Quizs With Answers graded A

Pharmacology Cardiovascular Drugs NClex Quizs With Answers (graded A+)

0.5 to 2.0 ng/mL - ANSWER A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin?

• 0.1 to 1.5 ng/mL
• 0.5 to 2.0 ng/mL
• 1.0 to 2.5 ng/mL
• 2.0 to 4.0 ng/mL

It is in the high (elevated) range. - ANSWER The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxin level?

• It is in the high (elevated) range.
• It is in the low (decreased) range.
• It is within the normal range.
• It is in the low average range.

Pulse below 60 beats/min and irregular rate - ANSWER The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity?

• Pulse (heart) rate of 100 beats/min
• Pulse of 72 with an irregular rate

• Pulse greater than 60 beats/min and irregular rate
• Pulse below 60 beats/min and irregular rate

Increase the serum digoxin sensitivity level - ANSWER The client is also taking a diuretic that decreases her potassium level. The nurse expects that a low potassium level (hypokalemia) could have what effect on the digoxin?

• Increase the serum digoxin sensitivity level
• Decrease the serum digoxin sensitivity level
• Not have any effect on the serum digoxin sensitivity level
• Cause a low average serum digoxin sensitivity level

Headaches - ANSWER When a client first takes a nitrate, the nurse expects which symptom that often occurs?

• Nausea and vomiting
• Headaches
• Stomach cramps
• Irregular pulse rate

Decrease heart rate and decrease myocardial contractility. - ANSWER The nurse acknowledges that beta blockers are as effective as antianginals because they do what?

• Increase oxygen to the systemic circulation.
• Maintain heart rate and blood pressure.
• Decrease heart rate and decrease myocardial contractility.
• Decrease heart rate and increase myocardial contractility.

The beta blocker should NOT be abruptly stopped; the dose should be tapered down. - ANSWER The health care provider is planning to discontinue a client's beta blocker.What instruction should the nurse give the client regarding the beta blocker?

• The beta blocker should be abruptly stopped when another cardiac drug is prescribed.
• The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
• The beta blocker dose should be maintained while taking another antianginal drug.
• Half the beta blocker dose should be taken for the next several weeks.

To block the beta1-adrenergic receptors in the cardiac tissues - ANSWER The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the primary purpose of the drug?

• To increase the beta1 and beta2 receptors in the cardiac tissues
• To increase the flow of oxygen to the cardiac tissues
• To block the beta1-adrenergic receptors in the cardiac tissues
• To block the beta2-adrenergic receptors in the cardiac tissues

"Apply the patch to a nonhairy area of the upper torso or arm." - ANSWER 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."

Client stating that pain is 0 out of 10 - ANSWER A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective?

• Blood pressure 120/80 mm Hg
• Heart rate 70 beats per minute
• ECG without evidence of ST changes
• Client stating that pain is 0 out of 10

Chest pain - ANSWER The nurse is monitoring a client during IV nitroglycerin infusion.Which assessment finding will cause the nurse to take action?

• Blood pressure 110/90 mm Hg
• Flushing
• Headache
• Chest pain

"I can take up to five tablets at 3-minute intervals for chest pain if necessary." - ANSWER Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin?

• "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief."
• "I should keep my nitroglycerin in a cool, dry place."
• "I should change positions slowly to avoid getting dizzy."
• "I can take up to five tablets at 3-minute intervals for chest pain if necessary."