VATI Pharmacological and Parenteral
Therapies Exam Questions & Answers
(Grade A+)
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The
health care provider prescribes atropine sulfate. Which of the
following best describes the intended action of atropine for this
client? -
correct answer ✅To accelerate the heart rate by interfering with
vagal impulses.
Atropine accelerates the heart rate by interfering with vagal
impulses. It is given IVP at doses of 0.5mg to 1.0mg per dose; every
3 to 5 minutes; up to 2.0mg. Doses less than 0.5mg may cause a
paradoxical slowing of the heart rate. When Atropine is given to a
client with history of an MI it should be used with great caution;
increasing the heart rate also increases myocardial oxygen
consumption!
A client is prescribed digoxin 1mg by mouth QID. The client states
that the objects in his room have a yellowish tinge and he is
nauseated. Select the most appropriate nursing action at this time.
-
correct answer ✅Hold the drug and call the health care provider.
,VATI Pharmacological and Parenteral
Therapies Exam Questions & Answers
(Grade A+)
This client is showing signs of digitalis toxicity. The most appropriate
action is to hold the drug and call the health care provider. Severe
arrhythmia may develop if action is not taken.
A client diagnosed with preterm labor has been prescribed
nifedipine. The client asks the nurse why this particular medication
has been prescribed. Which of the following statements by the
nurse is correct? -
correct answer ✅To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an
unlabeled use of the drug. Nifedipine, a calcium channel blocker, is
more commonly used to treat high blood pressure and heart
disease. Smooth muscle tissue, like the uterus, needs calcium to
contract. Nifedipine blocks the passage of calcium into certain
tissues, relaxing the uterine muscles and smooth muscles of blood
vessels throughout the body.
A client is admitted to the hospital with a diagnosis of diabetic
ketoacidosis (DKA). An intravenous infusion of regular insulin has
been started. Which of the following nursing interventions is most
, VATI Pharmacological and Parenteral
Therapies Exam Questions & Answers
(Grade A+)
appropriate for this client? -
correct answer ✅Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia
which can occur when insulin is administered intravenously
A nurse is evaluating a client's understanding of lithium. Which
statement by the client indicates a need for further education? -
correct answer ✅"I should take the medication on an empty
stomach."
Lithium should be taken with meals or milk to decrease gastric
upset.
A nurse is caring for a client taking captopril. Which finding would
require immediate attention for this client? -
correct answer ✅Potassium 5.8
A potassium of 5.8 is elevated- normal is 3.5-5. One effect of
Capoten is elevation of potassium levels because this drug inhibits
the formation of angiotensin II and blocks the release of
Therapies Exam Questions & Answers
(Grade A+)
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The
health care provider prescribes atropine sulfate. Which of the
following best describes the intended action of atropine for this
client? -
correct answer ✅To accelerate the heart rate by interfering with
vagal impulses.
Atropine accelerates the heart rate by interfering with vagal
impulses. It is given IVP at doses of 0.5mg to 1.0mg per dose; every
3 to 5 minutes; up to 2.0mg. Doses less than 0.5mg may cause a
paradoxical slowing of the heart rate. When Atropine is given to a
client with history of an MI it should be used with great caution;
increasing the heart rate also increases myocardial oxygen
consumption!
A client is prescribed digoxin 1mg by mouth QID. The client states
that the objects in his room have a yellowish tinge and he is
nauseated. Select the most appropriate nursing action at this time.
-
correct answer ✅Hold the drug and call the health care provider.
,VATI Pharmacological and Parenteral
Therapies Exam Questions & Answers
(Grade A+)
This client is showing signs of digitalis toxicity. The most appropriate
action is to hold the drug and call the health care provider. Severe
arrhythmia may develop if action is not taken.
A client diagnosed with preterm labor has been prescribed
nifedipine. The client asks the nurse why this particular medication
has been prescribed. Which of the following statements by the
nurse is correct? -
correct answer ✅To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an
unlabeled use of the drug. Nifedipine, a calcium channel blocker, is
more commonly used to treat high blood pressure and heart
disease. Smooth muscle tissue, like the uterus, needs calcium to
contract. Nifedipine blocks the passage of calcium into certain
tissues, relaxing the uterine muscles and smooth muscles of blood
vessels throughout the body.
A client is admitted to the hospital with a diagnosis of diabetic
ketoacidosis (DKA). An intravenous infusion of regular insulin has
been started. Which of the following nursing interventions is most
, VATI Pharmacological and Parenteral
Therapies Exam Questions & Answers
(Grade A+)
appropriate for this client? -
correct answer ✅Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia
which can occur when insulin is administered intravenously
A nurse is evaluating a client's understanding of lithium. Which
statement by the client indicates a need for further education? -
correct answer ✅"I should take the medication on an empty
stomach."
Lithium should be taken with meals or milk to decrease gastric
upset.
A nurse is caring for a client taking captopril. Which finding would
require immediate attention for this client? -
correct answer ✅Potassium 5.8
A potassium of 5.8 is elevated- normal is 3.5-5. One effect of
Capoten is elevation of potassium levels because this drug inhibits
the formation of angiotensin II and blocks the release of
