Nokea
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 beta-blockers?
- A. Atrial fibrillation
- B. Myocardial infarction
- C. Congestive heart failure (CHF)
- D. Cardiogenic shock
Correct Answer: D
Rationale: Cardiogenic shock is a contraindication for beta-blockers due to their negative inotropic effects, which can worsen cardiac output. Beta-blockers may be used cautiously in atrial fibrillation, myocardial infarction, or CHF.
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The emergency department nurse is caring for a client with an abdominal aortic aneurysm at risk of rupturing. The nurse will anticipate the primary healthcare provider (PHCP) to prescribe
- A. esmolol
- B. dexamethasone
- C. heparin
- D. pantoprazole
Correct Answer: A
Rationale: Esmolol, a short-acting beta-blocker, is used to control blood pressure and reduce aortic wall stress in an abdominal aortic aneurysm. Dexamethasone, heparin, and pantoprazole are not indicated.
The nurse is caring for a client receiving a continuous infusion of norepinephrine. The nurse should plan to monitor which of the following for the client? Select all that apply.
- A. Blood pressure
- B. Intracranial pressure
- C. Intravenous site
- D. Urine output
- E. Blood glucose
Correct Answer: A,C,D,E
Rationale: Norepinephrine, a vasopressor, requires monitoring blood pressure (to assess efficacy), IV site (for extravasation risk), urine output (to evaluate perfusion), and blood glucose (as it can cause hyperglycemia). Intracranial pressure is not typically monitored unless neurological issues are present.
The nurse in the emergency department (ED) is caring for a client with a myocardial infarction. The nurse anticipates a prescription for which medications? Select all that apply.
- A. labetalol
- B. morphine sulfate
- C. nitroglycerin
- D. enalapril
- E. isosorbide
- F. diltiazem
Correct Answer: B,C,E
Rationale: Morphine sulfate (for pain), nitroglycerin (for vasodilation), and isosorbide (for preload reduction) are used in myocardial infarction. Labetalol, enalapril, and diltiazem are not first-line treatments.
The nurse has provided discharge instructions to a client who was prescribed niacin. Which of the following statements, if made by the client, would indicate effective teaching?
- A. This medication may increase my blood pressure.
- B. I may experience flushing while taking this medication.
- C. This medication may raise my total cholesterol.
- D. I may feel fatigued and tired after taking this medication.
Correct Answer: B
Rationale: Niacin commonly causes flushing, a harmless but notable side effect, indicating effective teaching. It does not increase blood pressure or cholesterol and is not typically associated with fatigue.
The nurse is caring for a client diagnosed with atrial fibrillation. The nurse should anticipate a prescription for which of the following medications? Select all that apply.
- A. diltiazem
- B. nitroglycerin
- C. clonidine
- D. atorvastatin
- E. warfarin
Correct Answer: A,E
Rationale: Diltiazem (rate control) and warfarin (anticoagulation) are used in atrial fibrillation. Nitroglycerin, clonidine, and atorvastatin are not typically indicated.