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ATI Cardiac Meds Pt 1 Questions With Complete Solutions
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ATI Cardiac Meds Pt 1 Questions With Complete Solutions
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ATI Cardiac Meds Pt 1 Questions With Complete SolutionsA cardiac patient presents to the ER with a severe headache,
nausea, and heart palpitations, though he is clinically stable. He
is currently taking digoxin (cardiac glycoside) for heart failure
and furosemide (loop diuretic) for HTN and has not missed any
doses. What do you suspect is likely happening in this scenario
and what would be important to assess first to confirm?
a. Could be an allergic reaction to 1 or both medications; assess
airway
b. Likely digoxin toxicity related to low K+ levels; assess
electrolyte labs
c. Potential MI; assess echocardiogram
d. Could be severe GERD; assess stools for guaiac positive
blood Correct Answer b. Likely digoxin toxicity related to low
K+ levels; assess electrolyte labs
- anticipate administering digoxin immune Fab
A Ct is about to start taking aliskiren (direct renin inhibitor) to tx
HTN. What should you tell the Ct to avoid to ensure optimal
absorption of this drug? Correct Answer * Fatty foods: they
reduce the absorption of this drug.
A Ct is about to start taking hydrochlorothiazide for HTN. To
assess for adverse effects of this drug, you monitor for what
during drug therapy? Correct Answer * Hyponatremia
* Hypokalemia
* Dehydration
,A Ct is taking bumetanide and spironolactone. You explain to
the Ct that using these drugs together may reduce the risk of
which adverse effects? Correct Answer * Hypokalemia.
Spironolactone is a K+- sparing diuretic which causes retention
of K+
* Bumetanide is a K+-wasting drug, a high-ceiling loop diuretic
A diabetic patient is diagnosed with HTN and is starting therapy
with hydrochlorothiazide (thiazide diuretic). What would be key
teaching points about this medication to review with this patient
during their clinic visit? Select all that apply.
a. "You will likely need less insulin as this drug tends to
decrease blood sugar."
b. "You may feel dizziness when changing positions too quickly,
so be careful."
c. "You should weigh yourself once a week and let us know at
your next appointment how your weights have been trending."
d. "This medication tends to drop your K+ levels, so watch for
fatigue, heart palpitations & leg cramping and let us know if
those occur." Correct Answer b. "You may feel dizziness when
changing positions too quickly, so be careful."
d. "This medication tends to drop your K+ levels, so watch for
fatigue, heart palpitations & leg cramping and let us know if
those occur."
A newly dx heart failure is d/c on lasix (loop diuretic) what
would the RN teach the pt about diuretic? Correct Answer
Weigh yourself every morning at the same time
,a nurse caring for a client who is taking digoxin and develops
changes in their ECG tracing and other manifestations that
indicate the client has severe digoxin toxicity. which of the
following drugs should the nurse expect to administer to treat
this complication? Correct Answer Antigen-binding fragments,
also called digoxin immune Fab, binds to digoxin and blocks its
action. The nurse should prepare to administer this antidote IV
to clients who have severe digoxin toxicity.
a nurse is administering hydrochlorothiazide to a client who has
gouty arthritis. the nurse should monitor the client for what
findings that indicates an adverse effect of this drug? Correct
Answer Hyperuricemia, or increased uric acid levels, along
with gouty arthritis, can occur in clients who have a history of
these conditions
a nurse is assessing a client who is taking a loop diuretic and is
experiencing a thready, irregular pulse. orthostatic hypotension,
and confusion. the nurse should identify that these
manifestations indicate what adverse effects? Correct Answer
Manifestations of hypokalemia:
- a thready, irregular pulse
- orthostatic hypotension
- anxiety, confusion
- skeletal muscle weakness
- hypoactive bowel sounds
- polyuria, nausea, and vomiting.
a nurse is caring for a client who has a new prescription for
aliskiren to treat hypertension. the nurse should monitor the
client for what findings as an adverse effect of the drug?
, Correct Answer Hyperkalemia. Aliskiren, a direct renin
inhibitor, can cause elevated potassium levels, especially when
taken in combination with an ACE inhibitor, potassium
supplements, or potassium-sparing diuretics. The nurse should
obtain a potassium level at baseline and periodically monitor the
client's potassium level thereafter.
Throat swelling. Aliskiren can cause angioedema, which is
swelling of the mouth and throat. Clients who develop this
adverse effect should stop taking the drug and seek medical
attention.
Constipation. Constipation is not an adverse effect of aliskiren.
This drug can cause diarrhea.
Cough. Aliskiren, a direct renin inhibitor, can cause a cough.
a nurse is caring for a client who is about to begin captopril
therapy. what adverse effects should the nurse instruct the client
to report because it can indicate a need to discontinue drug
therapy? Correct Answer Rash. Captopril, an ACE inhibitor,
can cause a persistent rash. This often indicates the need to
discontinue drug therapy.
Distorted. Captopril can cause distortions in taste sensations and
loss of taste, which can lead to anorexia and weight loss. This
often indicates the need to discontinue drug therapy.
Swelling of the tongue. Captopril can cause angioedema, often
manifesting as edema of the tongue, pharynx, and glottis. Clients
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