NSG 318 EVALUATION EXAM UPDATED QUESTIONS AND
SOLUTIONS RATED A+
✔✔A patient asks the nurse what side effects they should look out for while on
nitroglycerin. What information should the nurse give to the patient? - ✔✔Blurred vision,
palpitation to compensate for the low BP, tolerance, and orthostatic hypotension. A life-
threatening side effect is circulatory collapse which is when there is no BP if you
overdose
✔✔What intervention should the nurse take when administering nitroglycerin? -
✔✔Monitor VS, position pt sitting or laying down when administering, advise pt to NOT
drink alcohol while taking med bc alcohol also decreases BP and instruct pt on how to
properly store the med (not childproof, and temp sensitive)
✔✔A student nurse asks what are the used on Tenormin. What should the nurse teach
the student? - ✔✔It is used to treat HTN, angina and treat acute MI
✔✔A doctor orders atenolol for a patient with a history of acute bronchospasms. What
action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order - ✔✔d. Question the HCPs order. Bronchospasm is a
contraindication because atenolol has a slight chance of stimulating Beta 2
✔✔A new grad doctor asks the nurse what are the drug interactions for atenolol. What
should the nurse inform the doctor? - ✔✔- Atropine and other anticholinergics bc it
increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
✔✔A patient beginning Tenormin would like to know what side effects to look out for.
What should the nurse teach the patient? - ✔✔Normal side effects are depression, cool
extremities and ED. If you have any of the following side effects you should report it:
Dyspnea, bradycardia, excessive dizziness, early morning insomnia and mental
depression.
✔✔What patient education needs to given to the patient in regards to atenolol? - ✔✔-
Sit on side of the bed before ambulating to avoid orthostatic hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It should be weaned off
over 1-2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until drug response is known
,✔✔Which medication is a calcium channel blocker? - ✔✔Cardizem (diltiazem)
✔✔What are the uses of diltiazem? - ✔✔Atrial dysrhythmias, HTN and relaxes coronary
and peripheral blood vessels
Hint: Calms heart by lowering BR and BP = zen heart
✔✔A student nurse asks what drug interactions are associated with Cardizem. What
should the nurse inform the student? - ✔✔Digoxin, beta blockers and other
antihypertensive
✔✔A patient is on antihypertensive therapy. She is interested in CAMs. Which CAMs
should the nurse advise her to avoid? SATA
a. Garlic
b. Psyllium
c. Gingko
d. Green Tea
d. Hawthorn
e. Aloe - ✔✔Garlic and Hawthorn. Other CAMs with antihypertensive effects includes
Licorice, Goldenseal, Parsley and Ephedra
✔✔A patient states they want to stop taking diltiazem because it is causing peripheral
edema. What should the nurse inform the patient? - ✔✔Peripheral edema is normal SE.
If this medication is abruptly stopped, it can cause acute angina episode.
✔✔A patient on Cardizem starts to have bradycardia and hypotension. What antidote(s)
would the nurse expect the HCP would like to be adminstered? - ✔✔Atropine and
Calcium Chloride. Atropine reverses the bradycardia because it is an anticholinergic.
Calcium chloride reverses the hypotension
✔✔What medication is in the drug class of Loop Diuretic?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - ✔✔b. Furosemide. Brand name is Lasix
✔✔What is the action of furosemide? - ✔✔Inhibits Na and H2O reabsorption and
excretes K, Mg and Ca
✔✔A fatigued doctor frantically calls a nurse to discontinue Lasix for a patient on
sulfonamides because it is a contraindication. What action should the nurse take?
