NClex Questions - NClex Questions a. "Apply the patch to a nonhai...

Pharmacology Cardiovascular Drugs NClex Questions

• "Apply the patch to a nonhairy area of the upper torso or arm." - A client is to be discharged

home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan?

• "Apply the patch to a nonhairy area of the upper torso or arm."
• "Apply the patch to the same site each day."
• "If you have a headache, remove the patch for 4 hours and then reapply."
• "If you have chest pain, apply a second patch next to the first patch."

• "I take aspirin daily for headaches." - A client is taking enoxaparin (Lovenox) daily. Which

client statement requires additional monitoring?

• "I take aspirin daily for headaches."
• "I take ibuprofen (Motrin) at least once a week for joint pain."
• "Whenever I have a fever, I take acetaminophen (Tylenol)."
• "I take my medicine first thing in the morning."

• "I will check my blood pressure daily and take my medication when it is over 140/90." - Which

statement indicates that the client needs additional instruction about antihypertensive treatment?

• "I will check my blood pressure daily and take my medication when it is over 140/90."
• "I will include rest periods during the day to help me tolerate the fatigue my medicine may

cause."

• "I will change my position slowly to prevent feeling dizzy."

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• "I will not mow my lawn until I see how this medication makes me feel."

• 150 to 200 mg/dL - The nurse knows that the client's cholesterol level should be within which

range?

• 150 to 200 mg/dL
• 200 to 225 mg/dL
• 225 to 250 mg/dL
• Greater than 250 mg/dL

• A longer half-life than heparin - A client is prescribed enoxaparin (Lovenox). The nurse knows

that low-molecular-weight heparin (LMWH) has what kind of half-life?

• A longer half-life than heparin
• A shorter half-life than heparin
• The same half-life as heparin
• A four-times shorter half-life than heparin

• Administer an additional dose of warfarin (Coumadin). - The client has an international

normalized ratio (INR) value of 1.5. What action will the nurse take?

• Administer an additional dose of warfarin (Coumadin).
• Hold the next dose of warfarin (Coumadin).
• Increase the heparin drip rate.
• Administer protamine sulfate.

• Administer ordered dose of digoxin. - A client's serum digoxin level is drawn, and it is 0.4

ng/mL. What is the nurse's priority action?A+

• Administer ordered dose of digoxin.
• Hold future digoxin doses.
• Administer potassium.
• Call the health care provider.

• Alteration in cardiac output related to effects on the sympathetic nervous system - Which is a

priority nursing diagnosis for a client taking an antihypertensive medication?

• Alteration in cardiac output related to effects on the sympathetic nervous system
• Knowledge deficit related to medication regimen
• Fatigue related to side effects of medication
• Alteration in comfort related to nonproductive cough

• Assess for reperfusion dysrhythmias. - What nursing intervention is essential for the client

receiving alteplase?

• Assess for reperfusion dysrhythmias.
• Monitor liver enzymes.
• Administer vitamin K if bruising is observed.
• Monitor blood pressure and stop the medication if blood pressure drops below 110 systolic.

• Beta1 blocker - The nurse explains that which beta blocker category is preferred for treating

hypertension?

• Beta1 blocker
• Beta2 blocker
• Beta1 and beta2 blockers

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• Beta2 and beta3 blockers

• Call the health care provider to switch the medication. - A nurse is caring for a client who is

taking an angiotensin-converting enzyme inhibitor and develops a dry, nonproductive cough.What is the nurse's priority action?

• Call the health care provider to switch the medication.
• Assess the client for other symptoms of upper respiratory infection.
• Instruct the client to take antitussive medication until the symptoms subside.
• Tell the client that the cough will subside in a few days.

• Client states that she has no chest pain. - Which client assessment would assist the nurse in

evaluating therapeutic effects of a calcium channel blocker?

• Client states that she has no chest pain.
• Client states that the swelling in her feet is reduced.
• Client states the she does not feel dizzy.
• Client states that she feels stronger.

• Coronary thrombosis
• Acute myocardial infarction
• Deep vein thrombosis (DVT)
• Cerebrovascular accident (CVA) (stroke)
• Venous disorders - When a newly admitted client is placed on heparin, the nurse

acknowledges that heparin is effective for preventing new clot formation in clients who have which disorder(s)? (Select all that apply.)

• Coronary thrombosis

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