A patient on nifedipine(Procardia XL) continues to have blood pressures over 140/90 mm Hg. What action would the nurse take next?

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NCLEX Cardiovascular Questions Quizlet Questions

Question 1 of 5

A patient on nifedipine(Procardia XL) continues to have blood pressures over 140/90 mm Hg. What action would the nurse take next?

Correct Answer: B

Rationale: The patient data the nurse has about this patient is very limited, so the nurse needs to begin by assessing adherence to therapy.

Question 2 of 5

Which symptom is most concerning in a patient receiving amiodarone?

Correct Answer: C

Rationale: New dyspnea may indicate pulmonary toxicity, a serious adverse effect of amiodarone requiring immediate attention.

Question 3 of 5

What are nursing priorities for administering dobutamine?

Correct Answer: A

Rationale: Dobutamine can cause tachycardia and dysrhythmias, requires weight-based titration, and should be given via a central line due to incompatibilities.

Question 4 of 5

The most muscular, powerful heart chamber is the:

Correct Answer: C

Rationale: The left ventricle has the thickest muscular wall to pump blood against the high pressure of the systemic circulation.

Question 5 of 5

A 68 y/o Caucasian male develops acute worsening of his long-standing type 2 diabetes mellitus. Which is least likely to cause this:

Correct Answer: D

Rationale: Worsening diabetes is often due to increased insulin resistance or stress (e.g., Cushing's, infection, cardiac flare-up), which raise glucose levels. Acute adrenal insufficiency (Addison's) causes cortisol deficiency, leading to hypoglycemia, not hyperglycemia, making it the least likely cause.

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