Test #1

Question 0

What are the normal therapeutic drug levels of digoxin should be between

Answer 0

0.8 and 2ng/ml

Question 1

What are the indications of digoxin?

Answer 1

Heart failure

Atrial fibrillation and flutter

Question 2

Contraindications of Digoxin

Answer 2

Known allergy
Atrial fib
Heart failure resulting from diastolic dysfunction

Question 3

Adverse effect of digoxin

Answer 3

Drug levels must be monitored
Low K levels
Electrolyte levels must be monitored
Coloured vision fatigue confusion anorexia, nausea

Question 4

Interactions of digoxin

Answer 4

Anti dysthymia
Calcium 
Lax 
Loop diuretics 
B blockers 
Amirodorne 
Verapamil
Thiazide diuretics

Question 5

Nitrates mechanism of action

Answer 5

Cause vasodilation due to relaxation of SM in reducing mycardial oxygen demand

Question 6

Rapid acting nitrates are used for

Answer 6

Acute anginal attack

Question 7

Long acting nitrates are used for

Answer 7

Prevention

Question 8

Nitrates are able to bypass the first pass effect and the

Answer 8

Bypass the liver

Question 9

Sulfonylures are what?

Answer 9

Stimulate insulin secretion from B cells of the pancreas and also may enhance actions of insulin to the muscle liver and adipose tissue

Question 10

A pt with type 2 diabetes has hypertension BP goal for him would be less than

Answer 10

130/180 mm HG

Question 11

A pt is being treated for a hypertensive emergency what drug should be used

Answer 11

Sodium nitroprusside ( nipride)

Question 12

When monitoring a pt for hypokalemia related to diuretic use the nurse should look for signs of

Answer 12

Muscle weakness and lethargy

Question 13

Calcium channel blockers

Answer 13

PINE

Question 14

ABR’s

Answer 14

“TAN”

Question 15

Loop diuretics include

Answer 15

Furosemide

Question 16

ACE inhibitors

Answer 16

PRILS

Question 17

Beta Blockers

Answer 17

OLOL, metoprolol, time lol, acebutolol

Question 18

Alpha 1 blockers

Answer 18

“Zonins” terazosin

Question 19

Anticoagulant included

Answer 19

Blood thinners, heparin, loveonox and warfarin

Question 20

Calcium channel blockers do what?

Answer 20

Decrease BP

Question 21

Ace inhibitors due what

Answer 21

Decrease peripheral resistance and blood volume

Question 22

Beta blockers due what

Answer 22

Decrease hHR

Question 23

Thiazide diuretics are

Answer 23

“Ide” indapamide, hydro

Question 24

K sparing diuretics include

Answer 24

Spirolactone and amiloride

Question 25

Adrenergic drugs produce what effects

Answer 25

Glycogenolysis and increase HR

Question 26

What Adrenergic drugs may be used to treat which of the conditions

Answer 26

Asthma, glaucoma and nasal congestions

Question 27

A dose of epinephrine that is too high the nurse should monitor what should the nurse expect to see from this patient

Answer 27

Hypertension/hypotension, seizures, or other toxic effects

Question 28

Why is salbutamol given via inhalation rather than orally

Answer 28

Salbutamol given via inhalation has on onset quicker than if given via orally

Question 29

Adrenergic blockade at the a-Adrenergic receptors leads to what effect

Answer 29

Vasodilation, decreased BP, constriction of the pupil

Question 30

The nurse will prepare to give which drug to a patient who is experiencing a cholinergic crisis

Answer 30

Atropine

Question 31

List the effects of cholinergic poisoning (SLUDGE)

Answer 31

Salivation, lacromination, urinary incont, diarrhea, gastro cramps

Question 32

Before giving an anticholinergic drug the the nurse should check the patients history for what?

Answer 32

Glaucoma

Question 33

Detroit causes what?

Answer 33

Inability to sweat

Question 34

The purpose of antianginal medication therapy does what

Answer 34

Increases blood flow to ischemia cardiac output

Question 35

Patients taking b blockers for angina need to be taught

Answer 35

They are taken for long term prevention of angina episodes

Question 36

Other then nitro which class of drugs is typically good for chronic stable angina

Answer 36

B blockers

Question 37

What are adverse effects of ace inhibitors

Answer 37

Fatigue, headache and a dry cough

Question 38

Which antihypertensive we considered more effective in white patients than black patients

Answer 38

B blockers and ace inhibitors

Question 39

What antihypertensive are considered more effective in black patients than in white patients

Answer 39

Calcium channel blockers and diuretics

Question 40

Diuretics that act on the distal convoluted tubule where they inhibit sodium and water resorption

Answer 40

Thiazides (hydro)

Question 41

What indications for the use of diuretics are expected

Answer 41

To increase urine output To treat hypertension To treat open angle glaucoma To treat edema associated with heart failure

Question 42

When providing patient teaching to a patient who is taking a potassium sparing diuretics such as spironolactone the nurse should include which of the following

Answer 42

The patient should avoid food high in potassium

Question 43

What conditions is the use of anticoagulant appropriate for

Answer 43

Atrial fibrillation Myocardial infarction Presence of a mechanical heart valve

Question 44

When administering sq heparin the nurse should remember to do what

Answer 44

Inject med without aspirating for blood return

Question 45

During thrombolytic the nurse should monitor for bleeding which symptoms could indicate a serious bleed

Answer 45

Hypotension Decrease level of consciousness Increase pulse rate Restlessness

Question 46

What is the antidote for heparin

Answer 46

Protamine

Question 47

What is the antidote for warfarin

Answer 47

Vitamin k