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LPN Nursing School · Pharmacology · 52 questions

Medications Affecting the Cardiovascular System practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Medications Affecting the Cardiovascular System, practise in the app.

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  1. 1A nurse is reviewing the medication list of a client who has chronic migraine headaches and is taking propranolol for prevention. Which finding should the nurse report to the provider?Answer →
  2. 2The nurse understands which 3 pharmacologic agents could be prescribed for this client for this condition?Answer →
  3. 3A nurse is reinforcing teaching with a client who will be self-administering enoxaparin subcutaneously using prefilled syringes. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  4. 4A client reports feelings of dizziness and weakness since starting on a beta-adrenergic blocking medication. What is the most appropriate action for the nurse to perform?Answer →
  5. 5A nurse is assisting with the admission of a client to the postpartum unit and is reviewing the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider?Answer →
  6. 6During thrombolytic therapy, the nurse monitors the client for adverse effects. What is the most common undesirable effect of thrombolytic therapy?Answer →
  7. 7A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication?Answer →
  8. 8A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication?Answer →
  9. 9A nurse is reinforcing teaching about nitroglycerin transdermal patches with a client who has a history of angina. Which of the following statements by the client indicates understanding of the instructions?Answer →
  10. 10Order: Digoxin 125 mcg BID. Available: Digoxin 0.25 mg/mL. How many milliliters will you administer per dose? (Round to the nearest tenth. Use a leading zero if applicable. Numerical answers only.)Answer →
  11. 11A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?Answer →
  12. 12A nurse is collecting data from a client who is receiving clopidogrel following the placement of a cardiac stent. Which of the following findings should the nurse identify as an adverse effect of this medication?Answer →
  13. 13The nurse provides care for an older adult client in the emergency department who reports weight gain and shortness of breath. The client has 2+ pedal edema. Which action does the nurse perform first?Answer →
  14. 14The client was started on digoxin 0.25 milligrams daily. Which finding indicates the medication is having a therapeutic effect?Answer →
  15. 15The nurse provides preoperative education to several clients having elective orthopedic surgery. The nurse emphasizes which treatment is implemented to decrease the risk for the development of venous thromboembolism (VTE) postoperatively? (Select all that apply.)Answer →
  16. 16A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?Answer →
  17. 17A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? (Select all that apply.)Answer →
  18. 18Which action by the nurse should be performed before a female client is prescribed lisinopril?Answer →
  19. 19A nurse is reinforcing teaching with a client who has a new prescription for benazepril. Which of the following instructions should the nurse include?Answer →
  20. 20A patient has been prescribed apixaban (Eliquis) for atrial fibrillation. Which nursing intervention is most appropriate to prevent complications associated with this medication?Answer →
  21. 21A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take?Answer →
  22. 22A nurse is preparing to administer enoxaparin 75 mg subcutaneous once daily to an antepartum client who has a clotting disorder. Available is enoxaparin injection 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) mLAnswer →
  23. 23A nurse is educating a client on administering enoxaparin (Lovenox) subcutaneously using a pre-filled syringe. Which statement would indicate successful teaching?Answer →
  24. 24The client presents to the clinic with hyperlipidemia and is placed on rosuvastatin. Which instruction should be given to the client?Answer →
  25. 25The nurse cares for a client with heart failure who has an ejection fraction of 22%. The nurse identifies which desired treatment outcome as the most appropriate for this client?Answer →
  26. 26A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?Answer →
  27. 27The client is receiving warfarin for atrial fibrillation. Which lab test will be monitored to evaluate therapeutic effectiveness?Answer →
  28. 28After administering the initial dose of enalapril to a client, it is most important for the nurse to assist the client with which activity?Answer →
  29. 29A client is receiving a heparin infusion for a pulmonary embolus. The nurse will anticipate adjusting the rate of infusion based on what laboratory value?Answer →
