Pharmacology Cardiovascular Drugs NClex Questions And Answers
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Course
Pharmacology - Cardiovascular Medications
Institution
Pharmacology - Cardiovascular Medications
b. 0.5 to 2.0 ng/mL - ANS A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL
a. It is in the high (elevated) range. - ANS T...
Pharmacology Cardiovascular Drugs
NClex Questions And Answers
b. 0.5 to 2.0 ng/mL - ANS A newly admitted client takes digoxin 0.25 mg/day. The nurse
knows that which is the serum therapeutic range for digoxin?
a. 0.1 to 1.5 ng/mL
b. 0.5 to 2.0 ng/mL
c. 1.0 to 2.5 ng/mL
d. 2.0 to 4.0 ng/mL
a. It is in the high (elevated) range. - ANS The client's serum digoxin level is 3.0 ng/mL.
What does the nurse know about this serum digoxin level?
a. It is in the high (elevated) range.
b. It is in the low (decreased) range.
c. It is within the normal range.
d. It is in the low average range.
d. Pulse below 60 beats/min and irregular rate - ANS 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?
a. Pulse (heart) rate of 100 beats/min
b. Pulse of 72 with an irregular rate
c. Pulse greater than 60 beats/min and irregular rate
d. Pulse below 60 beats/min and irregular rate
a. Increase the serum digoxin sensitivity level - ANS 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?
a. Increase the serum digoxin sensitivity level
b. Decrease the serum digoxin sensitivity level
c. Not have any effect on the serum digoxin sensitivity level
d. Cause a low average serum digoxin sensitivity level
b. Headaches - ANS When a client first takes a nitrate, the nurse expects which symptom
that often occurs?
,a. Nausea and vomiting
b. Headaches
c. Stomach cramps
d. Irregular pulse rate
c. Decrease heart rate and decrease myocardial contractility. - ANS The nurse
acknowledges that beta blockers are as effective as antianginals because they do what?
a. Increase oxygen to the systemic circulation.
b. Maintain heart rate and blood pressure.
c. Decrease heart rate and decrease myocardial contractility.
d. Decrease heart rate and increase myocardial contractility.
b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down. - ANS
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?
a. The beta blocker should be abruptly stopped when another cardiac drug is prescribed.
b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
c. The beta blocker dose should be maintained while taking another antianginal drug.
d. Half the beta blocker dose should be taken for the next several weeks.
c. To block the beta1-adrenergic receptors in the cardiac tissues - ANS The beta blocker
acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the primary
purpose of the drug?
a. To increase the beta1 and beta2 receptors in the cardiac tissues
b. To increase the flow of oxygen to 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
a. "Apply the patch to a nonhairy area of the upper torso or arm." - ANS A client is to be
discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include
in the client's teaching plan?
a. "Apply the patch to a nonhairy area of the upper torso or arm."
b. "Apply the patch to the same site each day."
c. "If you have a headache, remove the patch for 4 hours and then reapply."
d. "If you have chest pain, apply a second patch next to the first patch."
d. Client stating that pain is 0 out of 10 - ANS A nurse is monitoring a client with angina for
therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has
been effective?
, a. Blood pressure 120/80 mm Hg
b. Heart rate 70 beats per minute
c. ECG without evidence of ST changes
d. Client stating that pain is 0 out of 10
d. Chest pain - ANS The nurse is monitoring a client during IV nitroglycerin infusion. Which
assessment finding will cause the nurse to take action?
a. Blood pressure 110/90 mm Hg
b. Flushing
c. Headache
d. Chest pain
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." - ANS
Which statement made by the client demonstrates a need for further instruction regarding the
use of nitroglycerin?
a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief."
b. "I should keep my nitroglycerin in a cool, dry place."
c. "I should change positions slowly to avoid getting dizzy."
d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary."
a. Client states that she has no chest pain. - ANS Which client assessment would assist
the nurse in evaluating therapeutic effects of a calcium channel blocker?
a. Client states that she has no chest pain.
b. Client states that the swelling in her feet is reduced.
c. Client states the she does not feel dizzy.
d. Client states that she feels stronger.
d. "This medication will work for 24 hours and you will need to change the patch daily." - ANS
What statement is the most important for the nurse to include in the teaching plan for a client
who has started on a transdermal nitroglycerin patch?
a. "This medication works faster than sublingual nitroglycerin works."
b. "This medication is the strongest of any nitroglycerin preparation available."
c. "This medication should be used only when you are experiencing chest pain."
d. "This medication will work for 24 hours and you will need to change the patch daily."
c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night. - ANS
What will the nurse instruct the client to do to prevent the development of tolerance to
nitroglycerin?
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