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NURS 316B CARDIO QUESTIONS WITH COMPLETE ANSWERS

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NURS 316B CARDIO QUESTIONS WITH COMPLETE ANSWERS

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Which instruction would the nurse include when teaching about hydrochlorothiazide
given to a client diagnosed with a transient ischemic attack (TIA) related to
hypertension?
A. "Resume regular eating habits."
B. "Drink a protein supplement daily."
C. "Avoid eating foods high in insoluble fiber."
D. "Increase the intake of potassium-rich foods."


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D. "Increase the intake of potassium-rich foods."




Which instruction would the nurse include when teaching the client about sublingual
nitroglycerin?
A. 'Once the tablet is dissolved, spit out the saliva.'
B. 'Take tablets 3 minutes apart up to a maximum of five tablets.'

,C. 'Common side effects include headache and low blood pressure.'
D. 'Once opened, the tablets should be refrigerated to prevent deterioration.'


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C. 'Common side effects include headache and low blood pressure.'




A client with the diagnosis of primary hypertension is started on a regimen of
hydrochlorothiazide. Which information will the nurse include when providing
instructions regarding this medication?
A. A common side effect is decreased sexual libido.
B. One dose should be omitted if dizziness occurs when standing up.
C. The client should adjust the dosage daily based on the client's blood pressure.
D. An antihypertensive medication will likely be required for the remainder of life.


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D. An antihypertensive medication will likely be required for the remainder
of life.




When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which
nursing action is important to include when planning care?
A. Administer the digoxin 1 hour after the client's morning insulin.
B. Monitor the client for cardiac dysrhythmias.
C. Monitor for increased risk of hyperglycemia.
D. Increase digoxin dosage if insulin requirements are increased.


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B. Monitor the client for cardiac dysrhythmias.

,A client with angina has been instructed about the use of sublingual nitroglycerin.
Which statement by the client indicates the need for additional teaching?
A. "I'll call the health care provider if pain continues after three tablets five minutes
apart."
B. "I will rest briefly right after taking one tablet."
C. "I understand that the medication should be kept in the dark bottle."
D. "I can swallow two or three tablets at once if I have severe pain."


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D. "I can swallow two or three tablets at once if I have severe pain."




Which clinical finding indicates that a client taking digoxin may have developed
digoxin toxicity?
A. Constipation
B. Decreased urination
C. Cardiac dysrhythmias
D. Metallic taste in the mouth


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C. Cardiac dysrhythmias




The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor
blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the
client's laboratory results and notes that the client's serum potassium level is 5.9
mEq/L. Which action should the nurse take first?
A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level.

, Give this one a try later!


A. Withhold the scheduled dose.




A health care provider prescribes milrinone for a client with congestive heart failure.
Which action would the nurse perform first?
A. Administer the loading dose over 10 minutes.
B. Monitor the electrocardiogram (ECG) continuously for dysrhythmias during
infusion.
C. Assess the heart rate and blood pressure continuously during infusion.
D. Have the prescription, dosage calculations, and pump settings checked by a
second nurse.


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D. Have the prescription, dosage calculations, and pump settings checked
by a second nurse.




Which client response must the nurse monitor to determine the effectiveness of
amiodarone?
A. Absence of ischemic chest pain
B. Decrease in cardiac dysrhythmias
C. Improvement in fasting lipid profile
D. Maintenance of blood pressure control


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B. Decrease in cardiac dysrhythmias

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