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F.A. Davis NURS1220 Exam 3 Practice Quiz And Answers

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F.A. Davis NURS1220 Exam 3 Practice Quiz And Answers



For which of the following reasons would vasodilators be contraindicated in a patient
diagnosed with coronary artery disease?



1.



Can cause the embolus



2.



Can be responsible for causing angina pectoris



3.



Will raise blood pressure



4.



Will stimulate appetite and weight gain



1.



Option 1:

,Vasodilation of the blood vessels could dislodge plaque deposited inside diseased
arteries.



The LPN/LVN is caring for a patient receiving treatment for an MI. The patient is to be
started on long-term anticoagulant therapy. The LPN/LVN is notified that the patient is
not a candidate for aspirin because of an allergy to the medication. What alternative
therapy would the LPN/LVN expect for this client?



1.



A lower-dose pediatric aspirin is prescribed.



2.



An elimination of vitamin K will be initiated.



3.



Clopidogrel (Plavix) will be ordered.



4.



Long-term heparin therapy will be initiated.



3.



Option 3:



Anticoagulants include the class of medications referred to as ADP receptor blockers

,and glycoprotein IIb/IIIa inhibitors. ADP receptor blockers exert their influence through
interfering with the plasma membrane of platelets that inhibits clots from forming. An
example of this thrombus prevention drug is clopidogrel, known by the trade name,
Plavix.

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The patient requires a thrombolytic for an clotted central venous device. Which of the
following histories would provide the LPN/LVN with a contraindication for the
medication?



1.



The patient was treated for increased intracranial pressure 3 years ago.



2.



The patient was admitted for abdominal surgery 1 year ago.

, 3.



The patient had a stroke 2 months ago.



4.



The patient has a yellow bruise on the thigh.



3.

Option 3:



A CVA 2 months ago is a contraindication for the administration of a thrombolytic to
dissolve a clotted central venous device.



The LPN/LVN is caring for a client who is receiving amiodarone (Cordarone). Which
information would the LPN/LVN identify as related to this medication? Select all that
apply.



1.



The client has an internal defibrillator.



2.



Potassium replacements must be taken.



3.

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