NCLEX-RN Cardiovascular Medications Flashcards
Master 42 cardiovascular medications concepts for the NCLEX-RN.
Antihypertensives
15 cardsQuestion
What is the most common annoying side effect of ACE inhibitors (e.g., lisinopril) that often leads to switching the medication?
Question
Complete the statement regarding electrolyte monitoring for ACE inhibitors:
Question
A client taking Enalapril presents with swelling of the lips, tongue, and throat. What is the nurse's priority action?
Question
Distinguish between the mechanism of action for ACE Inhibitors and ARBs:
Question
The nurse notes a prescription for Propranolol (non-selective beta blocker). Which medical history finding causes the nurse to question this order?
Question
Why must clients with diabetes be cautious when taking beta blockers?
Question
What is the standard heart rate parameter below which a nurse should typically hold a beta blocker?
Question
A client prescribed Nifedipine (calcium channel blocker) should be instructed to avoid which beverage?
Question
What is a common adverse effect of calcium channel blockers (like amlodipine) that often manifests in the lower extremities?
Question
What is the primary risk of abruptly stopping Clonidine (alpha-2 agonist) without tapering?
Question
How does Hydralazine reduce blood pressure?
Question
Order the steps for taking sublingual nitroglycerin for acute angina at home:
Question
Why should a nitroglycerin transdermal patch be removed for 10-12 hours each day (usually at night)?
Question
Which medication is contraindicated in a client taking nitroglycerin due to the risk of fatal hypotension?
Question
Name one patient teaching intervention to prevent falls from orthostatic hypotension caused by antihypertensives.
Focus on how the patient should move.
Heart Failure & Diuretics
15 cardsQuestion
What is the therapeutic serum range for Digoxin?
Question
A patient taking digoxin reports seeing yellow-green halos around lights. Which condition does the nurse suspect?
Question
Complete the nursing assessment rule for Digoxin administration:
Question
Which specific electrolyte imbalance significantly increases the risk of Digoxin toxicity?
Question
What is the primary indication for administering Digoxin Immune Fab (Digibind)?
Question
A nurse administers IV Furosemide by rapid push. Which adverse effect is the patient most at risk for?
Question
Select the correct classification and monitoring requirement for Furosemide:
Question
A patient is prescribed Spironolactone. Which item should the nurse instruct the patient to avoid?
Question
What is the potential result of combining Thiazide diuretics with Lithium therapy?
Question
Complete the mechanism and indication for Mannitol:
Question
What is the primary ophthalmic condition treated with Acetazolamide?
Question
When is the optimal time of day to administer statins (e.g., Lovastatin)?
Question
A patient on Atorvastatin reports unexplained muscle pain and weakness. What serious adverse effect does this indicate?
Question
Select the correct monitoring priority for statin therapy:
Question
Which nursing intervention helps minimize the cutaneous flushing associated with Niacin therapy?
Antiarrhythmics & Antianginals
12 cardsQuestion
What is the most serious potential adverse effect of amiodarone, and what diagnostic test is required at baseline?
Question
Complete the statement regarding amiodarone's chemical structure and endocrine effects:
Question
A client on long-term amiodarone therapy reports their skin turning a blue-gray color. Which nursing action is appropriate?
Question
Which technique is required when administering IV Adenosine for Supraventricular Tachycardia (SVT)?
Question
What is the primary indication for administering Atropine?
Question
IV Lidocaine is used to treat which type of dysrhythmias, and what is the priority system to monitor for toxicity?
Question
What is the primary therapeutic effect of Epinephrine during cardiac arrest?
Question
Select the primary effect of Dopamine at the indicated dosage ranges:
Question
Which patient scenario is the best indication for Dobutamine administration?
Question
When titrating IV Nitroglycerin for chest pain, what is a common side effect that is expected and treated with analgesics rather than stopping the infusion?
Question
Ranolazine is used for chronic stable angina. Which ECG abnormality must the nurse monitor for?
Question
Select the correct mechanism and monitoring parameters for IV Diltiazem: