Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
1. A patient about to receive his morning dose of digox- A. Administer the dose.
in 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
2. In assessing a patient before administration of a car- A. Hypokalemia; control ven-
diac glycoside, the nurse knows that what condition tricular response to atri-
can predispose a patient to digitalis toxicity? al fibrillation and a de-
A. Hypokalemia rived from foxglove. Digox-
B. Hyperkalemia in is the only available
C. Hypocalcemia cardiac glycoside---positive
D. Hypernatremia inotropic---inhibits sodium
potassium pump (adeno-
sine tripphophatase) Sodi-
um and calcium rise. Cholin-
ergic stimulation via the va-
gus nerve of Parasympathet-
ic nervous system. ---Nega-
tive chronotropic---Negative
Dromotropic effect
3. While assessing a patient who is receiving intra- B. Decreased heart rate
venous 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
, Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
4. A patient has been taking digoxin at home but has D. "This drug is an an-
taken an accidental overdose and has developed tidote to digoxin and will
toxicity. He has been admitted to the telemetry unit help to lower the blood
where the physician has ordered digoxin immune levels." (severe bradycardia,
Fab (Digibind). The patient asks the nurse why the advanced heart block, ven-
medication is ordered. What is the nurse's best re- tricularr tachycardia, fibril-
sponse? lation, and hyperkalemia);
A. "It works faster than digoxin." available in parental form.
B. "It is safer than digoxin and can be taken orally." Clinical signs and symp-
C. "It helps to convert the irregular heart rhythm to toms are monitored NOT
a more normal rhythm." serum levels----used for sys-
D. "This drug is an antidote to digoxin and will help tolic heart failure and atrial
to lower the blood levels." fibrillation.
5. 5. A patient has been placed on a milrinone infusion D. Cardiac dysrhythmias
as part of the therapy for end-stage heart failure. (contraindictated with ven-
What risks involved with this drug will the nurse tricular tachycardia, and fib-
keep in mind while assessing this patient during the rillation) used for treatment
infusion? of atrial fibrillation. Available
A. Hypertension in Oral and injection form.
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias
6. 6. A patient with atrial fibrillation was started on B. 0.7 ng/mL (normal 0.5 to
digoxin, and 1 week later a digoxin level was drawn. 2.0 ng/mL
Which result is within normal therapeutic levels for
digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
, Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
7. 7. When reviewing the list of medications taken by a C. furosemide (Lasix); (loop
patient who will be receiving a new prescription for Diuretics); numerous ones
digoxin, the nurse would be concerned about which on page 341
medication that may interact with the digoxin?
A. aspirin
B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
8. 8. The nurse is reviewing discharge teaching for a D. Bran muffins
patient 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
9. 9. In assessing a patient before administration of a A. Potassium level 2.8 mEq/L
cardiac glycoside, the nurse knows that which lab (low potassium normal is 3.5
result can increase the toxicity of the drug? to 5.0)
A. Potassium level 2.8 mEq/L
B. Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D. Calcium level 10 mg/dL
10. 10. The nurse administering the phosphodiesterase C. force of cardiac contrac-
inhibitor inamrinone recognizes that this drug tion. (increase cAMP) posi-
should have a positive inotropic effect. This effect tive inotropic (by more cal-
will result in increased cium available in SR)effect
, Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
A. heart rate. and vasodilation, (inodila-
B. blood vessel dilation. tors)---positive chornotrop-
C. force of cardiac contraction. ic effect); USED IN ICU;
D. conduction of electrical impulses across the heart. ADVERSE EFFECT...throm-
bocytopenia, dysrhythmia,
ventricular, hypotension
and angina, hypokalemia,
tremor.
11. 11. The nurse notes in a patient's medical record that B. Acutely decompensated
nesiritide has been ordered. Based on this order, the heart failure with dyspnea at
nurse interprets that the patient has which disor- rest
der?
A. Atrial fibrillation
B. Acutely decompensated heart failure with dysp-
nea at rest
C. Systolic heart failure
D. Long-term treatment of heart failure.
12. SELECT ALL THAT APPLY: B. The patient's serum
potassium level is above 5
1. When a patient is experiencing digoxin toxicity, mEq/L.
which clinical situation would necessitate the use of
digoxin immune Fab (Digibind)? Select all that apply. D. The patient is experienc-