a. Stop the medication
b. Question the doctor
c. Find out if the patient is still on the sulfonamide
, d. Report the fatigued HCP to the charge nurse - ✔✔b. Question the doctor. The HCP is
mistaken. Hypersensitivity to sulfonamides is the actual contraindication. Another
contraindication is anuria
✔✔A patient asks the nurse what are the adverse effects of furosemide. What should
the nurse teach the patient? - ✔✔Gout (SE: Hyperuricemia), Hearing Loss, Increased
BUN & Cr, Renal Failure, Hypokalemia, hyponatremia and hypomagnesemia
✔✔What are the drug interactions of furosemide? - ✔✔Alcohol, aminoglycoside
(increased risk of ototoxicity), steroids (increased K loss) and Digoxin
✔✔A patient on Lasix states her daughter is bringing her a licorice tea. What action
should the nurse take? - ✔✔Inform the patient the licorice is a contraindication. CAMs
the pt should avoid includes licorice and aloe (increased K loss), Hawthorn
(hypotension) and Ginseng (decreased effectiveness)
✔✔What interventions should be taken when administering Lasix? - ✔✔- Monitor
urinary output and weight
- Monitor VS esp BP
- Administer IV furosemide SLOWLY, hearing loss may occur if it is rapidly injected
- Monitor for hypokalemia
✔✔What medication is in the drug class of Thiazide?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - ✔✔a. Hydrochlorothiazide
✔✔What is the action of hydrochlorothiazide? - ✔✔Promotes Na, Cl , K, & H2O
excretion. Reabsorbs Ca. Vasodilation = decreased BP
✔✔What are side effects/adverse effects of hydrochlorothiazide? - ✔✔Photosensitivity,
Blurred Vision, Muscle Cramps, Hyperglycemia, Hyponatremia, Orthostatic
Hypotension, Gout, Anemia and Renal Failure
✔✔What are the drug interactions of hydrochlorothiazide? - ✔✔- Digoxin because
hypokalemia increased risk of digitalis toxicity
- Aspirin increases renal toxicity
- Steroids increase K loss
- Antidiabetics have decreased effects = increase BS
- NSAIDs decreased absorption
✔✔A patient wanted to try a few new CAMs. He just started taking hydrochlorothiazide.
Which CAMs should he avoid? - ✔✔- Aloe (Decreased serum K Loss)
SOLUTIONS RATED A+
✔✔A patient asks the nurse what side effects they should look out for while on
nitroglycerin. What information should the nurse give to the patient? - ✔✔Blurred vision,
palpitation to compensate for the low BP, tolerance, and orthostatic hypotension. A life-
threatening side effect is circulatory collapse which is when there is no BP if you
overdose
✔✔What intervention should the nurse take when administering nitroglycerin? -
✔✔Monitor VS, position pt sitting or laying down when administering, advise pt to NOT
drink alcohol while taking med bc alcohol also decreases BP and instruct pt on how to
properly store the med (not childproof, and temp sensitive)
✔✔A student nurse asks what are the used on Tenormin. What should the nurse teach
the student? - ✔✔It is used to treat HTN, angina and treat acute MI
✔✔A doctor orders atenolol for a patient with a history of acute bronchospasms. What
action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order - ✔✔d. Question the HCPs order. Bronchospasm is a
contraindication because atenolol has a slight chance of stimulating Beta 2
✔✔A new grad doctor asks the nurse what are the drug interactions for atenolol. What
should the nurse inform the doctor? - ✔✔- Atropine and other anticholinergics bc it
increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
✔✔A patient beginning Tenormin would like to know what side effects to look out for.
What should the nurse teach the patient? - ✔✔Normal side effects are depression, cool
extremities and ED. If you have any of the following side effects you should report it:
Dyspnea, bradycardia, excessive dizziness, early morning insomnia and mental
depression.
