Nokea
A nurse is caring for a client receiving nitroglycerin. It is essential to monitor the client's
- A. heart tones.
- B. respirations.
- C. urinary output.
- D. blood pressure.
Correct Answer: D
Rationale: Nitroglycerin, a vasodilator, can cause hypotension, so monitoring blood pressure is essential. Heart tones, respirations, and urinary output are less critical.
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The nurse is caring for a client who is taking prescribed sildenafil. After reviewing the client's other medications, the nurse recognizes which medication would contraindicate sildenafil?
- A. furosemide
- B. isosorbide
- C. atorvastatin
- D. losartan
Correct Answer: B
Rationale: Sildenafil is contraindicated with nitrates like isosorbide due to the risk of severe hypotension. Furosemide, atorvastatin, and losartan do not have significant interactions with sildenafil.
The nurse has received a prescription for rivaroxaban. The nurse understands that this medication is prescribed to treat which condition?
- A. Pulmonary Hypertension
- B. Venous Thromboembolism (VTE)
- C. Congestive Heart Failure
- D. Hyperlipidemia
Correct Answer: B
Rationale: Rivaroxaban, a direct oral anticoagulant, is used to treat venous thromboembolism (VTE). It is not indicated for pulmonary hypertension, CHF, or hyperlipidemia.
The nurse is teaching a continuing education course regarding cardiovascular medications. It would be appropriate for the nurse to reinforce which condition is a contraindication to administering calcium channel blockers?
- A. Atrial fibrillation
- B. Hypertension
- C. Peripheral vascular disease
- D. Systolic heart failure
Correct Answer: D
Rationale: Calcium channel blockers, especially non-dihydropyridines, are contraindicated in systolic heart failure due to their negative inotropic effects. They may be used in atrial fibrillation, hypertension, or peripheral vascular disease.
The nurse has taught a client who has been prescribed clonidine via a transdermal patch. Which of the following statements by the client would indicate a need for further teaching?
- A. I can wear this patch while I shower.
- B. I should keep this patch on for five days.
- C. This medication may make me drowsy.
- D. If I ever have to have a magnetic resonance imaging (MRI), I will need to remove the patch before the test.
Correct Answer: B
Rationale: Clonidine transdermal patches are typically changed every 7 days, not 5 days, so the statement about keeping the patch on for five days indicates a need for further teaching. The other statements are correct: clonidine patches are water-resistant, can cause drowsiness, and must be removed before an MRI due to potential metal content.
The nurse is reviewing discharge teaching with a client who was newly prescribed digoxin. Which statement, if made by the client, would require follow-up? Select all that apply.
- A. I should take my pulse before taking each dose.
- B. This medication will require me to take my weight daily.
- C. This medication will require me to have periodic blood work.
- D. I will ensure I get plenty of potassium in my diet.
- E. If I notice visual changes, I will call my eye doctor.
Correct Answer: B,E
Rationale: Daily weighing (B) is not required for digoxin but for diuretics in heart failure. Visual changes (E) should be reported to the prescriber, not an eye doctor, as they indicate digoxin toxicity. Pulse monitoring, blood work, and potassium intake are appropriate.