Question 1 A patient has a new order for the betablocker metoprolol Lopressor When providing education about this drug the nurse will include which instructions Do not tell pt s to weigh themselves everyday Be sure to lie down after taking the first dose because first dose hypotension may make you dizzy Question 2 During a follow up visit the health care provider examines the fundus of the patient s eye Afterward the patient asks the nurse Why is he looking at my eyes when I have high blood pressure It does not make sense to me What is the best response by the nurse The provider is making sure the treatment is effective over the long term Question 3 When counseling a male patient about the possible adverse effects of antihypertensive drugs the nurse will discuss which potential problem Impotence Sexual dysfunction is a common complication of antihypertensive medications and may be manifested in men as decreased libido or impotence Question 4 A patient s blood pressure elevates to 270 150 mm Hg and a hypertensive emergency is obvious He is transferred to the intensive care unit and started on a sodium nitroprusside Nipride drip to be titrated per his response With this medication the nurse knows that the maximum dose of this drug should be infused for how long Nipride is a vasodilator 10 minutes Question 5 A patient with primary hypertension is prescribed drug therapy for the first time The patient asks how long drug therapy will be needed Which answer by the nurse is the correct response Lifelong Question 6 A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs Question 7 A patient with type 2 diabetes mellitus has been found to have trace proteinuria in their urine The prescriber writes an order for an angiotensin converting enzyme ACE inhibitor What is the main reason for prescribing this class of drug for this patient ACE inhibitors protects the kidneys Question 8 The nurse is reviewing the orders for a patient and notes a new order for an angiotensin converting enzyme ACE inhibitor The nurse checks the current medication orders knowing that this drug class may have a serious interaction with what other drug class ACE inhibitors have interactions with NSAIDS Question 9 An elderly patient will be taking a vasodilator for hypertension Which adverse effect is of most concern for the older adult patient taking this class of drug Hypotension Question 10 When the nurse is administering topical nitroglycerin ointment which technique is correct Ointment should be removed before a new dose is applied Clean dry hairless skin of the upper arms or body not below the elbows or knees Do not massage Question 11 A patient has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets When teaching the patient how to use sublingual nitroglycerin the nurse will include which instruction Nitroglycerin if the chest pain is not relieved after one tablet call 911 immediately Question 12 A calcium channel blocker CCB is prescribed for a patient and the nurse provides instructions to the patient about the medication Which instruction is correct CCB a high fiber diet with plenty of fluids will help prevent the constipation that may occur Question 13 A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy He also has type II diabetes and hyperthyroidism When discussing possible adverse effects the nurse will include which information Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia Question 14 What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy Taking it off at bed time and reapplying in the morning Question 15 While assessing a patient who is taking a beta blocker for angina the nurse knows to monitor for which adverse effect Bradycardia Question 16 When teaching a patient who has a new prescription for transdermal nitroglycerin patches the nurse tells the patient that these patches are most appropriately used for which situation To prevent the occurrence of angina Question 17 A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats minute What will the nurse do next If the pulse is below 60 or higher than 100 you want to withhold the dose and notify the doctor Question 18 A patient is taking digoxin Lanoxin and a loop diuretic furosemide Lasix daily When the nurse enters the room with the morning medications the patient states I am seeing a funny yellow color around the lights What is the nurse s next action Assess the pt for symptoms of digoxin toxicity Seeing colors is an indication of developing digoxin toxicity Bradycardia headache dizziness confusion nausea and blurred vision Question 19 While assessing a patient who is receiving intravenous digitalis the nurse recognizes that the drug has a negative chronotropic effect How would this drug effect be evident in the patient Decreased heart rate Question 20 A patient has been taking digoxin at home but took an accidental overdose and has developed toxicity The patient has been admitted to the telemetry unit where the physician has ordered digoxin immune Fab Digifab The patient asks the nurse why the medication is ordered What is the nurse s best response Question 21 A patient has been placed on a milrinone Primacor infusion as part of the therapy for end stage heart failure What adverse effect of this drug will the nurse watch for when assessing this patient during the infusion This drug is an antidote Cardiac dysrhythmias primary adverse effects seen with milirone are cardiac dysrhythmias mainly ventricular May also cause hypotension hypokalemia and other effects but not nausea and vomiting Question 22 A patient has a digoxin level of 1 4 ng mL The nurse interprets that this level is Within the therapeutic range Question 23 The nurse is reviewing discharge teaching for a patient who will be taking digoxin Lanoxin therapy The nurse will teach the patient to avoid which foods when taking the digoxin Bran muffin Leafy green beggies may cause problems if pt is on blood thinners next test Question 24 In assessing a patient before administration of a cardiac glycoside the nurse knows that which lab result can increase the toxicity of the drug K level of 2 8 Question 25 The nurse administering the phosphodiesterase inhibitor milrinone