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Chapter 16. Cardiovascular System Medications

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 16. Cardiovascular System Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The LPN is called by a neighbor who reports her husband seems to be acting, “a little odd” and says he feels really tired and weak. The LPN discovers the client recently stopped taking his benazepril (Lotensin) due to the fear of side effects mentioned in a television commercial. Which of the following actions by the LPN is best?

A. Instruct the woman to have her husband take an aspirin and lie down for one hour to rest.
B. Ask the woman if she has a blood pressure cuff and instruct her to take the man’s blood pressure.
C. Tell the woman to call an ambulance or get her husband to an emergency department right away.
D. Inform the woman these are withdrawal symptoms of stopping the drug and suggest he call his doctor in the morning.

 

 

____     2.   While grocery shopping, the nurse notes a middle-aged woman in the aisle stop frequently and rub her left arm and shoulder. As the nurse gets closer, he notes the woman is pale and appears slightly short of breath. The nurse’s additional assessment will be based on which of the following?

A. Awareness that symptoms of a myocardial infarction in woman are atypical in nature.
B. Knowledge that chronic respiratory disease is common among smokers.
C. Comprehension that early action in the presence of stroke symptoms saves lives.
D. Understanding that polypharmacy is a growing concern among middle-aged individuals.

 

 

____     3.   The LPN is called into the room of a client with known cardiac disease at 7:30 a.m. The client reports heavy pressure and chest pain. Which action by the nurse is best?

A. Provide the client with the atenolol (Tenormin) scheduled for 9 a.m.
B. Provide the client nitroglycerin sublingual scheduled prn.
C. Determine the client’s level of consciousness.
D. Assess the client’s respiratory rate and effort.

 

 

____     4.   An LPN is visiting a friend in the hospital who was recently diagnosed with a right-sided thrombotic stroke. The individual says, “I don’t understand why they want to give me blood thinners if I had bleeding in my brain.” Which of the following responses by the nurse is best?

A. “Blood thinners are used to help the heart not have to work so hard to pump blood around.”
B. “The blood brain barrier will protect your brain from the medications they give you.”
C. “Are you sure they’re giving you blood thinners? What medication have they prescribed?”
D. “Your stroke was caused by a clot that blocked blood flow to a portion of your brain, not bleeding within your brain.”

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  C                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Cardiovascular System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Myocardial Infarction, Stroke and Clotting (p. 283–287; 282): Benazepril is an ACE inhibitor used in the treatment of hypertension. Stopping the medication increases the client’s risk of a cerebral vascular accident and his symptoms are suspicious; medical evaluation should be sought immediately.

 

  1. ANS:  A                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Cardiovascular System Medications

KEY:  Analysis         MSC:  NCLEX Category: Physiological Adaptation

NOT:  See Master the Essential Table and Myocardial Infarction, Stroke and Clotting (p. 283–287; 282): Women tend to have atypical symptoms such as upper back or shoulder pain, light headedness, and unusual fatigue while experiencing a myocardial infarction. Such atypical presentation may make diagnosis more difficult. The individual described in this scenario should first be evaluated for any additional symptoms or risk factors for a myocardial infarction.

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Cardiovascular System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Myocardial Infarction, Stroke and Clotting (p. 283–287; 282): Chest pain is often indicative of ischemia or decreased oxygen delivery to the heart muscle. Nitroglycerin works to dilate the cardiac blood vessels and optimize cardiac blood flow. It would be helpful to determine the client’s vital signs including blood pressure, heart rate, respiratory rate, and oxygenation status if possible. In this scenario the priority would be to provide the nitrate.

 

  1. ANS:  D                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Cardiovascular System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Myocardial Infarction, Stroke and Clotting (p. 283–287; 282): A cerebral vascular accident can be caused by bleeding or clot formation both of which interrupt blood flow resulting in ischemia to portions of the brain. A thrombotic stroke is one that involves a clot, rather than bleeding.

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