The Cardiovascular System

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A health care professional is caring for a patient who is about to begin taking losartan (Cozaar) to treat hypertension. The health care professional should tell the patient to report which of the following indications of an adverse reaction to the drug?

Facial edema

A health care professional is caring for a patient who is taking spironolactone (Aldactone) to treat hypertension. Which of the following laboratory values should alert the health care professional to take further action?

Serum potassium level of 5.2 mEq/L

When talking with a patient about taking eplerenone (Inspra) to treat hypertension, the health care professional should include which of the following instructions?

avoid use of salt substitutes

A health care professional is caring for a patient who is about to begin using transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. When talking with the patient about the drug, the health care professional should include which of the following instructions?

-Apply the patch to a hairless area and rotate sites -Apply a new patch each morning -Remove patches for 10-12 hours daily

A patient who is taking digoxin (Lanoxin) develops ECG changes and other manifestations that indicate severe digoxin toxicity. Which of the following drugs should the health care professional have available to treat this complication?

Fab antibody fragments

A patient who takes carvedilol (Coreg) for hypertension is about to being taking an oral anti diabetes drug to manage newly diagnosed type 2 diabetes mellitus. The health care professional should make sure the primary care provider is aware that the client is at increased risk for which of the following if she takes both drugs?

Hypoglycemia

A health care professional is caring for a patient who is about to begin aliskiren (Tekturna) therapy to treat hypertension. The health care professional should monitor the patient for which of the following adverse effects of the drug? SATA

-Hyperkalemia -Throat swelling -Cough

A health care professional is caring for a patient who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The health care professional should question the use of hydrochlorothiazide for the patient because of which of the following characteristics or the drug?

The drug does not promote diuresis for patients who have renal insufficiency

A health care professional should question the use of dobutamine for a patient who is receiving which of the following drug types? SATA

-MAOIs -General anesthetic -Tricyclic antidepressants -Beta blockers

A health care professional is about to administer atenolol (Tenormin) to a patient who has hypertension. Which of the following assessments should the healthcare professional perform prior to giving the patient the drug?

Apical pulse

A provider is considering the various drug therapy options for treating a patient’s cardiac dysthymia. He should be aware that which of the following antidysrhythmic drugs is appropriate only for short-term use because of its severe adverse effects with long-term use?

Procainamide

A health care professional is assessing a patient following the administration of nifedipine (Procardia). Recognizing the adverse effects of nifedipine, the health care professional should be prepared to administer which of the following drugs?

Propranolol (Inderal)

While talking with a patient about drug therapy options for hypertension, the provider notes that the patient also has some manifestations of depression that require treatment. Which of the following antihypertensive drugs is appropriate for the patient?

Reserpine

A health care professional is reviewing the history of a patient who is about to begin furosemide (Lasix)therapy to treat hypertension. Which of the following drugs that the patient takes should alert the health care professional to take further action?

Lithium (Lithobid) for bipolar disorder

A health care professional is caring for a patient who is about to begin captopril (Capoten) therapy to treat hypertension. When talking with the patient about taking the drug, the health care professional should tell her to report which of the following adverse effects because they can indicate a need to stop drug therapy?

-Rash -Distorted taste -Swelling of tongue -Dry cough

A health care professional should question the use of milrinone (Primacor) for a patient who currently has which of the following?

Acute myocardial infarction

A health care professional is caring for a patient who is about to begin taking ethacrynic acid (Edecrin) to treat heart failure. The health care professional should tell the patient to report which of the following indications of a potentially serious adverse reaction?

Hearing loss

A health care professional is caring for a patient who is about to begin taking propranolol (Inderal) to treat a tachydysrhythmia. The health care professional should caution the patient about taking which of the following types of over-the-counter drugs?

Antacids

When talking with a patient about taking clonidine (Catapres) to treat hypertension, the health care professional should explain that discontinuing clonidine therapy abruptly can result in which of the following adverse effects?

Hypertension

A health care professional is caring for a patient who is about to begin taking verapamil (Calan) to treat atrial fibrillation. The health care professional should tell the patient to avoid grapefruit juice while taking verapamil because it can cause

Hypotension

When talking with a patient about taking amiodarone (Cordarone) to treat A-fib, which of the following should the health care professional tell the patient to avoid?

Grapefruit juice

A health care professional is caring for a patient who is about to begin taking simvastatin (Zocor) to treat hyper cholesterolemia. The health care professional should tell the patient to report which of the following indications of a serious adverse reaction that could warrant stopping drug therapy?

Muscle pain

A heath care professional is caring for a patient who is about to begin taking gemfibrozil (Lopid) to treat hypercholesterolemia. Which of the following instructions should the health care professional include when talking with the patient about the drug? SATA

-Report any new intolerances to fried foods -Report muscle tenderness -Expect periodic liver function testing

A health care professional should question the use of nifedipine (Procardia) for a patient who has a history of which of the following?

Unstable angina pectoris

A health care professional is caring for a patient who has moderate to severe hypertension and is about to begin hydralazine therapy. The health care professional should monitor the patient for which of the following adverse reactions to the drug?

A lupus-like syndrome

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