The nurse will monitor for myopathy when a patient is taking which class of antilipemic drugs

The nurse is reviewing the classes of antidysrhythmic drugs. Amiodarone (Cordarone) is classified on the Vaughan Williams classification as a class III drug, which means it works by which mechanism of action?

Prolonging action potential duration

A patient is taking procainamide (Pronestyl) for a cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect?

Which nursing diagnosis is appropriate for a patient receiving antidysrhythmics?

A patient will be discharged on quinidine sulfate (Quinidex) extended-release tablets for the treatment of ventricular ectopy. The nurse will include which information in the teaching plan?

Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision,
may occur.

A patient is in the intensive care unit because of an acute myocardial infarction. He is experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of
choice for this dysrhythmia?

The nurse is preparing to administer adenosine (Adenocard) to a patient who is experiencing an acute episode of paroxysmal supraventricular tachycardia. When giving this medication, which is important to remember?

Asystole may occur for a few seconds after administration.

A 62-year-old man is to receive lidocaine as treatment for a symptomatic dysrhythmia. Upon assessment, the nurse notes that he has a history of alcoholism and has late-stage liver failure. The nurse will expect which adjustments to his drug therapy?

The dosage will be reduced by 50%.

A patient has been started on therapy of a continuous infusion of lidocaine after receiving a loading dose of the drug. The nurse will monitor the patient for which adverse effect?

When starting a patient on antidysrhythmic therapy, the nurse will remember that which problem is a potential adverse effect of any antidysrhythmic drugs?

A patient is in the emergency department with a new onset of rapid-rate atrial fibrillation, and the nurse is preparing a continuous infusion. Which drug is most appropriate for this dysrhythmia?

The nurse notes in the patient's medication orders that the patient will be taking ibutilide (Corvert). Based on this finding, the nurse interprets that the patient has which disorder?

Which patient-teaching instructions are appropriate for a patient taking an antidysrhythmic drug? (Select all that apply.)

a. "Do not chew or crush extended-release forms of medication."b. "Take the medication with food if gastrointestinal distress occurs."

e."Limit or avoid the use of caffeine.

The nurse is monitoring for adverse effects in a patient who is receiving an amiodarone (Cordarone) infusion. Which are adverse effects for amiodarone? (Select all that apply.)

b. Constipationd. QT prolongationf. Hypotension

g. Blue-gray coloring of the skin on the face, arms, and neck

A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse's response is based on which rationale?

Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.

A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?

Internal and superficial bleeding

A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will r

A patient has been instructed to take one enteric-coated low-dose aspirin a day as part of therapy to prevent strokes. The nurse will provide which instruction when providing patient teaching about this medication?

Take the medication with 6 to 8 ounces of water and with food.

A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?

To dissolve the clot in the coronary artery

A patient is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

Activated partial thromboplastin time (aPTT)

The nurse notes in the patient's medication orders that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?

Preventing thrombus formation

A patient is being discharged on anticoagulant therapy. The nurse will include in the patient- education conversation that it is important to avoid herbal products that contain which substance?

A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient's laboratory work, the nurse interprets that the patient's

the patient's warfarin dose is at therapeutic levels.

A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?

The nurse is reviewing new medication orders for a patient who has an epidural catheter for pain relief. One of the orders is for enoxaparin (Lovenox), a low-molecular-weight heparin (LMWH). What is the nurse's priority action?

Contact the prescriber because the LMWH cannot be given if the patient has an
epidural catheter.

A patient will be taking dabigatran (Pradaxa) as part of treatment for chronic atrial fibrillation. Which statements about dabigatran are true? (Select all that apply.)

a. The dose of dabigatran is reduced in patients with decreased renal function.b. Bleeding is the most common adverse effect.

e. This drug is a prodrug and becomes activated in the liver.

A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?

Pruritus, cutaneous flushing

A patient reports having adverse effects with nicotinic acid (niacin). The nurse can suggest performing which action to minimize these undesirable effects?

Take an aspirin tablet 30 minutes before taking the drug.

A patient calls the clinic office saying that the cholestyramine (Questran) powder he started yesterday clumps and sticks to the glass when he tries to mix it. The nurse will suggest what method for mixing this medication for administration?

Mix the powder with food or fruit, or at least 4 to 6 ounces of fluid.

A patient is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication?

