- Beta blockers, such as propranolol, can decrease the effects of dobutamine.
A nurse is caring for a client who is taking a diuretic. The nurse instructed client to include which of the
following foods in their diet to increase potassium intake? - correct Answer-Raisins -- (Diuretics can
deplete the body of potassium, so the nurse should instruct the client to include potassium-rich foods in
their diet, such as raisins and other dried fruits.)
A nurse is Providing teaching to a client who is taking simvastatin. The nurse should instruct the client to
report which of the following manifestations as an indication of a serious adverse reactions that could
require discontinuing drug therapy? - correct Answer-Muscle pain -- (an HMG-CoA reductase inhibitor
(statin), can cause myopathy or pain in muscles and joints that can progress to rhabdomyolysis. With this
rare but serious adverse effect, muscle protein breaks down and is excreted, resulting in kidney damage.)
, A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following
instructions should she include? - correct Answer-- Because gemfibrozil, a fibrate, can cause gallstones,
clients should monitor and report any new intolerance to fried foods, as well as any bloating or upper
abdominal discomfort.
- Because gemfibrozil, a fibrate, can cause myopathy, clients should monitor and report any unexplained
muscle or joint pain.
- Because gemfibrozil, a fibrate, increases the risk for liver toxicity, clients will require liver function
testing while taking this drug.
A nurse is teaching client who has a new prescription for quinidine. Which of the following statements
should the nurse include? - correct Answer-"Monitor your pulse rate and report changes." -- (Sodium
channel blockers, like quinidine, can worsen dysrhythmias, or cause new ones. The nurse should teach
the client to monitor their pulse rate and report changes from prescribed parameters. It can be helpful
to instruct the client to keep a written record of their pulse0 rate for the provider.)
A nurses caring for a client was a new prescription for verapamil to treat atrial fibrillation. The nurse
should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause
the client experience which of the following conditions? - correct Answer-Hypotension -- (Large amounts
of grapefruit juice can increase blood levels of verapamil by inhibiting its metabolism. An excess amount
of the drug in the body can intensify otherwise therapeutic effects like hypotension, causing serious risk
for syncope and dizziness.)
A nurses caring for a client was taking spironolactone to treat hypertension. The nurse should recognize
that which of the following client lab values requires immediate intervention? - correct Answer-
Potassium 5.2 mEq/L -- (Spironolactone is a diuretic and an aldosterone antagonist that can cause
hyperkalemia and places the client at risk for cardiac dysrhythmias. This potassium level is outside the
expected reference range of 3.5 to 5.0 mEq/L and requires immediate intervention.)
A nurses caring for a client who has a depressive disorder and requires a prescription drug to treat
hypertension. the nurse should recognize that which of the following antihypertensive drugs is
contraindicated for this client? - correct Answer-Reserpine -- (Severe depression and an increased risk for
suicide are adverse effects of adrenergic neuron blockers, such as reserpine. These adverse effects
