Drugs for Heart Failure
Understanding Pharmacology Essentials for Medication Safety
Nursing
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Questions
What is the most common cause of heart failure?
Explanation:
Why must the muscles of the left ventricle be the strongest ones in the heart?
Explanation:
Which two factors are most likely to result in improved cardiac output?
Explanation:
Which symptom is commonly assessed by the nurse when a patient has left ventricular heart failure?
Which condition alerts the nurse to assess a patient for worsening heart failure?
The nurse prepares to administer a drug for heart failure to a patient. Which assessment finding does the nurse report to the prescriber before administering the drug?
Which statement made by a patient with heart failure indicates that more teaching is needed about the prescribed drug therapy?
A patient asks the nurse how a prescribed diuretic can help heart failure. What is the nurses best response?
A patient with heart failure asks the nurse why the antihypertensive drug enalopril (Vasotec) has been prescribed. What is the nurses best response?
A patient taking lisinopril (Zestril) for heart failure reports a nagging, nonproductive cough. What is the nurses best first action?
After giving the first dose of any antihypertensive drug for heart failure, what action must the nurse take for patient safety?
Which safety precaution does the nurse teach a patient going home on any antihypertensive drug for heart failure?
A patient with heart failure reports a 5-lb weight gain during the past week and episodes of feeling more short of breath. What is the nurses best response?
A patient with heart failure is prescribed oral captopril (Capoten) and carvedilol (Coreg). The heart rate after giving these drugs is decreased from 84 per minute to 68 per minute. What is the nurses best action?
A patient with heart failure is prescribed metoprolol (Toprol XL) 25 mg daily. The pharmacy sends metoprolol (Lopressor) 25 mg. What is the nurses best action?
When are vasodilator drugs usually prescribed for heart failure?
Which precaution does the nurse stress when teaching a patient about a prescribed nitroglycerin transdermal patch?
A patient is prescribed nitroglycerin ointment. What technique does the nurse use to avoid experiencing side effects from this drug?
Which statement by a patient receiving nitroglycerin ointment indicates the need for additional teaching by the nurse?
A patient is prescribed isosorbide (Isordil). Which condition does the nurse teach the patient is an expected side effect of this drug?
Which vasodilator drug can be safely prescribed for a patient with heart failure during pregnancy?
A patient asks the nurse how prescribed digoxin (Lanoxin) will help improve heart failure. What is the nurses best response?
A patient with heart failure is prescribed digoxin (Lanoxin). The patient reports nausea, blurry vision, and feeling like the heart is skipping beats. What is the nurses best action?
A patient taking digoxin (Lanoxin) has all of the following laboratory blood values. Which value does the nurse report to the prescriber before administering the next dose of digoxin?
What is the most important action for the nurse to perform before administering a patients daily dose of digoxin (Lanoxin)?
A patient with heart failure asks the nurse why two diuretic drugs, furosemide (Lasix) and spironolactone (Aldactone), have been prescribed. What is the nurses best response?
A patient with heart failure is prescribed a one-time dose of furosemide (Lasix) 400 mg by intravenous (IV) push immediately. What is the nurses best action?
A patient receiving dobutamine (Dobutrex) at 180 mcg/minute is having all of the following physiologic responses. Which response indicates that the drip rate may be too high?
A patient with heart failure is receiving dobutamine (Dobutrex) intravenously at home. Which sign or symptom does the home health nurse tell the patient to report?
What does the nurse teach a patient who has been prescribed potassium (K-Dur)?
A patient is receiving magnesium by intravenous infusion. Which assessment finding indicates that the patients blood magnesium level may be too high?
[Multiple Response] Which are sympathetic nervous system compensatory mechanisms of the body for heart failure? (Select all that apply.)
a. Increased heart rate
b. Decreased respiratory rate
c. Increased contractility
d. Decreased body temperature
e. Increased cardiac output
[Multiple Response] The nurse is creating a care plan for a patient with heart failure. Which lifestyle changes does the nurse include in the plan of care? (Select all that apply.)
a. Fluid restriction of 1000 mL per day
b. Weight loss program
c. Smoking cessation program
d. Aerobic exercise program
e. Low-salt, low-fat diet
[Multiple Response] A patient is being discharged with prescribed sublingual nitroglycerin. Which teaching points does the nurse include in the patients care plan? (Select all that apply.)
a. Keep the tablet in place until it is dissolved.
b. Swallow the tablet with a full glass of water.
c. A tingling sensation means that the drug is potent.
d. Do not eat anything until after the tablet is dissolved.
e. Call your prescriber if chest pain persists after one tablet.
[Multiple Response] A patient is to receive nesiritide (Natrecor). Which patient assessments does the nurse check before giving this drug? (Select all that apply.)
a. Heart rate
b. Swallowing reflex
c. IV line for patency
d. Oral intake
e. Respiratory rate factors
[Multiple Response] A patient is to receive nesiritide (Natrecor). Which patient assessments does the nurse check before giving this drug? (Select all that apply.)
a. Heart rate
b. Swallowing reflex
c. IV line for patency
d. Oral intake
e. Respiratory rate factors
A patient is prescribed digoxin (Lanoxin) 0.03 mg as a liquid dose. The drug on hand is digoxin 0.05 mg/mL. How many milliliters does the nurse give? _____ mL
