Pathopharmacology SU1 22 Quiz 4 The Cardiovascular and Urinary System
Q1
The nurse is caring for a patient with chronic hypertension. The patient is receiving losartan (Cozaar) daily. Which manifestations would the nurse conclude is an adverse effect of this medication?
Dizziness, hypoglycemia, angioedema
Q2
The nurse is caring for a patient with chronic stable angina who is receiving isosorbide dinitrate (Isordril). Which of the following are common adverse effects of isosorbide?
light headedness and dizziness
Q3
Which of the following health teaching would the nurse NOT provide to a patient receiving diltiazem (Cardizem)?
Rise quickly from prolonged periods of sitting or lying down.
Q4
Erectile dysfunction drugs such as sildenafil (Viagra) are contraindicated in patients taking nitrates for angina. What is the primary concern with concurrent administration of these drugs?
They also decrease blood pressure and may result in prolonged and severe hypotension when combined with nitrates.
Q5
What is the first goal of patient in shock?
Provide basic life support
Q6
Vasoconstrictors are critical care drugs sometimes needed during severe shock to maintain blood pressure. Choose all vasoconstrictors.
dopamine
levophed
nitroglycerin
lasix
epinephrine
Q7
Nursing assessment of a patient receiving normal serum albumin for treatment of shock should include which of the following?
Q8
Choose the types of shock
Q9
Common adverse effects of antidysrhythmic medications include which of the following
Q10
When monitoring for therapeutic effect of any antidysrhythmic drug, the nurse would be sure to assess which essential parameter?
Q11
Beta-adrenergic blockers act by reducing automaticity as well as by slowing conduction velocity across the myocardium.
Q12
The patient is taking atenolol (Tenormin) and doxazosin (Cardura). What is the rationale for combining two antihypertensive drugs?
Q13
The electrocardiograph may be used to record electophysiologic events in the heart and to diagnose dysrhythmias.
Q14
The normal coagulation process can be modified by a number of different mechanisms, including inhibiting specific clotting factors, inhibiting platelet function and destroying fibrin. true false
Q15
What patient education should be included for a patient receiving enoxaparin (Lovenox)?
Q16
A patient has started clopidogrel (Plavix) after experiencing a transient ischemic attack. What is the desired therapeutic effect of this drug?
Q17
A patient with a history of DVT and PE has been discharged from the hospital with an order to take Warfarin daily. Which labs will the provider monitor to ensure a therapeutic dose?
Activated partial thromboplastin time
platelet count
hemoglobin and hematocrit
international normalized ratio
Q18
An older adult patient diagnosed with iron deficiency anemia will be taking ferrous sulfate. The nurse will teach which of the required administration guidelines to the patient?
Q19
Darbepoetin (Aranesp) is order for each of the following patients. The nurse would question the order for which condition?
Q20
Anemias are classified based on a description of the size and color of the erythrocyte. Depending on the type of anemia, the symptoms may vary.
Q21
The kidneys regulate fluid volume, electrolytes and acid-base balance.
Q22
Potassium-sparing diuretics are more effective than loop diuretics.
Q23
Leo Marshall is a 72 year old with a history of HTN, CKD, and angina. He is on a low sodium, low protein diet and has been adhering to his treatment plan.
Q24
The nurse is providing teaching to a patient who has been prescribed furosemide (lasix). Which of the following should the nurse teach the patient?
Q25
The renin-angiotensin-alderosterone system (RAAS) is one of the primary homeostatic mechanisms controlling blood pressure and fluid balance in the body. Drugs that affect RAAS decrease blood pressure and increase urine volume. These drugs are widely used in the pharmacotherapy of HTN, HF, and MI. These are ACE inhibitors. Select all ACE inhibitors.
Q26
Lisinopril (Prinivil) is part of the treatment regimen for a patient with heart failure. The nurse monitors the patient for the development of which adverse effects of this drug?
Q27
The patient is prescribed digixon (lanoxin) for treatment of heart failure. Which statement by the patient indicates the need for further teaching?
Q28
A patient with heart failure has an order for lisinopril (Zestril). Which condition in the patient’s history would lead the nurse to confirm the order with the provider?
Q29
A 69 year old patient has a sudden onset of acute pulmonary edema. The patient has no past cardiac history, is allergic to sulfa antibiotics, and routinely takes no other medications. The healthcare provider orders furosemide (lasix) to relieve the pulmonary congestion, along with digoxin (Lanoxin) to improve the patient’s hemodynamic status. Which labs should the provider pay special attention to?
Q30
The patient is being discharged with nitroglycerin for sublingual use. While planning patient education, what instruction will the nurse include?……………………………….$30
