ATI Cardiovascular – Pharm – Flashcards
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A health care professional is caring for a patient who is about to begin taking verapamil (Calan) to treat atrial fibrillation. The health care professional should tell the patient to avoid grapefruit juice while taking verapamil because it can cause: Tachycardia Dehydration Diarrhea Hypotension
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Hypotension
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While talking with a patient about drug therapy options for hypertension, the provider notes that the patient also has some manifestations of depression that require treatment. Which of the following antihypertensive drugs is inappropriate for the patient? Reserpine Captopril (Capoten) Hydralazine Eplerenon (Inspra)
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Reserpine
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When talking with a patient about taking amiodarone (Cordarone) to treat atrial fibrillation, which of the following should the health care professional tell the patient to avoid? Grapefruit juice Milk Foods high in vitamin K NSAIDS
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Grapefruit juice
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A health care professional is caring for a patient who is about to begin taking simvastatin (Zocor) to treat hypercholesterolemia. The health care professional should tell the patient to report which of the following indications of a serious adverse reaction that could warrant stopping drug therapy? Bronchoconstriction Muscle pain Lip numbness Somnolence
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Muscle pain
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When talking with a patient about taking eplerenone (Inspra) to treat hypertension, the health care professional should include which of the following instructions? Avoid drinking grapefruit juice Use sunscreen and protective clothing Avoid the use of salt substitutes Stop taking the drug if dizziness occurs
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Avoid the use of salt substitutes
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A health care professional is caring for a patient who has moderate to severe hypertension and is about to begin hydralazine therapy. The health care professional should monitor the patient for which of the following adverse reactions to the drug? A flu-like syndrome Extrapyramidal symptoms A lupus-like syndrome Hypertensive crisis
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A lupus-like syndrome
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A health care professional should question the use of nifedipine (Procardia) for a patient who has a history of which of the following? Bradycardia Liver disease Unstable angine pectoris Second-degree AV block
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Unstable angine pectoris
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A patient who is taking digoxin (Lanoxin) develops ECG changes and other manifestations that indicate severe digoxin toxicity. Which of the following drugs should the health care professional have available to treat this complication? Acetylcysteine (Acetadote) Flumazenil (Mazicon) Fab antibody fragments (Digibind) Deferoxamine (Desferal)
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Fab antibody fragments (Digibind)
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A health care professional should question the use of milrinon (primacor) for a patient who currently has which of the following? Acute myocardial infarction Peripheral vascular disease Ulcerative colitis Ventricular tachycardia
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Acute myocardial infarction
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A provider is considering the various drug therapy options for treating a patient's cardiac dysrhythmia. He should be aware that which of the following antidysrhythmic drugs is appropriate only for short-term use because of its severe adverse effects with long-term use? Quinidine Procainamide Nitroglycerin Verapamil (Calan)
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Procainamide
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A health care professional is caring for a patient who is about ot begin captopril (Capoten) therapy to treat hypertension. When talking with the patient about taking the drug, the healthc are professional should tell her to report which of the following adverse effects because they can indicate a need to stop drug therapy? (select all that apply) Rash Distorted Taste Swelling of the tongue Photosensitivity Dry cough
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Rash Distorted Taste Swelling of the tongue Dry cough
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A health care professional is about to administer atenolol (Tenormin) to a patient who has hypertension. Which of the following assessments should the health care professional perform prior to giving the patient the drug? Respiratory rate Level of consciousness Serum glucose Apical pulse
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Apical pulse
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A health care professional should question the use of dobutamine for a patient who is receiving which of the following types of drugs? (select all that apply) ACE inhibitor Monoamine oxidase inhibitor General anesthetic Tricyclic antidepressant Beta blocker
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Monoamine oxidase inhibitor General anesthetic Tricyclic antidepressant Beta blocker
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A health care professional is caring for a patient who is about to begin taking ethacrynic acid (Edecrin) to treat heart failure. The health care professional should tell the patient to report which of the following indications of a potentially serious adverse reaction? Shortness of breath Hearing loss Swelling in the legs Blurred vision
