Maternity Pharmacology CH53 Cardiovascular

A nurse in a clinical setting, reviewing medications for a patient with cardiovascular conditions, showing various drug vials and medical charts in a bright, informative atmosphere.

Maternity Pharmacology: Cardiovascular Quiz

Test your knowledge of maternity pharmacology with a focus on cardiovascular medications. This quiz covers various topics, including the effects of Heparin, Warfarin, and Digoxin, along with monitoring parameters and potential side effects.

Assess your understanding of important pharmacological concepts.
Engage with real-life scenarios related to clients with cardiovascular conditions.
Improve your clinical decision-making skills.

16 Questions4 MinutesCreated by HealingHeart321

A client with atrial fibrillation is receiving a continuous Heparin infusion at 1000 units/hr. The nurse determines that the client is receiving the therapeutic effect based on which results?

Prothrombin time of 12.5 seconds

Activated partial thromboplastin time of 28 seconds

Activated partial thromboplastin time of 60 seconds

Activated partial thromboplastin time longer than 120 seconds

The nurse provides discharge instructions to a client with atrial fibrillation who is taking Warfarin sodium. Which statement by the client, reflects the need for further teaching?

�I will avoid alcohol consumption “

�I will take my pills everyday at the same time “

�I have already called my family to pick up a Medic Alert bracelet “

�I will take coated aspirin for my headaches because it will coat my stomach “

A client who is receiving Digoxin daily has a serum potassium level of 3 mEq/L (3mmol/L) and reports anorexia. The healthcare provider prescribes a serum digoxin level to be done. The nurse checks the results and should recognize which level that is outside of the therapeutic range?

0.5 ng/mL (0.63 nmol/L)

0.8 ng/mL (1.02 nmol/L)

0.9 ng/mL (1.14 nmol/L)

2.2 ng.mL (2.8 nmol/L)

The client is being treated with procainamide Cardiac dysrhythmia. Following intravenous administration of the medication, the client complains of dizziness. What intervention should the nurse take first?

12 lead electrocardiogram

Checks to clients finger stick blood glucose level

Auscultate the client apical pulse and blood pressure

Measure the QRS interval duration on the Rhythm strip

The nurse is monitoring a client with hypertension who is taking Propranolol. Which assessment finding indicates potential adverse complications associated with this medication?

Report of infrequent insomnia

Development of expiratory wheezes

A baseline blood pressure of 150/80 mmHg followed by a blood pressure of 138/72 mmHg after 2 doses of the medication

A baseline resting heart rate of 88 beats per minute followed by a resting heart rate of 72 beats per minute after two doses of the medication

A client with valvular heart disease who has a clot in the right atrium is receiving a Heparin sodium infusion of 1000 units/hr and Warfarin sodium 7.5 mg at 5 p.m. daily. The morning laboratory results are as follows : activated partial thromboplastin time (aPTT), 32 seconds; international normalized ratio (INR), 1.3. The nurse should take which action based on the client's laboratory results?

Collaborate with the primary health care provider (PHCP) to discontinue the Heparin infusion and administer the warfarin sodium as prescribed

Update with the PHCP to obtain a prescription to increase the Heparin infusion and continues of Warfarin sodium as prescribed

Collaborate with the PHCP to withhold the warfarin sodium since the client is receiving Heparin infusion and the aPTT is within the therapeutic range

Vibrate with the phcp to continue the Heparin infusion at the same rate and to discuss use of dabigatran etexilate in place of warfarin sodium

What is diagnosed with an ST segment elevation myocardial infarction (STEMI) and is receiving tissue plasminogen activator, alteplase. Which action is a priority nursing intervention?

Monitor for kidney failure

Monitor for psychosocial status

Monitor for signs of bleeding

Have Heparin sodium available

Where is monitoring a client for adverse effects of medications. Which findings are characteristic of adverse effects of hydrochlorothiazide? Select all that apply

Home health care nurse is visiting a client with coronary artery disease with elevated triglycerides levels and a serum cholesterol level of 398 mg/dL. The client is taking cholestyramine and the nurse teaches a client about the medication. Which statement by the client indicates the need for further teaching?

�Constipation and bloating might be a problem “

"I'll continue to watch my diet reduce my fats “

�Walking amount each day will help the whole process “

"I'll continue my nicotinic acid from the health food store”

What is monitoring a client with heart failure who's taking Digoxin. Which findings are characteristic of Digoxin toxicity? Select all that apply

Ministry clients daily dose of digoxin to treat heart failure, the nursery music lines laboratory data and notes the following results : serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L (0.4 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine, 0.9 mg/dL (79.5 mcmol/L). Which result should alert the nurse that the client is at risk for digoxin toxicity?

Serum calcium level

Serum potassium level

Serum creatinine level

Serum magnesium level

The nurse administered intravenous bumetanide to a client being treated for heart failure. Which outcome indicates that the medication has achieved the expected effect?

Cough becomes productive of frothy pink sputum

Urine output increases from 10mL/hr to greater than 50 mL hourly

The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8 to 3.1 mmol/L)

B-type natriuretic peptide (BNP) factors increases from 200 to 262 ng/mL (200 to 262 mcg/L)

Intravenous Heparin therapy is prescribed for a client with atrial fibrillation. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?

Vitamin K

Protamine sulfate

Potassium chloride

Aminocaproic acid

I'm receiving thrombolytic therapy with a continuous infusion of alteplase Play becomes extremely anxious and reports itching. The nurse hears stridor and noted generalized urticaria and hypotension. Which intervention should the nurse anticipate? Select all that apply

The nurse should report which assessment finding to the primary health care provider (PHCP) before initiating thrombolytic therapy in a client with pulmonary embolism?

Adventitious breath sounds

Temperature of 99.4 ℉ (37.4℃) orally

Blood pressure of 198/110 mmHg

Respiratory rate of 28 breaths per minute

Nurse provides instructions to the client about nicotinic acid prescribed for hyperlipidemia. Which statement by the client indicates an understanding of the instructions?

�The medication should be taken with meals to decrease flushing”

�It is not necessary to avoid the use of alcohol when taking nicotinic acid “

�Clay-colored stools are a common side effect and should not be of concern “

�Ibuprofen taken 30 minutes before the nicotinic acid made decrease the flushing”

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Maternity Pharmacology CH53 Cardiovascular

Maternity Pharmacology: Cardiovascular Quiz

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