Lesson Plan 9 Chapter questions

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Lesson Plan 9 Chapter questions
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2013-11-14 10:25:11
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Chapters: 42-46
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  1. A nurse is preparing to administer nitroglycerin (NTG) via the sublingual route.  The nurse knows that nitroglycerin tablets are administered sublingually:
    A. to avoid the bitter taste
    B. to undergo 1st pass metabolism
    C. to absorb readily into the circulation
    D. to prevent N/V
    C. to absorb readily into the circulation
    (this multiple choice question has been scrambled)
  2. A client is ordered to receive a nitrate to relieve stable angina.  What is/are a common s/e to anticipate in a client receiving this medication?
    A. N/V
    B. ^BP
    C. Pruritus & skin rash
    D. Pounding HA
    D. Pounding HA
    (this multiple choice question has been scrambled)
  3. a client is taking digoxin (Lanoxin) & is being assessed for s/s of digitalis toxicity.  Which one of the following is an indication of toxicity?
    A. polyuria
    B. abdominal cramping
    C. bradycardia
    D. hearing disturbances
    C. bradycardia
    (this multiple choice question has been scrambled)
  4. Nursing interventions for a client taking Lasix include which of the following?
    A. Instruct the client to rise slowly to prevent dizziness resulting from fluid loss
    B. check serum calcium levels, especially if the client is taking digoxin (Lanoxin)
    C. instruct the client to take Lasix before bedtime
    D. Monitor capillary refill
    A. Instruct the client to rise slowly to prevent dizziness resulting from fluid loss
    (this multiple choice question has been scrambled)
  5. The drug group that inhibits clot formation is:
    A. Antihyperlipidemics
    B. Anticoagulants
    C. Thrombolytics
    D. Antidysrhythmics
    B. Anticoagulants
    (this multiple choice question has been scrambled)
  6. The client's serum digoxin level is 3.0 ng/mL.  What does the nurse know about this serum digoxin level?  (normal range is: 0.5-2.0 ng/mL)
    A. It is in the low range
    B. It is in the low avgerage range
    C. It is in the high range
    D. It is w/in the normal range
    C. It is in the high range
    (this multiple choice question has been scrambled)
  7. The nurse is assessing the client for possible evidence of digitalis toxicity.  The nurse acknowledges that which is included in the s/s for digitalis toxicity?
    A. HR >60bpm & irregular
    B. HR of 100bpm
    C. HR or 72 & irregular 
    D. HR <60bpm & irregular
    D. HR <60bpm & irregular
    (this multiple choice question has been scrambled)
  8. The client is also taking a diuretic that <her K+ levels.  The nurse expects that a <K+ could have what effect on the digoxin?
    A. Cause a low average serum digoxin sensitivity level.
    B. Not have any effect on the serum digoxin sensitivity level.
    C. ^the serum digoxin sensitivity level
    D. <the serum digoxin sensitivity level
    C. ^the serum digoxin sensitivity level
    (this multiple choice question has been scrambled)
  9. When a client first takes a nitrate, the nurse expects which symptom that often occurs?
    A. HA
    B. N/V
    C. Irregular pulse rate
    D. Stomach cramps
    A. HA
    (this multiple choice question has been scrambled)
  10. The nurse acknowledges that beta blockers are as effective as an anti-anginals because they do what?
    A. ^oxygen to the systemic circulation
    B. <HR & <myocardial contractility
    C. Maintain HR & BP
    D. <HR & ^myocardial contractility
    B. <HR & <myocardial contractility
    (this multiple choice question has been scrambled)
  11. The MD is planning to d/c a client's beta blocker.  What instruction should the nurse give the client regarding the beta blocker?
    A. Half the beta blocker dose should be taken for the next several weeks.
    B. it should NOT be stopped abruptly, dose should be tapered
    C. it should be stopped abruptly when another cardiac drug is prescribed
    D. it's dose should be maintained while taking another anti-anginal drug
    B. is should NOT be stopped abruptly, dose should be tapered
    (this multiple choice question has been scrambled)
  12. The beta blocker Sectral is prescribed for dysrhythmias.  The nurse knows that what is the primary purpose of the drug?
    A. to ^flow of oxygen to the cardiac tissues
    B. to ^the beta1 & beta2 receptors in the cardiac tissues.
    C. To block the beta1 adrenergic receptors in the cardiac tissues
    D. to block the beta2 adrenergic receptors in the cardiac tissues
    C. to block the beta1 adrenergic receptors in the cardiac tissues
    (this multiple choice question has been scrambled)
  13. A client is taking HCTZ 50mg/day & digoxin 0.25mg/day.  What type of electrolyte imbalance does the nurse expect to occur?
