NUR 316- PREP U chap 44, 46 Exam
Questions and Answers with Verified
Solutions | Latest Updated 2026
A patient is experiencing nausea Digoxin immune fab (Digibind)
and Explanation:
visual disturbances when taking A patient who has nausea and visual
digoxin (Lanoxin). Which changes while
medication taking digoxin will most likely be
will be administered? administered
Acetylsalicylic acid (aspirin) digoxin immune fab (Digibind).
Nesiritide (Natrecor) Acetylsalicylic acid
Felbamate (Felbatol) is not administered for digoxin toxicity.
Digoxin immune fab (Digibind) Nesiritide is
not administered when the patient is
experiencing
digoxin toxicity. Felbamate is administered
for the
treatment of seizures.
,Mrs. Houston is a 78-year-old The importance of having required
woman who resides in an assisted laboratory work
living facility. Her doctor performed on time
prescribed Explanation:
digoxin at her last visit to the clinic Patients taking digoxin need to know the
and she has approached the nurse importance of having all laboratory work
who makes regular visits to the (serum
assisted-living facility about this drug levels; electrolytes) performed on
new time.
drug. What teaching point should Digoxin is not taken if the patient is
the bradycardic,
nurse emphasize to Mrs. and it does not provide an immediate or
Houston? short-term
The importance of having required increase in exercise tolerance. Blood
laboratory work performed on time pressure
The need to take the medication at monitoring is not normally required for
the same time each day patients
regardless who are taking digoxin.
of her heart rate
The correct technique for using a
home blood pressure cuff
Timing household activities to
coincide with the administration
times of her digoxin
,What is the most accurate method Assess the patient's heart rate and hold
for preventing adverse effects administration if it is less than 60.
associated with the use of Explanation:
digoxin? Patients should be taught to hold their
Teach patients to take their digoxin if
digoxin in their heart rate is less than 60 (or some
divided doses with each meal. other
Assess the patient's heart rate and defined heart rate). Divided doses are not
hold administration if it is less than normally
60. used and an awareness of heart failure
Teach patients the signs and does not
symptoms of heart failure. preclude adverse effects of digoxin.
Monitor therapeutic effects based
on echocardiogram results.
The nurse is to administer digoxin Notify the physician
to Explanation:
a client with heart failure. The Before administering each dose of digoxin,
nurse take
auscultates an apical pulse rate of the apical pulse rate for 60 seconds. If the
52. What action should the nurse apical
take? rate is below 60 beats per minute, withhold
Administer medication the
Notify the physician drug and notify the physician. Blood
Assess the blood pressure pressure is not
Administer half of the dose affected by digoxin. Without prescriptive
authority,
the nurse cannot change medication
dosages.
, After teaching a class of students Digoxin
about heart failure and drug Explanation:
therapy, Digoxin is the drug most often used to treat
the instructor determines that the heart
teaching has been successful failure. Human B-type natriuretic peptide,
when nitrate,
the students identify which drug as or furosemide also may be used, but these
most often used as treatment? drugs
are not the ones most commonly used.
When educating a group of It increases cardiac output by positive
nursing inotropic
students on the mechanisms of action
action of digitalis, the nurse It decreases the heart rate through
identifies negative
what as the pharmacological chronotropic effect
actions It retards the conduction velocity through
of digitalis? (Select all that apply.) the AV
node in the heart
Explanation:
The pharmacological actions of digitalis
are
increased cardiac output, decreased heart
rate,
and retarding conduction velocity. Digitalis
increases cardiac output by positive
inotropic
action. It does not have negative inotropic
action.
It decreases the heart rate through
negative
chronotropic effect. In atrial fibrillation rapid
atrial
contractions are seen. Digitalis is used to
treat atrial
fibrillation.
Questions and Answers with Verified
Solutions | Latest Updated 2026
A patient is experiencing nausea Digoxin immune fab (Digibind)
and Explanation:
visual disturbances when taking A patient who has nausea and visual
digoxin (Lanoxin). Which changes while
medication taking digoxin will most likely be
will be administered? administered
Acetylsalicylic acid (aspirin) digoxin immune fab (Digibind).
Nesiritide (Natrecor) Acetylsalicylic acid
Felbamate (Felbatol) is not administered for digoxin toxicity.
Digoxin immune fab (Digibind) Nesiritide is
not administered when the patient is
experiencing
digoxin toxicity. Felbamate is administered
for the
treatment of seizures.
,Mrs. Houston is a 78-year-old The importance of having required
woman who resides in an assisted laboratory work
living facility. Her doctor performed on time
prescribed Explanation:
digoxin at her last visit to the clinic Patients taking digoxin need to know the
and she has approached the nurse importance of having all laboratory work
who makes regular visits to the (serum
assisted-living facility about this drug levels; electrolytes) performed on
new time.
drug. What teaching point should Digoxin is not taken if the patient is
the bradycardic,
nurse emphasize to Mrs. and it does not provide an immediate or
Houston? short-term
The importance of having required increase in exercise tolerance. Blood
laboratory work performed on time pressure
The need to take the medication at monitoring is not normally required for
the same time each day patients
regardless who are taking digoxin.
of her heart rate
The correct technique for using a
home blood pressure cuff
Timing household activities to
coincide with the administration
times of her digoxin
,What is the most accurate method Assess the patient's heart rate and hold
for preventing adverse effects administration if it is less than 60.
associated with the use of Explanation:
digoxin? Patients should be taught to hold their
Teach patients to take their digoxin if
digoxin in their heart rate is less than 60 (or some
divided doses with each meal. other
Assess the patient's heart rate and defined heart rate). Divided doses are not
hold administration if it is less than normally
60. used and an awareness of heart failure
Teach patients the signs and does not
symptoms of heart failure. preclude adverse effects of digoxin.
Monitor therapeutic effects based
on echocardiogram results.
The nurse is to administer digoxin Notify the physician
to Explanation:
a client with heart failure. The Before administering each dose of digoxin,
nurse take
auscultates an apical pulse rate of the apical pulse rate for 60 seconds. If the
52. What action should the nurse apical
take? rate is below 60 beats per minute, withhold
Administer medication the
Notify the physician drug and notify the physician. Blood
Assess the blood pressure pressure is not
Administer half of the dose affected by digoxin. Without prescriptive
authority,
the nurse cannot change medication
dosages.
, After teaching a class of students Digoxin
about heart failure and drug Explanation:
therapy, Digoxin is the drug most often used to treat
the instructor determines that the heart
teaching has been successful failure. Human B-type natriuretic peptide,
when nitrate,
the students identify which drug as or furosemide also may be used, but these
most often used as treatment? drugs
are not the ones most commonly used.
When educating a group of It increases cardiac output by positive
nursing inotropic
students on the mechanisms of action
action of digitalis, the nurse It decreases the heart rate through
identifies negative
what as the pharmacological chronotropic effect
actions It retards the conduction velocity through
of digitalis? (Select all that apply.) the AV
node in the heart
Explanation:
The pharmacological actions of digitalis
are
increased cardiac output, decreased heart
rate,
and retarding conduction velocity. Digitalis
increases cardiac output by positive
inotropic
action. It does not have negative inotropic
action.
It decreases the heart rate through
negative
chronotropic effect. In atrial fibrillation rapid
atrial
contractions are seen. Digitalis is used to
treat atrial
fibrillation.