  30. 30A nurse is preparing to administer oral diltiazem to a client. Which assessment finding should prompt the nurse to hold the medication and notify the provider?Answer →
  31. 31A client in heart failure is started on beta blocker therapy with propranolol. What should the nurse evaluate prior to administering this medication?Answer →
  32. 32An older adult client is admitted with right-sided hemiparesis, slurred speech, and confusion, and is diagnosed with a stroke. The client has a history of hypertension and atrial fibrillation, and currently takes warfarin. Vital signs are: BP 185/60 mmHg, P 120 beats/minute, and R 18 breaths/minute. An electrocardiogram (ECG) shows atrial fibrillation with rapid ventricular response. Which health care provider order does the nurse expect? (Select all that apply.)Answer →
  33. 33The nurse is preparing to administer verapamil to a client. Which assessment finding is a contraindication to giving this medication?Answer →
  34. 34A nurse is administering heparin to a client with deep vein thrombosis (DVT). Which laboratory test should the nurse monitor to evaluate the therapeutic effect of heparin and guide dosage adjustments?Answer →
  35. 35A nurse is preparing to administer nitroglycerin to a client with angina. Which condition should the nurse recognize as a contraindication for nitrate therapy?Answer →
  36. 36A client is being treated for heart failure with digoxin. The nurse knows that certain electrolyte imbalances can increase the risk of digoxin toxicity. Which electrolyte imbalance should the nurse monitor for in the client?Answer →
  37. 37A client has recently been prescribed nitroglycerin for treatment of angina. The client calls the nurse complaining of frequent headaches. Which response to the client is appropriate?Answer →
  38. 38The client states, "I had a scare recently—the doctor said I had a mini-stroke. I want to try to live a healthier life. How can I do that?" Which topic does the nurse review with the client? (Select all that apply.)Answer →
  39. 39The nurse is evaluating the client's data collection findings at the follow up visit. The client's _ and _ require follow-up by the provider.Answer →
  40. 40A patient on warfarin therapy is prescribed a new medication. Which of the following medications should the nurse be most concerned about due to potential interaction?Answer →
  41. 41While assessing a client who is receiving antiarrhythmic drugs, the LPN/LVN notes the presence of hypotension, dizziness, and confusion. What is the priority intervention by the LPN/LVN?Answer →
  42. 42A nurse is reviewing discharge instructions with a client who is in preterm labor and has a new prescription for nifedipine 60 mg PO daily divided in three equal doses. Available is nifedipine 5 mg capsules. How many capsules should the nurse inform the client to take per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) capsule(s)Answer →
  43. 43The client in shock is experiencing symptomatic hypotension. The healthcare provider prescribes dopamine. Which of the following actions should the nurse implement to ensure the safe administration of intravenous (IV) dopamine? (Select all that apply.)Answer →
  44. 44A young adult client diagnosed with sickle cell disease (SCD) arrives at the clinic reporting increased pain and anemia. Vaso-occlusive crisis is diagnosed. The nurse understands which symptom is expected? (Select all that apply.)Answer →
  45. 45Which of the following findings should the nurse recognize as a classic adverse skin effect of amiodarone?Answer →
  46. 46The client states, "I always put my nitroglycerin patch in the same place so I do not forget to take it off." Which nursing response is most appropriate?Answer →
  47. 47The nurse checks a client's blood pressure before administering medications and gets a reading of 90/50 mmHg. How does the nurse proceed?Answer →
  48. 48The client has been diagnosed with an embolic stroke. Which medication would the nurse anticipate being administered to dissolve the blood clot and restore blood flow to the brain?Answer →
  49. 49The nurse is caring for a client prescribed digoxin for heart failure. The nurse is aware that which of the following are signs of digitalis toxicity? (Select all that apply.)Answer →
  50. 50The nurse provides care for a client after a total knee arthroplasty. Which action by the nurse helps prevent the development of a deep vein thrombosis (DVT)? (Select all that apply.)Answer →
  51. 51A client with a history of frequent premature ventricular contractions (PVCs) is prescribed metoprolol. After 3 days of therapy, the nurse notes a heart rate of 52 beats per minute and blood pressure of 90/58 mm Hg. Which of the following nursing actions is the most appropriate?Answer →
  52. 52A nurse is caring for a patient with peripheral arterial disease who has been prescribed cilostazol. Which therapeutic effect should the nurse expect as a result of this medication?Answer →