nurs6521 week 3 quiz latest 

Week 3 quiz

Question 1

A nurse is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the nurse
assess before beginning drug therapy?

Question 2

A normal maintenance dose for digoxin is 0.125 to 0.5
mg/day. In which of the following patients would the nurse most likely
administer a lower-than-normal maintenance dose of digoxin?

Question 3

A nurse is the cardiac care unit is preparing to hang an
intravenous dose of dofetilide (Tikosyn) for a patient who has just been
admitted. What is the most likely goal of this intervention?

Question 4

A 58-year-old man is admitted to the emergency department. A
diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?

Question 5

A nurse is caring for a patient who is admitted into the
cardiac care unit with acute, decompensated heart failure. Nesiritide
(Natrecor) has been ordered. When preparing for administration of the drug, the
nurse will

Question 6

A 62-year-old man has been prescribed extended-release
lovastatin. The nurse will instruct the patient to take the medication

Question 7

A 70-year-old woman with a history of atrial fibrillation
takes digoxin and verapamil to control her health problem. Verapamil achieves a
therapeutic effect by

Question 8

A nurse is caring for a male patient who has a diagnosis of
coronary artery disease (CAD). His drug therapy includes lovastatin. Because
the patient has a history of severe renal disease, the nurse will assess for
which of the following?

Question 9

A female patient is taking 0.125 mg of digoxin daily for
heart failure. At a recent clinic visit she reports that since she has been on
the drug, she can breathe better and her heart rate has been around 74 beats
per minute. The nurse weighs the patient and notices that she has gained 10
pounds since the digoxin therapy was started. The patient is concerned that the
additional weight will necessitate an increase in the medication. Which of the
following is an appropriate response by the nurse?

Question 10

A nurse has been following a male patient who is taking
hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of
medication therapy, the patient begins to complain of numbness and tingling in
his hands and feet. The nurse suspects that these signs or symptoms are

Question 11

A nurse is responsible for patient education for a
48-year-old woman who has been prescribed colestipol. The nurse will instruct
the patient to take the medication

Question 12

A nurse is caring for a patient who is taking digoxin and a
loop diuretic. Which of the following would be most important for the nurse to
monitor?

Question 13

A patient has been prescribed lovastatin for a high
cholesterol level. The nurse’s teaching plan will include a basic explanation
of how the drug produces its therapeutic effect. The nurse will explain that
lovastatin lowers cholesterol levels because it

Question 14

A patient is brought to the emergency department in
hypertensive crisis. Nitroprusside is administered intravenously. The patient
experiences diaphoresis and dizziness. Which of the following is the
appropriate action by the nurse?

.

Question 15

A 39-year-old African-American male is 25 pounds overweight
and has been diagnosed with hypertension after three consecutive above-normal
blood pressure readings. The most likely initial drug therapy for this patient
will be

Question 16

A 55-year-old man’s hypertension has not responded
adequately to his current medication regimen consisting or an ACE inhibitor, a
beta-blocker and a thiazide diuretic. As a result, he will soon begin taking
hydralazine (Apresoline) in addition to his existing antihypertensives. The
addition of this medication to his regimen means that the nurse must prioritize
which of the following nursing actions?

Question 17

A patient has recently been prescribed a drug that treats
his hypertension by blocking the sympathetic receptors in his sympathetic
nervous system. This action is characteristic of

Question 18

An expected outcome for a patient who has just taken
sublingual nitroglycerin should be

Question 19

A patient is admitted to the emergency department with
severe chest pain. The emergency department physician orders intravenous
nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per
infusion pump as needed. Before administering the nitroglycerin, the nurse
should prioritize which of the following assessments?

Question 20

A nurse is caring for a patient with chronic angina. The
patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following
signs or symptoms would the nurse attribute to being a common adverse effect of
this medication?

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