Vn 16 Test 5

Question 1

What effects do ACE inhibitors have on the body?

Answer 1

Decrease blood pressure
Gets rid off water sodium
Keeps potassium normal 3.5-5
Non effect on HR
Non productive dry cough change to arbs meds

Ekg tall t waves
No salt

Question 2

What are nursing considerations (K,H,K) for a client on an ACE inhibitor?

Answer 2

Hyperkalemia
Electrolyte imbalance
Angioedema
Avoid pregnancy
Cough
Changing positions slowlyn
Alters taste
Increase lithium

Question 3

What effect do anti-platelets have for a client who has coronary artery disease?

Answer 3

Prevents forming blood slots
Prevents thrombus formation

Question 4

What are nursing considerations (K,H,K) for a client on aspirin?

Answer 4

Tinittus
N/V /Dehydration
Excitability
Hyper ventilation leading to respiratory alkolosis
Aspirin not for kids rayes syndrome

Question 5

When is heparin used?

Answer 5

Risk for clothing
Quick action needed

Question 6

What are nursing considerations (K,H,K) for a client on clopidogrel?

Answer 6

Hgb, salicylate increasing bleeding
Tinnitus
Use causionly bit. K deficiency
Hgb Less than 7 go to heaven

Question 7

What are nursing considerations (K,H,K) for heparin?

Answer 7

Low platelet
Bleeding

Question 8

What are nursing lab considerations for anti-coagulants?

Answer 8

Inr
If using heparin
PT aptt inr

Question 9

What are nursing considerations (K,H,K) for a client on a beta-blocker

Answer 9

Brady cardiac less than 60
Hypertensive
Bronchi restriction no asthma or copd
Mask hypoglycemia beta blockers cover symptoms
Beta blockers lower the heart rate first then the b/p

Question 10

What are nursing considerations (K,H,K) for a client on a calcium-channel blocker

Answer 10

Nitro
Reflex tachycardia
No grapefruit hold med lower 60
Bad HA NORMAL
CHECK BP AND HR

Question 11

What are nursing considerations (K,H,K) for a client on a vaso-dilator?

Answer 11

Severe hypotension check bp
Cyanide poisenng
Watch for ED men

Question 12

What are nursing considerations (K,H,K) for a client on enoxaparin?

Answer 12

Produce
7-10 days bid sites are rotated
Direct anticoagulant
Direct thrombinin inhibitors dabigatrin
Labs hct hbg plate let’s

Question 13

Know manifestations for hypokalemia

Answer 13

Anorexia N/v mental confusion abdominal distention
Drowsiness
Muscle weakness legs cramps
Monitor k levels
Ekg changes
Low and slow impaired
Paralyctic ilius bowel obstruction

Question 14

Know manifestations for hyperkalemia

Answer 14

Nausea
Diarrhea
Abdominal distress
Go hyperactivity
Heaviness of less
Paresthesias
Increasing
Hypotension
Cardiac arrythmeiqs

Question 15

What are nursing considerations (K,H,K) for a client on a loop diuretic?

Answer 15

Hypokalemia
Bradycardia
Hyperglycemia
Photosensitive
Increase urine putout
Meds in morning most powerful diuretic

Question 16

What are nursing considerations (K,H,K) for a client on a thiazide?

Answer 16

Hypokalemia 3.5-5 will see low and slow fatigue muscle twitching monitor lasb potassium
Allergic to sulfa can’t take thiazide

Question 17

What are nursing considerations (K,H,K) for a client on a potassium sparing diuretic

Answer 17

Hyperkalemia
High bs
Numbness and tingling in extremities
Tall waves
Man boobs gynecomastia
Erectile dysfunction
Voice changes

Question 18

What are nursing considerations (K,H,K) for a client on digoxin

Answer 18

<60 check levels 0.8-2.0
Check labs of meds
Toxicity Apical pulse for a whole minute
Toxicity N/visual changes fatigue weakness
Digibine antidote

Question 19

What are nursing considerations (K,H,K) for a client on amiodorone?

Answer 19

Afib used
VTCCY
Pulmonary toxicity
Liver toxicity
Sob dry cough
No grapefruit
THYROID DISFUNCTION BLUISH TONE OF SKIN RASH

THYROID LABS
LFTS
CHEST XRAY

Question 20

Potassium sparing spiractalone aldactone are the weakest diuretic

Answer 20

Weakest diuretic