✔✔What patient education needs to given to the patient in regards to atenolol? - ✔✔-
Sit on side of the bed before ambulating to avoid orthostatic hypotension
- Pulse should be >60 BPM prior to administering
- Do NOT stop med abruptly to avoid rebound and risk of MI. It should be weaned off
over 1-2 weeks
- Warn male pts of ED which is usually dose-related
- Advise patient to not drive/operate dangerous equipment until drug response is known
,✔✔Which medication is a calcium channel blocker? - ✔✔Cardizem (diltiazem)
✔✔What are the uses of diltiazem? - ✔✔Atrial dysrhythmias, HTN and relaxes coronary
and peripheral blood vessels
Hint: Calms heart by lowering BR and BP = zen heart
✔✔A student nurse asks what drug interactions are associated with Cardizem. What
should the nurse inform the student? - ✔✔Digoxin, beta blockers and other
antihypertensive
✔✔A patient is on antihypertensive therapy. She is interested in CAMs. Which CAMs
should the nurse advise her to avoid? SATA
a. Garlic
b. Psyllium
c. Gingko
d. Green Tea
d. Hawthorn
e. Aloe - ✔✔Garlic and Hawthorn. Other CAMs with antihypertensive effects includes
Licorice, Goldenseal, Parsley and Ephedra
✔✔A patient states they want to stop taking diltiazem because it is causing peripheral
edema. What should the nurse inform the patient? - ✔✔Peripheral edema is normal SE.
If this medication is abruptly stopped, it can cause acute angina episode.
✔✔A patient on Cardizem starts to have bradycardia and hypotension. What antidote(s)
would the nurse expect the HCP would like to be adminstered? - ✔✔Atropine and
Calcium Chloride. Atropine reverses the bradycardia because it is an anticholinergic.
Calcium chloride reverses the hypotension
✔✔What medication is in the drug class of Loop Diuretic?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - ✔✔b. Furosemide. Brand name is Lasix
✔✔What is the action of furosemide? - ✔✔Inhibits Na and H2O reabsorption and
excretes K, Mg and Ca
✔✔A fatigued doctor frantically calls a nurse to discontinue Lasix for a patient on
sulfonamides because it is a contraindication. What action should the nurse take?
a. Stop the medication
b. Question the doctor
c. Find out if the patient is still on the sulfonamide
, d. Report the fatigued HCP to the charge nurse - ✔✔b. Question the doctor. The HCP is
mistaken. Hypersensitivity to sulfonamides is the actual contraindication. Another
contraindication is anuria
✔✔A patient asks the nurse what are the adverse effects of furosemide. What should
the nurse teach the patient? - ✔✔Gout (SE: Hyperuricemia), Hearing Loss, Increased
BUN & Cr, Renal Failure, Hypokalemia, hyponatremia and hypomagnesemia
✔✔What are the drug interactions of furosemide? - ✔✔Alcohol, aminoglycoside
(increased risk of ototoxicity), steroids (increased K loss) and Digoxin
✔✔A patient on Lasix states her daughter is bringing her a licorice tea. What action
should the nurse take? - ✔✔Inform the patient the licorice is a contraindication. CAMs
the pt should avoid includes licorice and aloe (increased K loss), Hawthorn
(hypotension) and Ginseng (decreased effectiveness)
✔✔What interventions should be taken when administering Lasix? - ✔✔- Monitor
urinary output and weight
- Monitor VS esp BP
- Administer IV furosemide SLOWLY, hearing loss may occur if it is rapidly injected
- Monitor for hypokalemia
✔✔What medication is in the drug class of Thiazide?
a. Hydrochlorothiazide
b. Furosemide
c. Spironolactone
d. Aminoglycoside - ✔✔a. Hydrochlorothiazide
✔✔What is the action of hydrochlorothiazide? - ✔✔Promotes Na, Cl , K, & H2O
excretion. Reabsorbs Ca. Vasodilation = decreased BP
✔✔What are side effects/adverse effects of hydrochlorothiazide? - ✔✔Photosensitivity,
Blurred Vision, Muscle Cramps, Hyperglycemia, Hyponatremia, Orthostatic
Hypotension, Gout, Anemia and Renal Failure
✔✔What are the drug interactions of hydrochlorothiazide? - ✔✔- Digoxin because
hypokalemia increased risk of digitalis toxicity
- Aspirin increases renal toxicity
- Steroids increase K loss
- Antidiabetics have decreased effects = increase BS
- NSAIDs decreased absorption
✔✔A patient wanted to try a few new CAMs. He just started taking hydrochlorothiazide.
Which CAMs should he avoid? - ✔✔- Aloe (Decreased serum K Loss)
