What is an indication for milrinone?
Acute heart failure
Atrial fibrillation
Chronic stable angina
Chronic hypertension
The Correct Answer is A
A. Acute heart failure: Milrinone is a phosphodiesterase-3 inhibitor that increases cardiac contractility and promotes vasodilation. It is indicated for short-term management of acute decompensated heart failure, especially when conventional therapies are insufficient.
B. Atrial fibrillation: Milrinone does not have a primary role in managing atrial fibrillation. Antiarrhythmic medications, rate control agents, or anticoagulants are preferred for this condition.
C. Chronic stable angina: Milrinone is not indicated for chronic stable angina. Antianginal therapies such as nitrates, beta-blockers, or calcium channel blockers are more appropriate for symptom management in this condition.
D. Chronic hypertension: Milrinone is not used for chronic hypertension management. Its potent inotropic and vasodilatory effects are designed for acute cardiac support rather than long-term blood pressure control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Depression: Montelukast has been associated with neuropsychiatric effects, including depression, anxiety, and suicidal thoughts. Clients should be instructed to report mood changes promptly to the healthcare provider to ensure early intervention and medication safety.
B. Blurred vision: Blurred vision is not a common adverse effect of montelukast. While any new visual changes should be evaluated, it is not the primary concern related to this medication.
C. Palpitations: Palpitations are not typically linked to montelukast therapy. Cardiovascular symptoms should still be monitored if present, but they are not the main adverse effect prompting urgent reporting.
D. Constipation: Constipation is generally mild and uncommon with montelukast. It does not require immediate reporting unless severe or persistent, making it a lower-priority adverse effect compared to neuropsychiatric symptoms.
Correct Answer is C
Explanation
A. Seizure: Seizures are not a common manifestation of hydralazine toxicity. While severe hypotension could contribute to CNS symptoms, seizures are not a typical or expected clinical finding with this medication.
B. Hypertension: Hydralazine is a direct vasodilator used to lower blood pressure. Hypertension is not associated with hydralazine toxicity; instead, excessive hypotension may occur if the drug effect is too strong.
C. Tachycardia: Tachycardia is a common clinical finding associated with hydralazine toxicity. The vasodilation caused by hydralazine can lead to reflex sympathetic stimulation, resulting in an increased heart rate as the body attempts to maintain cardiac output and blood pressure.
D. Constipation: Constipation is not related to hydralazine use or toxicity. This adverse effect is not expected and does not indicate toxicity from the medication.
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