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DETAILED ANSWERS WITH RATIONALES- LATEST 2025/26
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?
A. To Reduce Peristalsis And Urinary Bladder Tone.
B. To Accelerate The Heart Rate By Interfering With Vagal Impulses.
C. To Dry Oral And Tracheobronchial Secretions.
D. To Stimulate The Sa Node And Sympathetic Fibers To Increase The Rate.
ANS: 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.
A. Count The Apical Pulse; If It Is Regular And Above 60, Administer The Drug As Ordered.
B. Administer The Medication And Observe The Client For Further Nausea.
C. Hold The Drug And Call The Health Care Provider.
D. Hold The Medication And Count The Apical Pulse Before The Next Dose Is To Be Given.
ANS: Hold The Drug And Call The Health Care Provider
, 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?
A. To Decrease The Intensity Of Your Pain
B. To Relax Your Muscles Of Your Uterus
C. To Lower Your Blood Pressure
D. To Promote Development Of Your Baby's Lungs
ANS: To Relax Your Muscles Of Your Uterus
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 Appropriate For This Client?
A. Obtain An Arterial Blood Gas Every 2 Hours
B. Ensure Glucagon Is Readily Available
C. Add The Prescribed Dose Of Nph Insulin To The Iv Infusion
D. Monitor Blood Glucose Levels Every 4 Hours
ANS: Ensure Glucagon Is Readily Available
Glucagon And D50 Are Used For Rapid Treatment Of Hypoglycemia Which Can Occur When
Insulin Is Administered Intravenously