    A. Hypocalcemia
    B. Hyperkalemia
    C. Hypokalemia
    D. Hypermagnesemia
    C. Hypokalemia
    (this multiple choice question has been scrambled)
  14. A client is taking HCTZ 50mg/day & digoxin 0.25mg/day.  What would cause the client's electrolyte imbalance?
    A. Low dose of HCTZ
    B. HCTZ
    C. High dose of digoxin
    D. Digoxin taken daily
    B. HCTZ
    (this multiple choice question has been scrambled)
  15. A nures is teaching a client who has diabetes mellitus & is taking HCTZ 50mg/day.  The teaching should include the importance of monitoring which levels?
    A. Serum glucose (sugar)
    B. Blood urea nitrogen (BUN)
    C. Arterial blood gases
    D. Hgb & hematocrit
    A. Serum glucose (sugar)
    (this multiple choice question has been scrambled)
  16. A client has HF & is prescribed Lasix.  The nurse is aware that Lasix is what kind of drug?
    A. Potassium-sparing diuretic
    B. Osmotic diuretic
    C. High-ceiling (loop) diuretic
    D. Thiazide diuretic
    C. High-ceiling (loop) diuretic
    (this multiple choice question has been scrambled)
  17. The nurse acknowledges that which condition could occur when taking Lasix?
    A. Hypoglycemia
    B. Hypermagnesemia
    C. Hypokalemia
    D. Hyperkalemia
    C. Hypokalemia
    (this multiple choice question has been scrambled)
  18. For the client taking a diuretic, a combination such as triamterene & HCTZ may be prescribed.  The nurse realizes that this combination is ordered for which purpose?
    A. to <the glucose level
    B. to ^the glucose level
    C. to ^serum K+ level
    D. To <the serum K+ level
    C. to ^serum K+ level
    (this multiple choice question has been scrambled)
  19. The client has been receiving spirolactone (Aldactone) 50mg/day for HF.  The nurse should closely monitor the client for which condition?
    A. Hyperkalemia
    B. Hypermagnesemia
    C. Hypokalemia
    D. Hypoglycemia
    A. Hyperkalemia
    (this multiple choice question has been scrambled)
  20. A client who has angina is prescribed nitroglycerin.  The nurse reviews which appropriate nursing interventions for nitroglycerin? (select all that apply)
    a. Have client lie down when taking a nitro sublingual tab.
    b. Teach client to repeat taking a tablet in 5 minutes if chest pain persists.
    c. Apply Transderma-Nitro patch to a hairy area to protect skin from burning.
    d. Call the MD after taking 5 tablets if chest pain persists.
    e. warn client against ingesting alcohol while taking Nitro.
    • a. Have client lie down when taking a Nitro sublingual tablet.
    • b. Teach client to repeat taking a tab in 5min if chest pain persists.
    • e. Warn client against ingesting alcohol while taking Nitro.
  21. A clients BP is 145/90.  According to the guidelines for determining HTN, the nurse realizes that the client's BP is at which stage?
    A. Normal
    B. Prehypertensive
    C. Stage 1 hypertension
    D. Stage 2 hypertension
    C. Stage 1 hyptension
    (this multiple choice question has been scrambled)
  22. The nurse acknowledges that the first-line drug for treating a client w/stage 1 HTN is which?
    A. Alpha blocker
    B. Diuretic
    C. Alpha/beta blocker
    D. ACE inhibitor
    B. Diuretic
    (this multiple choice question has been scrambled)
  23. The nurse is aware that which group(s) of Anti-hypertensive drugs are less effective in African-American clients?
    A. Diuretics
    B. Beta Blockers & ACE inhibitors
    C. Alpha Blockers
    D. Calcium Channel Blockers & Vasodilators
    C. Alpha Blockers
    (this multiple choice question has been scrambled)
  24. The nurse knows that which diuretic is most frequently combined w/an Anti-hypertensive drug?
    A. HCTZ
    B. Potassium-sparing diuretic
    C. Chlorthalidone
    D. bendroflumethiazide
    A. HCTZ
    (this multiple choice question has been scrambled)
  25. The nurse explains that which Beta Blocker category is preferred for treating HTN?
    A. Beta1 blocker
    B. Beta2 blocker
    C. Beta1 & beta2 blockers
    D. Beta1 & beta3 blockers
    B. Beta2 blockers
    (this multiple choice question has been scrambled)
  26. Captopril has been ordered for a client.  The nurse teaches the client that ACE inhibitors have which common s/e?
    A. Dizziness & HA
    B. N/V
    C. Upset stomach
    D. Constant, irritating cough
    B. N/V
    (this multiple choice question has been scrambled)
  27. A client is prescribed Losartan (Cozaar).  The nurse teaches the client that an (ARB) Angiotensin II Receptor Blocker acts by doing what?
