Saunders: Pharmacology/Cardiovascular EXAM WITH ACTUAL CORRECT DETAILED ANSWERS
1 view 0 purchase
Course
Saunders: Pharmacology/Cardiovascular
Institution
Saunders: Pharmacology/Cardiovascular
Saunders:
Pharmacology/Cardiovascular EXAM WITH ACTUAL CORRECT
DETAILED ANSWERS Saunders:
Pharmacology/Cardiovascular EXAM WITH ACTUAL CORRECT
DETAILED ANSWERS Saunders:
Pharmacology/Cardiovascular EXAM WITH ACTUAL CORRECT
DETAILED ANSWERS Saunders:
Pharmacology/Cardiovascular EXAM...
CURRENTLY TESTING SOLUTIONS OF Saunders:
Pharmacology/Cardiovascular EXAM WITH ACTUAL CORRECT
DETAILED ANSWERS
a client with a history of heart failure calls the clinic and reports a 3-lb (1.4kg) weight gain over the past 2
days and increased ankle swelling. The nurse reviews the client's medications and anticipates the
immediate need for dosage adjustment of which medication?
1) Bumentanide
2) Candesartan
3) Carvedilol
4) Isosorbide - ANSWER-1) Bumetanide
A client is being discharged with a prescription for apixaban after being treated for a pulmonary
embolus. which clinical data is most concerning to the nurse?
1) client eats a vegetarian diet
2) client has chronic atrial fibrillation
3) client takes indomethacin for osteoarthritis
4) clients platelet count is 176 x 10^3/mm^3 - ANSWER-3) Client takes indomethacin for osteoarthritis
Most clients with heart failure are prescribed a - ANSWER-loop diuretic (furosemide, torsemide,
bumetanide)
,loop diuretics prescribed for heart failure reduce - ANSWER-fluid retention
Losartan, Valsartan, and Candesartan are commonly used - ANSWER-angiotensin II receptor blockers,
they are used in clients who cannot take ACE inhibitors for heart failure- do NOT effect the fluid status of
the client with HF
Metoprolol, bisporlol, and carvedilol are commonly used ___ for the treatment of heart failure -
ANSWER-beta blockers
What do beta blockers do? - ANSWER-they block the negative effects of the sympathetic nervous system
(increased heart rate) and reduce cardiac workload
Isorbide (nitrate) and hydralazine are used in african american clients with HF, they decrease cardiac
workload by reducing - ANSWER-preload and afterload
a pulmonary embolism occurs when the pulmonary arteries are blocked by a - ANSWER-thrombus
Initial management of a pulmonary embolism - ANSWER-low-molecular weight heparin (enoxaparin,
dalteparin) or unfractionated IV heparin
once a PE is resolved, maintenance drug therapy includes oral anticoagulants such as - ANSWER-factor
Xa inhibitors (apixaban, rivaroxaban, dabigatran)
When someone has a pulmonary embolism DO NOT combine these medications - ANSWER-
anticoagulants and NSAIDS- example apixaban (factor Xa inhibitors) and indomethacin (NSAID)
The nurse teaches the client taking atorvastatin to call the HCP if experiencing which symptom
associated with a serious adverse effect of atorvastatin?
1) diarrhea
2) headache
3) muscle aches
, 4) Numbness in the feet - ANSWER-3) muscle aches
Atorvastatin is prescribed for what - ANSWER-lower cholesterol and reduce risk of atherosclerosis and
coronary artery disease
Serious side effect of Atorvastatin and statin drugs - ANSWER-myopathy- with ongoing generalized
muscle aches and weakness
If a client develops muscle aches while on a statin drug the HCP provider will - ANSWER-obtain a blood
sample to assess the creatine kinase level, if there is myopathy, CK will be significantly elevated (>10x
normal)
A client with unstable angina and chronic kidney disease is receiving a continuous infusion of
unfractionated heparin. which value for activated partial thromboplastin time (aPTT) would indicate to
the nurse that heparin therapy is at optimal therapeutic level?
1) 30 seconds
2) 35 seconds
3) 60 seconds
4) 85 seconds - ANSWER-3) 60 seconds
Unfractionated heparin is an anticoagulant, prevents - ANSWER-clot formation
normal aPTT - ANSWER-25-35 seconds
Therapeutic value aPTT for heparin - ANSWER-46-70 seconds
A client is admitted to the cardiac unit with atrial fibrillation. Vital signs are shown in the exhibit. Which
prescription should the nurse perform FIRST?
VS:
temp: 98.2 (36.8)
bp: 120/80
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DrJudy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