While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?

A patient tells the nurse that he likes to eat large amounts of garlic "to help lower his cholesterol levels naturally." The nurse reviews his medication history and notes that which drug has a potential interaction with the garlic?

A patient with coronary artery disease asks the nurse about the "good cholesterol" laboratory values. The nurse knows that "good cholesterol" refers to which lipids?

High-density lipoproteins (HDLs)

A patient who has recently started therapy on a statin drug asks the nurse how long it will take until he sees an effect on his serum cholesterol. Which statement would be the nurse's best response?

It takes 6 to 8 weeks to see a change in cholesterol levels.

The nurse will monitor for myopathy (muscle pain) when a patient is taking which class of antilipemic drugs?

HMG-CoA reductase inhibitors

When teaching a patient who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?

The nurse is conducting a class about antilipemic drugs. The antilipemic drug ezetimibe (Zetia) works by which mechanism?

Inhibiting cholesterol absorption in the small intestine

Antilipemic drug therapy is prescribed for a patient, and the nurse is providing instructions to the patient about the medication. Which instructions will the nurse include? (Select all that apply.)

b. Eat extra servings of raw vegetables and fruit.c. Report abnormal or unusual bleeding or yellow discoloration of the skin.

d. Report the occurrence of muscle pain immediately.

When monitoring a patient who has diabetes and is receiving a carbonic anhydrase inhibitor for edema, the nurse will monitor for which possible adverse effect?

The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?

Spironolactone (Aldactone)

Mannitol (Osmitrol) has been ordered for a patient with acute renal failure. The nurse will administer this drug using which procedure?

Intravenously, through a filter

Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?

Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.

When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about loop diuretics?

They have a rapid onset of action and cause rapid diuresis.

When monitoring a patient who is taking hydrochlorothiazide (HydroDIURIL), the nurse notes that which drug is most likely to cause a severe interaction with the diuretic?

When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?

Intake, output, and daily weight

A patient is being discharged to home on a single daily dose of a diuretic. The nurse instructs the
patient to take the dose at which time so it will be least disruptive to the patient's daily routine?

A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which class is likely to be used initially?

A patient in the neurologic intensive care unit is being treated for cerebral edema. Which class of diuretic is used to reduce intracranial pressure?

79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very
independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient?

He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.

A patient on diuretic therapy calls the clinic because he's had the flu, with "terrible vomiting and diarrhea," and he has not kept anything down for 2 days. He feels weak and extremely tired. Which statement by the nurse is correct?

Please come into the clinic for an evaluation to make sure there are no
complications

When assessing a patient who is receiving a loop diuretic, the nurse looks for the manifestations of potassium deficiency, which would include what symptoms? (Select all that apply.)

d. Muscle weaknesse. Anorexia

f. Lethargy

When reviewing the health history of a patient, the nurse will note that a potential contraindication to potassium supplements exists if the patient has which problem?

During a blood transfusion, the patient begins to have chills and back pain. What is the nurse's priority action?

Discontinue the infusion immediately, and notify the prescriber.

The nurse is working with a graduate nurse to prepare an intravenous dose of potassium. Which statement by the graduate nurse reflects a need for further teaching?

The intravenous potassium dose will be given undiluted.

A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending several hours doing gardening work in the heat of the day. The nurse expects that which drug therapy will be used to treat this condition?

Oral administration of sodium chloride tablets

When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign?

During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

A patient is receiving an infusion of fresh frozen plasma. Based on this order, the nurse interprets that this patient has which condition?

The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution is correct for use with the PRBC transfusion?

0.9% sodium chloride (NS)

The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which patient would be best treated with this transfusion?

A patient with severe anemia

After a severe auto accident, a patient has been taken to the trauma unit and has an estimated blood loss of more than 30% of his blood volume. The nurse prepares to administer which product?

A patient who is severely anemic also has acute heart failure with severe edema due to fluid overload. The prescriber wants to raise the patient's hemoglobin and hematocrit levels. The nurse anticipates that the patient will receive which blood product?

Packed red blood cells (PRBCs)

The nurse is preparing to give a potassium supplem

During diuretic therapy, the nurse monitors the fluid and electrolyte status of the patient. Which assessment findings are symptoms of hyponatremia? (Select all that apply.)

Lethargy, muscle/stomach cramps, hypotension