    A. Preventing the release of angiotensin I
    B. Promoting the release of aldosterone
    C. Blocking angiotensin II from AT1 receptors
    D. Inhibiting angiotensin-converting enzyme
    B. Promoting the release of aldosterone
    (this multiple choice question has been scrambled)
  28. What are the common s/e of Norvasc (Chalcium Channel Blocker)?
    fluch, HA, dizziness, ankle edema, bradycardia, AV block
  29. Which disorders are heparin effective in preventing? (select all that apply)
    a. Coronary Thrombosis
    b. Acute myocardial infarction
    c. Deep vein Thrombosis (DVT)
    d. Cerebrovascular Accident (CVA) (Stroke)
    e. Venous Disorders
    • a. Coronary Thrombosis
    • b. Acute MI
    • c. DVT
    • d. CVA
    • e. Venous disorders
  30. A client who received heparin begins to bleed, & the Dr calls for the antidote.  The nurse knows what which is the antidote for heparin?
    A. protamine sulfate
    B. vitamin K
    C. vitamin C
    D. aminocaproic acid
    A. protamine sulfate
    (this multiple choice question has been scrambled)
  31. A client is prescribed Lovenox.  The nurse knows that low-molecular-weight heparin has what kind of half-life?
    A. The same half-life as heparin
    B. A shorter half-life than heparin
    C. A four-times shorter half-life than heparin
    D. A longer half-life than heparin
    D. longer half-life than heparin
    (this multiple choice question has been scrambled)
  32. The nurse is teaching a client about Plavix.  What is important information to include?
    A. Hypotension may occur
    B. Bleeding may ^when taking aspirin
    C. Constipation may occur
    D. Normal dose is 25mg/day
    B. Bleeding may ^when taking aspirin
    (this multiple choice question has been scrambled)
  33. A client is prescribed (dalteparin) Fragmin.  LMWH is administered via which route?
    A. SubQ
    B. IV
    C. IM
    D. Intradermally
    A. SubQ
    (this multiple choice question has been scrambled)
  34. A client is being changed from an injectable anticoagulant to an oral anticoagulant.  Which anticoagulant does the nurse realize is administered orally?
    A. Coumadin
    B. Lovenox
    C. Angiomax
    D. Refludan
    A. coumadin
    (this multiple choice question has been scrambled)
  35. Cilostazol (Pletal) is being prescribed for a client w/coronary artery disease.  The nurse knows that which is the major purpose for antiplatelet drug therapy?
    A. To <tissue necrosis
    B. To dissolve the blood clot
    C. To suppress platelet aggregation
    D. To inhibit hepatic synthesis of Vitamin K
    C. To suppress platelet addregation
    (this multiple choice question has been scrambled)
  36. A client is admitted to the ER w/Acute MI.  Which drug category does the nurse expect to be given to the client early for the prevention of tissue necrosis following blood clot blockage in a coronary or cerebral artery?
    A. Thrombolytic agent
    B. Low-molecular-weight heparin (LMWH)
    C. Anticoagulant agent
    D. Antiplatelet agent
    A. Thrombolytic
    (this multiple choice question has been scrambled)
  37. The nurse realizes that which is the lab test ordered to determine the presence of the amino acid that can contribute to cardiovascular disease & stroke?
    A. homocysteine
    B. ceruloplasmin
    C. cryoglobulin
    D. antidiuretic hormone
    A. homocysteine
    (this multiple choice question has been scrambled)
  38. A client is taking lovasatin (Mevacor).  Which serum level is most important for the nurse to monitor?
    A. Liver enzymes
    B. Blood urea nitrogen
    C. Cardiac enzymes
    D. Complete blood count
    D. Complete blood count
    (this multiple choice question has been scrambled)
  39. The client is taking Crestor.  What severe skeletal muscle adverse reaction should the nurse observe for?
    A. Agranulocytosis
    B. Myasthenia Gravis
    C. Dyskinesia
    D. Rhabdomyolysis
    D. Rhabodomyolysis
    (this multiple choice question has been scrambled)
  40. When a client is taking Zetia, she asks the nurse how it works.  The nurse explains that it does what?
    A. Forms insoluble complexes & reduces circulating cholesterol in blood.
    B. Binds w/bile acids in the intestines to <LDL levels.
    C. Inhibits HMG-CoA reductase, which is necessary for cholesterol production in liver.
    D. Inhibits absorption of dietary cholesterol in the intestines.
    D. Inhibits absorption of dietary cholesterol in the intestines.
    (this multiple choice question has been scrambled)
  41. A client is Dx w/peripheral arterial disease (PAD).  He is prescribed Isoxsuprine (Vasodilan).  The nurse knows that this drug does what?
    • Relaxes the arterial walls w/in the skeletal muscles.
    • May cause Hypotension, chest pain, & palpitations

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