Exam 12: Cardiovascular and Renal Medications

A mother brings her 10-month-old daughter into the clinic because of diarrhea that has lasted for 8 hours.Which are signs of dehydration that the nurse would expect to see in this infant?

The physician has started a patient on propranolol (Inderal LA),a beta blocker.The nurse knows this drug is used in the treatment of migraine headaches and which other conditions?

Diet and exercise alone may not lower a patient's risk for having high cholesterol.Which medication would help to lower a patient's cholesterol level?

A patient has taken five or six nitroglycerin tablets per day to prevent chest pain for more than 2 years.His health care provider has recommended that he decrease the amount of medication he takes a day to no more than three tablets.This patient should reduce his medication according to which timetable?

For which patient would the nurse anticipate oral replacement therapy would be contraindicated?

A 70-year-old female patient has kidney disease and increasing bilateral edema in her legs and feet.Her health care provider has placed her on a potassium-sparing diuretic.Based on this patient's history,which represents the diuretic action the patient needs from her medication?

A patient with hypertension for 10 years has been told by his health care provider that he has developed nephrotic syndrome,causing generalized edema.Which diuretic will work in the treatment of his condition?

The physician has discontinued a patient's diuretic medication.Which way would the nurse expect this medication to be discontinued?

A patient arrives in the emergency department with abdominal distention,pain,and nausea with vomiting.IV fluids with sodium and potassium are started for which reason?

The LPN/LVN should have some understanding about fluid and electrolyte balance.Which is a good rule to remember about this concept?

The treatment of hypertension in patients is accomplished at many sites in the body.The nurse administers diuretics to help achieve the goal of reducing the blood pressure through which means? (Select all that apply.)

A nurse gives a patient discharge instructions about how to store nitroglycerin sublingual tablets to keep the medication fresh for use at all times.Since nitroglycerin is easily destroyed,the nurse would tell the patient to store the medication in which way?

A serum digitalis level is needed to evaluate whether the patient has reached a therapeutic level.Which is an acceptable therapeutic level for digoxin?

A patient is scheduled to leave the hospital tomorrow.He has been instructed to take nitroglycerin sublingually if angina is experienced.Which instruction would the nurse give concerning the use of this medication?

A patient has a history of angina and has been told to reduce his caloric intake and lose 20 pounds.Which situation might this patient avoid so as to help prevent angina attacks?

The LPN/LVN must be aware that digitalis can cause toxicity; it can also cause hormonal effects in male patients.Which hormonal problems can this medication cause a male patient?

Procainamide was prescribed for a patient who has ventricular tachycardia.Which adverse actions of this medication should the nurse explain to the patient? (Select all that apply.)

An elderly man with hypocalcemia asks the nurse why the physician changed his loop diuretic medication to a thiazide diuretic medication that would do the same thing for the edema in his legs.Which represents the best response to this question?

The nurse is providing discharge teaching about the use of antihyperlipidemics.The patient must understand that timing is very important.The nurse tells the patient that other medications should be taken at which time?

The nurse is teaching a patient about the loss of potassium when taking diuretics.The physician started this patient on spironolactone (Aldactone).Which is a special characteristic of this diuretic?