Pharmacology HESI
A 67-year-old client is discharged from the hospital with a prescription
for digoxin0.25 mg daily. Which instruction should the nurse include in
(Lanoxin)
this client'steaching plan?
discharge
(2/150)
a. Take the medication in the morning before
rising.
b. Take and record radial pulse rate
daily.
c. Expect some vision changes due to the
medication.
d. Increase intake of foods rich in Vitamin K. correct answers
ANSWER: B
RATIONALE: Monitoring pulse rate is very important when taking digoxin
(Lanoxin)
The client (B).
should be further instructed to report pulse rates below 60 or
greater than
and to withhold 110the dosage until consulting with a health care
professional
case. in such
(A) is not a
necessary. Visual changes are an indication of drug toxicity.
The client
should be instructed to report these immediately (C). A diet rich in
Vitamin K is not
necessary
(D).
Which symptoms are serious adverse effects of beta-adrenergic
blockers such
propranolol as
(Inderal)?
(6/150)
a. Headache, hypertension, and blurred
vision.
b. Wheezing, hypotension, and AV
block.
c. Vomiting, dilated pupils, and
papilledema.
d. Tinnitus, muscle weakness, and tachypnea. correct answers
ANSWER: B
RATIONALE: AV block is generally associated with bradycardia and
results in life-threatening decreases in cardiac output. Additionally,
potentially
wheezing
secondary to bronchospasm and hypotension represent life-threatening
respiratory
cardiac and
disorders, therefore these symptoms represent the most serious
adverse
of effects agents (B). (A, C, and D) are not associated with beta
beta-blocking
blockers.
What medication is useful in treating digoxin (Lanoxin)
toxicity?
a. Atropine(7/150)
sulfate
b. Isoproterenol
(Atropine).
(Isuprel)
c. Xylocaine
(Lidocaine).
d. Digoxin immune fab (Digibind). correct answers
ANSWER: D
RATIONALE: Digibind (D) is an antibody which binds antigenically to
unbound(Lanoxin)
digoxin serum or digitoxin (Digitalis) resulting in renal excretion of
the boundTherefore it is useful in treating this type of drug toxicity. (A, B,
complex.
and C)
used toare notdigitoxin (Lanoxin)
treat
toxicity
, When caring for a client on digoxin (Lanoxin) therapy the nurse knows to
be alert (Lanoxin)
digoxin for toxicity. Which finding would predispose this client to
developing
digoxin toxicity?
(8/150)
a. Low serum
sodium.
b. High serum
sodium.
c. Low serum
potassium.
d. High serum potassium. correct answers
ANSWER: C
RATIONALE: Hypokalemia (C) predisposes the client on digoxin to digoxin
toxicity,
usually presented as abdominal pain, anorexia, nausea, vomiting, visual
disturbances,
bradycardia, and AV disassociation. Assessment of serum potassium levels
with prompt
correction of hypokalemia are important interventions for the client
taking digoxin.
A 78-year-old client with congestive heart failure receives a cardiac
glycoside,0.25mg
(Lanoxin) digoxin po daily. Which observation by the nurse
indicates that
medication hasthebeen effective?
(9/150)
a. Systolic blood pressure readings ranges from 120
to Clear
b. 130. breath sounds anteriorly and
posteriorly
c. Jugular venous distention present with supine
positioning.
d. Radial pulse volume of +4 bilaterally. correct answers
ANSWER: B
RATIONALE: Digoxin improves cardiac contractility and decreases
conduction, which
will increase cardiac output. A decrease in pulmonary symptoms (B)
indicates that the
medication was effective in increasing the cardiac output. Digoxin
(Lanoxin) does not
directly affect the blood pressure (A). Jugular venous distention is a
significant finding,
IF it was assessed with the head of the bed raised at least 30 degrees
The
(C). Aphysician
pulse prescribes digitalis (Digoxin) for a client diagnosed with
congestive
failure.
volume Which heart
of +4 intervention
is a boundingshould
pulse, the nurse implement
indicating prior
fluid volume to
overload has not
administering
digoxin?
improved in the
(11/150)
a.
theObserve respiratory rate and
client with
CHF(D).
depth.
b. Assess the serum potassium
level.
c. Obtain the client's blood
pressure.
d. Monitor the serum glucose level. correct answers
ANSWER: B
RATIONALE: Hypokalemia (decreased serum potassium) will precipitate
digitalis
toxicity in persons receiving digoxin (B). The client's respiratory rate and
blood
(C) willpressure
not affect the administration of digoxin. The client's glucose level
(D) should if
monitored behe/she is a diabetic and is perhaps
receiving insulin
A 59-year-old client with congestive heart failure is taking furosemide
(Lasix)daily.
twice 40 mgThe nurse plans to monitor this client for
development of which
complication?
(12/150)
a.
