Question Question 1 A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin . The nurse will advise the patient to Question 2 A 55-year-old man’s hypertension has not responded adequately to his current medication regimen consisting or an ACE inhibitor, a beta-blocker and a thiazide diuretic . As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives . The addition of this medication to his regimen means that the nurse must prioritize which of the following nursing actions? Question 3 A nurse has been following a male patient who is taking hydralazine, clonidine, and a diuretic for hypertension . After 2 weeks of medication therapy, the patient begins to complain of numbness and tingling in his hands and feet . The nurse suspects that these signs or symptoms are Question 4 A nurse is caring for a male patient who has a diagnosis of coronary artery disease (CAD) . His drug therapy includes lovastatin . Because the patient has a history of severe renal disease, the nurse will assess for which of the following? Question 5 A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem . Verapamil achieves a therapeutic effect by Question 6 An expected outcome for a patient who has just taken sublingual nitroglycerin should be Question 7 A clinic nurse has been assigned a 49-year-old female patient who has a history of diabetes . A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol . The patient will be scheduled to return to the clinic once a month for the next 6 months . A priority action by the nurse will be to Question 8 A 39-year-old African-American male is 25 pounds overweight and has been diagnosed with hypertension after three consecutive above-normal blood pressure readings . The most likely initial drug therapy for this patient will be Question 9 A nurse is caring for a patient with chronic angina . The patient is receiving ranolazine (Ranexa) 500 mg PO bid . Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? Question 10 Several months of treatment with a statin accompanied by lifestyle modifications have failed to appreciably improve a patient’s cholesterol levels . Consequently, the patient has been prescribed cholestyramine . The nurse should recognize that this drugs achieves its therapeutic effect by Question 11 A resident of a long-term care facility receives 12 . 5 mg metoprolol (Lopressor) at 8 AM and 8 PM daily . Before administering this drug, the nurse should perform and document what assessments? Question 12 A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure . Nesiritide (Natrecor) has been ordered . When preparing for administration of the drug, the nurse will Question 13 A normal maintenance dose for digoxin is 0 . 125 to 0 . 5 mg/day . In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? Question 14 A nurse who provides care in a busy clinic is aware of the high incidence and prevalence of hyperlipidemia and the consequent need for antihyperlipidemics in many patients . Treatment of high cholesterol using statins would be contraindicated in which of the following patients? Question 15 A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix) . In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient’s Question 16 A 58-year-old man is admitted to the emergency department . A diagnosis of severe digoxin toxicity is made . Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity . The nurse will administer which of…
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