A. The patient reports seeing colorful halos around ing severe sinus bradycar-
lights. dia that does not respond to
B. The patient's serum potassium level is above 5 cardiac pacing. (E) might be
mEq/L. right as well a person taking
C. The patient is experiencing nausea and anorexia. 10mg of digoxin is a indi-
D. The patient is experiencing severe sinus bradycar- cation of toxicity...page 340
dia that does not respond to cardiac pacing. states life threatening digox-
Study online at https://quizlet.com/_1g1jqg
1. A patient about to receive his morning dose of digox- A. Administer the dose.
in 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
2. In assessing a patient before administration of a car- A. Hypokalemia; control ven-
diac glycoside, the nurse knows that what condition tricular response to atri-
can predispose a patient to digitalis toxicity? al fibrillation and a de-
A. Hypokalemia rived from foxglove. Digox-
B. Hyperkalemia in is the only available
C. Hypocalcemia cardiac glycoside---positive
D. Hypernatremia inotropic---inhibits sodium
potassium pump (adeno-
sine tripphophatase) Sodi-
um and calcium rise. Cholin-
ergic stimulation via the va-
gus nerve of Parasympathet-
ic nervous system. ---Nega-
tive chronotropic---Negative
Dromotropic effect
3. While assessing a patient who is receiving intra- B. Decreased heart rate
venous 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
, Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
4. A patient has been taking digoxin at home but has D. "This drug is an an-
taken an accidental overdose and has developed tidote to digoxin and will
toxicity. He has been admitted to the telemetry unit help to lower the blood
where the physician has ordered digoxin immune levels." (severe bradycardia,
Fab (Digibind). The patient asks the nurse why the advanced heart block, ven-
medication is ordered. What is the nurse's best re- tricularr tachycardia, fibril-
sponse? lation, and hyperkalemia);
A. "It works faster than digoxin." available in parental form.
B. "It is safer than digoxin and can be taken orally." Clinical signs and symp-
C. "It helps to convert the irregular heart rhythm to toms are monitored NOT
a more normal rhythm." serum levels----used for sys-
D. "This drug is an antidote to digoxin and will help tolic heart failure and atrial
to lower the blood levels." fibrillation.
5. 5. A patient has been placed on a milrinone infusion D. Cardiac dysrhythmias
as part of the therapy for end-stage heart failure. (contraindictated with ven-
What risks involved with this drug will the nurse tricular tachycardia, and fib-
keep in mind while assessing this patient during the rillation) used for treatment
infusion? of atrial fibrillation. Available
A. Hypertension in Oral and injection form.
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias
6. 6. A patient with atrial fibrillation was started on B. 0.7 ng/mL (normal 0.5 to
digoxin, and 1 week later a digoxin level was drawn. 2.0 ng/mL
Which result is within normal therapeutic levels for
digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
, Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
7. 7. When reviewing the list of medications taken by a C. furosemide (Lasix); (loop
patient who will be receiving a new prescription for Diuretics); numerous ones
digoxin, the nurse would be concerned about which on page 341
medication that may interact with the digoxin?
A. aspirin
B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
8. 8. The nurse is reviewing discharge teaching for a D. Bran muffins
patient 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
9. 9. In assessing a patient before administration of a A. Potassium level 2.8 mEq/L
cardiac glycoside, the nurse knows that which lab (low potassium normal is 3.5
result can increase the toxicity of the drug? to 5.0)
A. Potassium level 2.8 mEq/L
B. Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D. Calcium level 10 mg/dL
10. 10. The nurse administering the phosphodiesterase C. force of cardiac contrac-
inhibitor inamrinone recognizes that this drug tion. (increase cAMP) posi-
should have a positive inotropic effect. This effect tive inotropic (by more cal-
will result in increased cium available in SR)effect
, Pharmacology Final Exam REVIEW!!!!
Study online at https://quizlet.com/_1g1jqg
A. heart rate. and vasodilation, (inodila-
B. blood vessel dilation. tors)---positive chornotrop-
C. force of cardiac contraction. ic effect); USED IN ICU;
D. conduction of electrical impulses across the heart. ADVERSE EFFECT...throm-
bocytopenia, dysrhythmia,
ventricular, hypotension
and angina, hypokalemia,
tremor.
11. 11. The nurse notes in a patient's medical record that B. Acutely decompensated
nesiritide has been ordered. Based on this order, the heart failure with dyspnea at
nurse interprets that the patient has which disor- rest
der?
A. Atrial fibrillation
B. Acutely decompensated heart failure with dysp-
nea at rest
C. Systolic heart failure
D. Long-term treatment of heart failure.
12. SELECT ALL THAT APPLY: B. The patient's serum
potassium level is above 5
1. When a patient is experiencing digoxin toxicity, mEq/L.
which clinical situation would necessitate the use of
digoxin immune Fab (Digibind)? Select all that apply. D. The patient is experienc-
A. The patient reports seeing colorful halos around ing severe sinus bradycar-
lights. dia that does not respond to
B. The patient's serum potassium level is above 5 cardiac pacing. (E) might be
mEq/L. right as well a person taking
C. The patient is experiencing nausea and anorexia. 10mg of digoxin is a indi-
D. The patient is experiencing severe sinus bradycar- cation of toxicity...page 340
dia that does not respond to cardiac pacing. states life threatening digox-