Hyponatremia.
A 67-year-old client is discharged from the hospital with a prescription
for digoxin0.25 mg daily. Which instruction should the nurse include in
(Lanoxin)
this client'steaching plan?
discharge
(2/150)
a. Take the medication in the morning before
rising.
b. Take and record radial pulse rate
daily.
c. Expect some vision changes due to the
medication.
d. Increase intake of foods rich in Vitamin K. correct answers
ANSWER: B
RATIONALE: Monitoring pulse rate is very important when taking digoxin
(Lanoxin)
The client (B).
should be further instructed to report pulse rates below 60 or
greater than
and to withhold 110the dosage until consulting with a health care
professional
case. in such
(A) is not a
necessary. Visual changes are an indication of drug toxicity.
The client
should be instructed to report these immediately (C). A diet rich in
Vitamin K is not
necessary
(D).
Which symptoms are serious adverse effects of beta-adrenergic
blockers such
propranolol as
(Inderal)?
(6/150)
a. Headache, hypertension, and blurred
vision.
b. Wheezing, hypotension, and AV
block.
c. Vomiting, dilated pupils, and
papilledema.
d. Tinnitus, muscle weakness, and tachypnea. correct answers
ANSWER: B
RATIONALE: AV block is generally associated with bradycardia and
results in life-threatening decreases in cardiac output. Additionally,
potentially
wheezing
secondary to bronchospasm and hypotension represent life-threatening
respiratory
cardiac and
disorders, therefore these symptoms represent the most serious
adverse
of effects agents (B). (A, C, and D) are not associated with beta
beta-blocking
blockers.
What medication is useful in treating digoxin (Lanoxin)
toxicity?
a. Atropine(7/150)
sulfate
b. Isoproterenol
(Atropine).
(Isuprel)
c. Xylocaine
(Lidocaine).
d. Digoxin immune fab (Digibind). correct answers
ANSWER: D
RATIONALE: Digibind (D) is an antibody which binds antigenically to
unbound(Lanoxin)
digoxin serum or digitoxin (Digitalis) resulting in renal excretion of
the boundTherefore it is useful in treating this type of drug toxicity. (A, B,
complex.
and C)
used toare notdigitoxin (Lanoxin)
treat
toxicity
, When caring for a client on digoxin (Lanoxin) therapy the nurse knows to
be alert (Lanoxin)
digoxin for toxicity. Which finding would predispose this client to
developing
digoxin toxicity?
(8/150)
a. Low serum
sodium.
b. High serum
sodium.
c. Low serum
potassium.
d. High serum potassium. correct answers
ANSWER: C
RATIONALE: Hypokalemia (C) predisposes the client on digoxin to digoxin
toxicity,
usually presented as abdominal pain, anorexia, nausea, vomiting, visual
disturbances,
bradycardia, and AV disassociation. Assessment of serum potassium levels
with prompt
correction of hypokalemia are important interventions for the client
taking digoxin.
A 78-year-old client with congestive heart failure receives a cardiac
glycoside,0.25mg
(Lanoxin) digoxin po daily. Which observation by the nurse
indicates that
medication hasthebeen effective?
(9/150)
a. Systolic blood pressure readings ranges from 120
to Clear
b. 130. breath sounds anteriorly and
posteriorly
c. Jugular venous distention present with supine
positioning.
d. Radial pulse volume of +4 bilaterally. correct answers
ANSWER: B
RATIONALE: Digoxin improves cardiac contractility and decreases
conduction, which
will increase cardiac output. A decrease in pulmonary symptoms (B)
indicates that the
medication was effective in increasing the cardiac output. Digoxin
(Lanoxin) does not
directly affect the blood pressure (A). Jugular venous distention is a
significant finding,
IF it was assessed with the head of the bed raised at least 30 degrees
The
(C). Aphysician
pulse prescribes digitalis (Digoxin) for a client diagnosed with
congestive
failure.
volume Which heart
of +4 intervention
is a boundingshould
pulse, the nurse implement
indicating prior
fluid volume to
overload has not
administering
digoxin?
improved in the
(11/150)
a.
theObserve respiratory rate and
client with
CHF(D).
depth.
b. Assess the serum potassium
level.
c. Obtain the client's blood
pressure.
d. Monitor the serum glucose level. correct answers
ANSWER: B
RATIONALE: Hypokalemia (decreased serum potassium) will precipitate
digitalis
toxicity in persons receiving digoxin (B). The client's respiratory rate and
blood
(C) willpressure
not affect the administration of digoxin. The client's glucose level
(D) should if
monitored behe/she is a diabetic and is perhaps
receiving insulin
A 59-year-old client with congestive heart failure is taking furosemide
(Lasix)daily.
twice 40 mgThe nurse plans to monitor this client for
development of which
complication?
(12/150)
a.
Hyponatremia.
