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A patient about to receive his morning dose of digoxin A. Administer the dose.
has an apical pulse of 70 beats per minute. What will the
nurse do?
A. Administer the dose.
B. Administer the dose and notify the physician.
C. Check the radial pulse for 1 full minute.
D. Withhold the dose and notify the
In assessing a patient before administration of a cardiac A. Hypokalemia; control ventricular response to atrial fibrillation and a derived
glycoside, the nurse knows that what condition can from foxglove. Digoxin is the only available cardiac glycoside---positive
predispose a patient to digitalis toxicity? inotropic---inhibits sodium potassium pump (adenosine tripphophatase) Sodium
A. Hypokalemia and calcium rise. Cholinergic stimulation via the vagus nerve of Parasympathetic
B. Hyperkalemia nervous system. ---Negative chronotropic---Negative Dromotropic effect
C. Hypocalcemia
D. Hypernatremia
While assessing a patient who is receiving intravenous B. Decreased heart rate
digitalis, the nurse recognizes that the drug has a
negative chronotropic effect. How would this drug effect
be evident in the patient?
A. Increased heart rate
B. Decreased heart rate
C. Decreased conduction
D. Increased ectopic beats
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, C. Nausea and vomiting
D. Cardiac dysrhythmias
6. A patient with atrial fibrillation was started on digoxin, B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
and 1 week later a digoxin level was drawn. Which result is
within normal therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
7. When reviewing the list of medications taken by a C. furosemide (Lasix); (loop Diuretics); numerous ones on page 341
patient who will be receiving a new prescription for
digoxin, the nurse would be concerned about which
medication that may interact with the digoxin?
A. aspirin
B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
8. The nurse is reviewing discharge teaching for a patient D. Bran muffins
who will be taking digoxin (Lanoxin) therapy. The patient
should be taught to avoid which foods when taking the
digoxin?
A. Leafy green vegetables
B. Dairy products
C. Grapefruit juice
D. Bran muffins
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