#Pharmacology #Nursingschool #NCLEX
Hey alpha nurses i’m not sandra from offendersguide.com this is nclex pen review lesson 28 we’re going to be doing cardiovascular medication questions as always you guys can follow me on facebook instagram and tick tock to get any updates all links are in the description without the way let’s get started question one the nurse is planning to administer amlodipine
To a client the nurse should plan to check which before giving the medication a respiratory rate b blood pressure and heart rate c heart rate and respiratory rate d level of consciousness and blood pressure the correct answer is b blood pressure and heart rate rationale and lodipine is a calcium channel blocker this medication decreases the rate and force of
Cardiac contraction before administering a calcium channel blocking agent the nurse should check the blood pressure and heart rate which could both decrease in response to the action of this medication this action will help to prevent or identify early problems related to decreased cardiac contractility heart rate and conduction question two a client who has
Begun taking fossil april is very distressed telling the nurse that he cannot taste food normally since beginning the medication two weeks ago which suggestion would provide the best support for the client a tell the client not to take the medication with food b suggest that the client taper the dose until taste returns to normal c inform the client that impaired
Taste is expected and generally disappears in two to three months d tell the client that a request will be made to the health care provider to change the prescription the correct answer is c inform the client that impaired taste is expected and generally disappears in two to three months rationale ace inhibitors such as fossenapril cause temporary impairment of
Taste the nurse can tell the client that this effect usually disappears in two to three months even with continued therapy and provide nutritional counseling if appropriate to avoid weight loss options a b and d are inappropriate actions taking this medication with or without food does not affect absorption and action the dosage should never be tapered without
Hcp approval and the medication should never be stopped abruptly question three the nurse is preparing to administer digoxin 0.125 milligrams orally to a client with heart failure which vital sign is most important for the nurse to check before administering the medication a heart rate b temperature c respirations d blood pressure the correct answer is a heart
Rate rationale digoxin is a cardiac glycoside that is used to treat heart failure and acts by increasing the force of myocardial contraction because bradycardia may be a clinical sign of toxicity the nurse counts the apical heart rate for one full minute before administering the medication if the pulse rate is less than 60 beats per minute in an adult client the
Nurse would withhold the medication and contact the health care provider question four a client who is taking hydrochlorothiazide has been started on triamterene as well the client asks the nurse why both medications are required which response is the most accurate to give to the client a both are weak potassium excreting diuretics b the combination of these
Medications prevents renal toxicity c hydrochlorothiazide is an expensive medication so using a combination of diuretics is cost effective d triamterene is a potassium retaining diuretic whereas hydrochlorothiazide is a potassium excreting diuretic the correct answer is d triantarine is a potassium retaining diuretic whereas hydrochlorothiazide is a potassium
Excreting diuretic rationale potassium retaining diuretics include amiloride spironolactone and triamterene they are weak diuretics that are used in combination with potassium excreting diuretics this combination is useful when medication and dietary supplement of potassium is not appropriate the use of two different diuretics does not prevent renal toxicity
Hydrochlorothiazide is an effective and inexpensive generic form of the thiazide classification of diuretics question five the nurse is caring for a client who has been prescribed furosemide and is monitoring for adverse effects associated with this medication which should the nurse recognize as potential adverse effects select all that apply a nausea b tinnitus
C hypotension d hypokalemia e photosensitivity f increased urinary frequency the correct answers are b tinnitis c hypotension and d hypokalemia rationale furosemide is a loop diuretic therefore an expected effect is increased urinary frequency nausea is a frequent side effect not an adverse effect photosensitivity is an occasional side effect adverse effects
Include tinnitus hypotension and hypokalemia question six the nurse provides medication instructions to an older hypertensive client who is taking 20 milligrams of lisinopril orally daily the nurse evaluates the need for further teaching when the client makes which statement a i can skip a dose once a week b i need to change my position slowly see i take the
Pill after breakfast each day d if i get a bad headache i should call my health care provider immediately the correct answer is a i can skip a dose once a week rationale lisinopril is an anti-hypertensive angiotensin converting enzyme inhibitor the usual dosage range is 20 to 40 milligrams per day adverse effects include headache dizziness fatigue orthostatic
Hypotension tachycardia and angioedema specific client teaching points include taking one pill a day not stopping the medication without consulting the health care provider and monitoring for side effects and adverse reactions the client should notify the hcp if side effects occur question 7 a client complaining of not feeling well is seen in a clinic the client
Is taking several medications for the control of heart disease and hypertension these medications include a beta blocker digoxin and a diuretic a tentative diagnosis of digoxin toxicity is made which assessment data supports this diagnosis a dyspnea edema and palpitations b chest pain hypertension and paresthesia c double vision loss of appetite and nausea
D constipation dry mouth and sleep disorder the correct answer is c double vision loss of appetite and nausea rationale double vision loss of appetite and nausea are signs of digoxin toxicity additional signs of digoxin toxicity include bradycardia difficulty reading visual alterations such as green and yellow vision or seeing spots or halos confusion vomiting
Diarrhea decreased libido and impotence question eight a client is being treated for acute heart failure with intravenously administered bumetanide the vital signs are as follows blood pressure 100 over 60 pulse 96 beats per minute and respirations 24 breaths per minute after the initial dose which is the priority assessment a monitoring weight loss b monitoring
Temperature c monitoring blood pressure d monitoring potassium level the correct answer is c monitoring blood pressure rationale bumetanide is a loop diuretic hypertension is a common side effect associated with the use of this medication the other options also require assessment but are not the priority that’s all live for this video please like share let me
Know if you have any questions if not i’ll see you in the next video thanks for watching
Transcribed from video
NCLEX PN Questions and Answers #28 | Cardiovascular Medication Questions | Pharmacology Questions By Alpha Nurse Guide For LPN \u0026 LVN