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Hearing loss
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When talking with a patient about taking clonidine (Catapres) to treat hypertension, the health care professional should explain that discontinuing clonidine therapy abruptly can result in which of the following adverse effects? Constipation Hypertension Drowsiness Dry mouth
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Hypertension
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A health care professional is assessing a patient following the administration of nifedipine (Procardia). Recognizing the adverse effects of nifedipine, the health care professional should be prepared to administer which of the following drugs? Prazosin (Minipress) Doxazosin (Cardura) Propanolol (Inderal) Enalapril (Vasotec)
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Propanolol (Inderal)
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A health care professional is caring for a patient who is about to begin taking propranolol (Inderal) to treat to tachydysrhythmia. The health care professional should caution the patient about taking which of the following types of over-the-counter drugs? Antihistamines Potassium supplements NSAIDS Antacids
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Antacids
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A health care professional is caring for a patient who is taking spironolactone (Aldactone) to treat hypertension. Which of the following laboratory values should alert the health care professional to take further action? Serum sodium level of 140 mEq/L Serum potassium level of 5.2 mEq/L Serum chloride level of 100 mEq/L Serum magnesium level 1.9 mEw/L
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Serum potassium level of 5.2 mEq/L
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A health care professional is caring for a patient who is about to begin taking gemfibrozil (Lopid) to treat hypercholesterolemia. Which of the following instructions should the health care professional include when talking with the patient about the drug? (select all that apply) Take the drug with food Report any new intolerance to fried foods Report muscle tenderness Expect periodic liver function testing Take the drug once a day
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Report any new intolerance to fried foods Report muscle tenderness Expect periodic liver function testing
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A health care professional is caring for a patient who is about to begin aliskiren (Tekurna) therapy to treat hypertension. The health care professional should monitor the patient for which of the following adverse effects of the drug? (select all that apply) Hyperkalemia Throat swelling Constipation Cough Joint pain
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Hyperkalemia Throat swelling Cough
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A patient who takes carvedilol (Coreg) for hypertension is about to begin taking an oral antidiabetes drug to manage newly diagnosed type 2 diabetes mellitus. The health care professional should make sure the primary care provider is aware that the patient is at increased risk for which of the following if she takes both drugs? Hyperglycemia Bradycardia Hypotension Hypoglycemia
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Hypoglycemia
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A health care professional is caring for a patient who has glomerular filtration rate of 10 mL/min and a reduced urine output. The health care professional should question the use of hydrochlorothiazide for the patient because of which of the following characteristics of the drug? The drug can cause hypoglycemia in patients who have low urine output The drug does not reduce blood pressure for patients who have a low urine output The drug can increase the risk of pulmonary edema for patients who have renal insufficiency The drug does not promote diuresis for patients who have renal insufficiency
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The drug does not promote diuresis for patients who have renal insufficiency
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A health care professional is caring for a patient who is about to begin taking losartan (Cozaar) to treat hypertension. The health care professional should tell the patient to report which of the following indications of an adverse reaction to the drug? Facial edema Sleepiness Peripheral edema Constipation
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Facial edema
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A health care professional is reviewing the history of a patient who is about to begin furosemide (Lasix) therapy to treat hypertension. Which of the following drugs that the patient takes should alert the health care professional to take further action? Lithium (Lithobid) for bipolar disorder Phenytoin (Dilantin) for seizure disorder Erythromycin (Erythrocin) for bronchitis Warfarin (Coumadin) to prevent blood clots
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Lithium (Lithobid) for bipolar disorder
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A health care professional is caring for a patient who is about to begin using transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. When talking with the patient about the drug, the health care professional should include which of the following instructions? (select all that apply) Apply a new patch at the onset of anginal pain Apply the patch to dry skin and cover the area with plastic wrap Apply the patch to a hairless area and rotate sites Apply a new patch each morning Remove patches for 10 to 12 hr daily
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Apply the patch to a hairless area and rotate sites Apply a new patch each morning Remove patches for 10 to 12 hr daily