Cardiac Meds Quiz

Cardiac Meds Quiz

University

31 Qs

quiz-placeholder

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Cardiac Meds Quiz

Cardiac Meds Quiz

Assessment

Quiz

Health Sciences

University

Easy

Created by

Evan Best

Used 3+ times

FREE Resource

31 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

When preparing to administer Metoprolol, the nurse takes the apical pulse. The client's pulse is 48 bpm. What is the priority action for the nurse to take?

Administer the medication as prescribed.
Increase the dosage of Metoprolol.
Monitor the pulse for one hour before taking action.
Hold the medication and notify the healthcare provider.

Answer explanation

Davis Drug Guide says to hold the metoprolol if the pulse is <50 bpm and to notify the HCP

The textbook says an apical pulse <60 bpm should be when the med should be held. I went with the drug guide, but answer the real exam at your own risk

2.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

The nurse knows that medications like metoprolol and propranolol are beta-blockers and are used to?

Select all that apply

Increase heart rate and blood pressure

Decrease the frequency of chest pain (angina)

Prevent MI and Ventricular Arrythmias

Decrease heart rate and blood pressure

Treat HTN, and Anxiety

3.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

When administering a beta-blocker the nurse should educate the patient to?

Select all that apply

Stop taking the medication if feeling dizzy to prevent fall injuries

Take the medication only when symptoms occur to prevent toxicity

Not stop abruptly to avoid rebound HTN, angina, arrythmias

Monitor heart rate and blood pressure regularly.

Change positions slowly to prevent orthostatic hypotension

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is preparing to give propranolol to a 45 y/o female client in for treatment of her HTN. She has a PMH: of diabetes, COPD, and HTN. What is the appropriate action?

Assess blood pressure and heart rate before administration.

Hold the medication and notify the HCP

Check her home meds to see if they also cause a decrease in HR before giving

Assess her BG level before giving

Answer explanation

Beta-blockers are contraindicated in people with COPD because it can cause bronchospasms

5.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse walks into a room of a female client receiving warfarin and notices the client looks pale and tired. On further inspection the client's IV site has a thin stream of blood leaking from it. The client's morning labs show: Hgb 10, Hct 30, RBC 3.7. What will the nurse expect to administer?

Warfarin

Protamine sulfate

Vitamin K

Andexanet Alfa

Answer explanation

She has been given too much warfarin and is suffering from a bleed. She will receive the antidote, vitamin K.

I do not know if the labs on here are accurate for a bleed/hemorrhage caused by warfarin. But I just threw some together for the scenario.

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is preparing a client's 0800 meds. The client is taking warfarin and has an INR level of 4.6. What is the priority action?

Perform a blood transfusion right away.
Increase the warfarin dosage immediately.
Administer the warfarin as scheduled.

Hold the warfarin and notify the HCP

7.

MULTIPLE SELECT QUESTION

1 min • 1 pt

A client is receiving bumetanide (Bumex) and asks the nurse to clarify the teaching the RN had given. The nurse should provide what educations?

Select all that apply

Take med earlier in the day, and avoid administering at night

Take w/ food or milk

Wear protective clothing and sunscreen when outside

Get your potassium level checked while on bumex

You should not take if you are allergic to sulfonamides

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