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Q 1/23
Score 0
A patient begins taking an ACE inhibitor and complains of a dry cough. What does the nurse correctly tell the patient about this symptom?
30
It may be uncomfortable enough that the drug will need to be discontinued.
It indicates that a serious side effect has occurred.
It is a common side effect that occurs in almost all patients taking the drug.
It occurs frequently in patients taking the drug but will subside over time.
Q 2/23
Score 0
A female patient who is not taking any other medications is prescribed aliskiren [Tekturna], a direct renin inhibitor (DRI). The nurse reviews medication information with the patient. Which statement by the patient indicates understanding of the teaching?
30
“If I take this drug with a high-fat meal, it will be more effective.”
“I should take this medication 1 hour before sitting down to a meal.”
“I should restrict my potassium intake while taking this drug.”
“If I get pregnant, I should stop taking this drug by the second trimester.”
23 questions
Q.
A patient begins taking an ACE inhibitor and complains of a dry cough. What does the nurse correctly tell the patient about this symptom?
1
30 sec
Q.
A female patient who is not taking any other medications is prescribed aliskiren [Tekturna], a direct renin inhibitor (DRI). The nurse reviews medication information with the patient. Which statement by the patient indicates understanding of the teaching?
2
30 sec
Q.
A female patient taking an ACE inhibitor learns that she is pregnant. What will the nurse tell this patient?
3
30 sec
Q.
A patient with diabetes develops hypertension. The nurse will anticipate administering which type of medication to treat hypertension in this patient?
4
30 sec
Q.
A patient is taking clonidine for hypertension and reports having dry mouth and drowsiness. What will the nurse tell the patient?
5
30 sec
Q.
A nursing student asks the nurse why multi-drug therapy is often used to treat hypertension. Which statement by the student indicates a need for further teaching?
6
30 sec
Q.
A patient who takes warfarin [Coumadin] is brought to the emergency department after accidentally taking too much warfarin. The patient’s heart rate is 78 beats per minute and the blood pressure is 120/80 mm Hg. A dipstick urinalysis is normal. The patient does not have any obvious hematoma or petechiae and does not complain of pain. The nurse will anticipate an order for:
7
30 sec
Q.
A patient with atrial fibrillation is receiving warfarin [Coumadin]. The nurse notes that the patient’s INR is 2.7. Before giving the next dose of warfarin, the nurse will notify the provider and:
8
30 sec
Q.
A patient who is taking warfarin [Coumadin] has just vomited blood. The nurse notifies the provider, who orders lab work revealing a PT of 42 seconds and an INR of 3.5. The nurse will expect to administer:
9
30 sec
Q.
A patient is taking enalapril [Vasotec]. The nurse understands that patients taking this type of drug for heart failure need to be monitored carefully for:
10
30 sec
Q.
A patient with volume overload begins taking a thiazide diuretic. The nurse will tell the patient to expect which outcome when taking this drug?
11
30 sec
Q.
A nurse prepares to administer a scheduled dose of digoxin. The nurse finds a new laboratory report showing a plasma digoxin level of 0.7 ng/mL. What action should the nurse take?
12
30 sec
Q.
A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse correctly states, “Nitroglycerin:
13
30 sec
Q.
A hospitalized patient complains of acute chest pain. The nurse administers a 0.3-mg sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vital signs remain stable. What is the nurse’s next step?
14
30 sec
Q.
A patient with variant angina wants to know why a beta blocker cannot be used to treat the angina. Which response by the nurse is correct?
15
30 sec
Q.
A patient who takes nitroglycerine to treat stable angina reports having erectile dysfunction and states that he plans to ask his primary provider for a prescription for tadalafil [Cialis]. What will the nurse tell this patient?
16
30 sec
Q.
Which two classes of antidysrhythmic drugs have nearly identical cardiac effects?
17
30 sec
Q.
A nurse is teaching a patient who is about to undergo direct-current (DC) cardioversion to treat atrial flutter. The patient has been taking verapamil and warfarin for 6 months. Which statement by the patient indicates understanding of the teaching?
18
60 sec
Q.
A prescriber has ordered propranolol [Inderal] for a patient with recurrent ventricular tachycardia. The nurse preparing to administer this drug will be concerned about what in the patient’s history?
19
30 sec
Q.
A patient is in the intensive care unit after a myocardial infarction. The nurse notes that the QT interval on this patient’s electrocardiogram has been elongating. The nurse is concerned that which cardiac dysrhythmia may occur?
20
30 sec
Q.
what are the properties of an ideal drug
21
30 sec
Q.
before administrating a medication, what does the nurse need to know to evaluate how individual patient variability might affect the patients response to the medication?
22
60 sec
Q.
A patient takes ACE inhibitors to treat hypertension and tells the nurse that she wants to become pregnant. She asks whether she should continue taking the medication while she is pregnant. What will the nurse tell her.