ATI A 283 with correct answers 2024/2025

ATI A 283 Cyclophosphamide drug class - correct answer alkylating agents Purpose of cyclophosphamide - correct answer Chemotherapy drug Nursing actions for patient receiving cyclophosphamide - correct answer Increase fluids to 3L/daily, monitor for blood in urine, mesna may be given if needed; mes na is a cryoprotectant agent that detoxifies metabolites to reduce hematuria. Indications of Digoxin toxicity - correct answer N/V, visual disturbances, anorexia, dysrhythmias. Nursing actions for pt taking Digoxin - correct answer Monitor K+, hypokalemia increases risk for toxicity; keep K level between 3.5-5. The dosage may need to be decreased for patients who have renal impairment. Complications of digoxin - correct answer Bradycardia, hypotension, cardiotoxicity, GI disturbances, fatigue, visual disturbances Nursing actions for patients receiving digoxin - correct answer Monitor apical HR (hold if below 60) What is the optimal therapeutic range of digoxin level? - correct answer 0.8-2.0 How does calcium gluconate reverse hypotension caused by veraparil? - correct answer The calcium counteracts vasodilation caused by verapamil. MUST BE GIVEN SLOWLY VIA IV What is IV sodium bicarb used to treat? - correct answer Metabolic acidosis