Question

In: Nursing

The nurse is caring for a patient taking simvastatin (Zocor). Which is the primary purpose of...

  1. The nurse is caring for a patient taking simvastatin (Zocor). Which is the primary purpose of this drug?

  1. Increase potassium levels in the blood
  2. Decrease the level of LDL in the blood
  3. Increase triglyceride levels in the blood
  4. Decrease the level of HDL in the blood

  1. The nurse is reviewing a medication administration record (MAR) for a patient taking oral hypoglycemic drugs. Which drug from the patient’s MAR could cause an interaction with oral hypoglycemic drugs?

  1. Vitamin supplements
  2. Thyroid replacement drugs
  3. Beta blockers
  4. Antibiotics

  1. While caring for a patient who recently had an acute myocardial infarction, the nurse notes severe ventricular dysrhythmias on the patient’s cardiac monitor. Which drug would the nurse anticipate the healthcare provider to order to treat this dysrhythmia?

  1. Diltiazem (Cardizem)
  2. Adenosine (Adenocard)
  3. Amiodarone (Cordarone)
  4. Verapamil (Calan)

  1. The nurse should assess the client for which common adverse effect of procainamide?

  1. Drowsiness
  2. Nystagmus
  3. Convulsions
  4. Dry mouth

  1. The nurse working in the emergency department (ED) is caring for a patient who is admitted for an acute myocardial infarction (MI). The healthcare provider has ordered a continuous nitroglycerin drip. Which statement is true about intravenous nitroglycerin administration?

  1. Nonpolyvinylchloride (nonPVC) plastic intravenous bags and tubing must be used
  2. Nitroglycerin can be given in the same line as other medications
  3. There is not a continuous intravenous form; nitroglycerin is given
  4. The nitroglycerin solution will be slightly colored green or blue

  1. The nurse is caring for a patient who recently had a myocardial infarction (MI). Which medications would the nurse anticipate the health care provider will recommend to this patient as prevention of another MI.

  1. Vitamin K and an anti-inflammatory
  2. Omega 3 supplement and an iron supplement
  3. Omega 3 supplement and a baby aspirin daily
  4. Vitamin A and an anticoagulant

  1. The nurse is discharging an older adult who lives alone and will need to take a diuretic drug for hypertension. Which would be important for the nurse to emphasize during the discharge teaching?

  1. Stop taking the medication if feeling dizzy, and take potassium
  2. The diuretic should be taken with the evening meal
  3. Do not take the diuretic if leaving the house for the day
  4. Stand slowly and carefully to prevent orthostatic hypotension

Solutions

Expert Solution

1. The nurse is caring for a patient taking simvastatin (Zocor). The primary purpose of the drug decreases the level of LDL in the blood.

Answer - B. Decrease the level of LDL in the blood.

It belongs to a class of drugs called HMG-CoA reductase inhibitors, Which is also known as laid lowering drugs or statins.

This drug lower bad cholesterol level in our body.

2.

The nurse is reviewing a medication administration record (MAR) for a patient taking oral hypoglycemic drugs. Beta-blockers from the patient’s MAR can cause an interaction with oral hypoglycemic drugs.

Answer - C. Beta blockers

Beta-blockers can block the action of Oral hypoglycemic agents and also can increase the blood glucose level.

3.

While caring for a patient who recently had an acute myocardial infarction, the nurse notes severe ventricular dysrhythmias on the patient’s cardiac monitor. the nurse anticipates the healthcare provider to order Amiodarone (Cordarone) to treat this dysrhythmia.

Answer - C. Amiodarone (Cordarone)

Amiodarone (Cordarone) belongs to the class of drugs called Class III Antiarythimic drug. Which is used to treat arrhythmia (Abnormal heart rhythm).

4.

Drowsiness is the common adverse effect of procainamide.

Answer -A. drowsiness

There are many side effects of procainamide(An antiarrhythmic drug) including Seizures but Drowsiness is most common.


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