Adult. CV pharmacology exam

A 56-year-old male with a history of hypertension is brought to the emergency department by his family after accidentally ingesting a large number of amlodipine tablets.

Considering the patient's presentation, which of the following complications or interventions are relevant in the context of an amlodipine overdose?     Select all that apply
 

A 68-year-old female patient with a history of chronic heart failure is admitted to the medical unit with acute pulmonary edema. The health care provider orders intravenous furosemide.
The nurse preparing to administer the medication realizes that the prescribed route is for a rapid IV push.
Given the patient's condition and the prescribed route of administration for the furosemide, which of the following is a potential concern or complication?                 
Select all that apply

A 72-year-old male is admitted to the cardiology unit following complaints of chest discomfort. An electrocardiogram reveals abnormal heart rhythms, and the attending physician orders intravenous lidocaine.
As the nurse reviews the patient's history and physical examination findings, which of the following conditions would make the nurse proceed with caution when administering lidocaine?

A 78-year-old female patient with a history of heart failure is admitted to the cardiology unit.  As a part of her routine checkup, her current signs, symptoms, and laboratory parameters are being evaluated.

Which of the following findings or properties align with the therapeutic effects of digoxin?

A 65-year-old woman with a history of chronic hypertension has recently been started on clonidine to manage her elevated blood pressure. She presents to her primary care provider complaining of several new symptoms.
Which of the following symptoms or scenarios is most directly associated with the known side effects or warnings of clonidine?

A 26-year-old female patient diagnosed with sickle-cell anemia (SCA) presents to the outpatient clinic for her routine check-up. She has been managing her condition with standard care including pain management, hydration, and occasional blood transfusions.
During the visit, she shares with the nurse that she has been reading about potential medications specifically designed for SCA and inquires about their benefit and side effects.
Which of the following medications and their associated nursing pharmacological implications would be relevant for a patient with sickle-cell anemia? Select all that apply

A 45-year-old female with a history of severe anemia has been prescribed a blood transfusion.
One hour into the transfusion, she began to complain of chills, back pain, and dyspnea. The nurse promptly stops the transfusion, suspecting a transfusion reaction.
What is the appropriate next two steps for the nurse to take?

A 57-year-old male patient began treatment for his hypertension and his nurse made the following statement.
Complete the following sentence by using the list of options


Patients taking should be cautious of   and avoid conditions, situations, or medications that could intensify this reaction.

A 55-year-old female patient with atrial fibrillation has been started on apixaban therapy to reduce the risk of stroke. During a follow-up visit, which of the following statements made by the patient suggests an understanding of the medication? Select all that apply

A 72-year-old male patient has been on furosemide therapy for chronic congestive heart failure. He recently presented to the emergency department with complaints of weakness, dizziness, and occasional palpitations. 
Based on the patient's presentation and medications, which of the following findings or concerns might be consistent with furosemide toxicity?

A 62-year-old male patient contacted the clinic by phone, expressing concern about fatigue since this morning and noticeable palpitations.
After localizing his medical records which of the following actions should the nurse prioritize at this moment?

A 42-year-old male is admitted for short-term intravenous antibiotic therapy. On the second day, the nurse noticed that the peripheral intravenous (IV) line wasn't flushing easily.
To best assess the patency of the IV line, the nurse should look out for which of the following signs and symptoms?     Select all that apply

A 60-year-old male patient with a history of pulmonary embolism has been initiated on dabigatran therapy.
During his outpatient follow-up, which aspects of dabigatran therapy should the nurse consider and which not?

A 36-year-old female patient has been diagnosed with iron-deficiency anemia and is prescribed intramuscular iron dextran injections. During a return visit for her injection, the nurse prepares to administer the iron product. The patient has a history of allergic reactions to various medications.

Which of the following steps or considerations is appropriate for the nurse to take when administering the intramuscular iron injection? Select all that apply

A 65-year-old female patient recently diagnosed with chronic stable angina is prescribed sublingual nitroglycerin tablets. During a follow-up visit, the nurse discusses the medication's appropriate use.
Which statement by the patient indicates an understanding of the medication's purpose and which does not?

A 52-year-old male patient presents to the emergency department with sudden onset shortness of breath, sharp chest pain that worsens with deep breaths, and a cough-producing blood-tinged sputum. He recently underwent a total knee replacement surgery. 

Given the patient's clinical presentation and diagnosis, which of the following treatments might the healthcare team consider? Select all that apply

A 63-year-old male patient diagnosed with chronic stable angina has recently been started on ivabradine as an adjunct therapy to his atenolol. During a follow-up visit, he mentions to the nurse a peculiar effect he's been experiencing, saying, "I occasionally see bright flashes of light, even when my eyes are closed."

Which of the following responses by the nurse would be most appropriate?

A 56-year-old female patient presents to the clinic with a history of hypertension, currently controlled with medication.
During her most recent visit, her lab results were abnormally elevated.
Based on her medical history and current lab results, the healthcare provider is considering initiating fenofibrate therapy.

Complete the diagram below by dragging from the choices below what condition the client is most likely experiencing, two actions the nurse would take to address that condition, and two parameters the nurse would monitor to assess the client’s progress.

Mrs. Ana Garcia, a 52-year-old Hispanic woman with a history of Prinzmetal’s angina, was admitted to the cardiac unit for ongoing management of her condition.
Mrs. Garcia, a schoolteacher with a 10-year history of hypertension and hyperlipidemia, has been experiencing intermittent episodes of chest pain, predominantly in the early mornings.
Upon admission, the nurse's notes indicated she is a nonsmoker with a sedentary lifestyle.
The cardiac monitor showed a PR interval of 0.32 seconds, raising concerns about her current medication management.

Considering Mrs. Garcia's diagnosis and the observed PR interval of 0.32 seconds on the cardiac monitor, which of her prescribed medications should the nurse consider withholding and consult with the healthcare provider (HCP)?

A 67-year-old female with a history of high cholesterol is seen in the outpatient clinic. She has recently been started on cholestyramine as part of her management plan. She presents complaining of some new gastrointestinal symptoms since starting the medication.
Considering the patient's presentation and her new medication, which of the following three precautions or interventions should the nurse consider related to the use of cholestyramine?