NSG 318 Final Exam Save
Terms in this set (252)
Which medication is in the cardiac b. Digoxin
glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
What are the uses of Digoxin? Used to treat heart failure and atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. D. The nurse should inform the HCP because this results
What action should the nurse take? indicates toxicity.
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
What is the therapeutic serum level of 0.5 - 1 ng/ml
digoxin?
,The nurse is caring for a patient on digoxin D. Green or yellow halos, cardiac dysrhythmias, bradycardia,
therapy. The student nurse asks the nurse vomiting, anorexia and diarrhea
what are signs of digoxin toxicity. What
should the nurse teach the student nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
A patient on digoxin therapy reports having B. Administer Digoxin Immune Fab. This med reverses the side
blurred vision and yellow halos and effect of bradycardia
respirations are 5 per minute. What action
should the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects
Which CAMs increase the risk of digitalis Ginseng, Licorice, Aloe and Ephedra
toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
,A patient on digoxin therapy frequently Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe,
takes CAMs. Which CAMs should the nurse and Ephedra
educate the patient to avoid?
What are 3 important things a nurse needs Apical pulse >60
to watch for during digoxin therapy? Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug a. Nitroglycerin
class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
How should a nurse instruct a patient to The most common route is sublingual.
take nitroglycerin? Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd
dose.
If still having chest pain in 5 mins and EMT has not arrived,
take a 3 and FINAL dose
A patient asks a nurse why they can only The main side effect of this med is that it decreases BP. With
have 3 doses of nitroglycerin. What should each dose the BP is decreasing. So with multiple doses, you
the nurse tell the patient? will eventually have no BP.
, A patient was prescribed a The patient needs to be nitrate free for 8-12 hours to avoid
topical/transdermal nitroglycerin. What developing a tolerance. Typically, this nitrate free period can
should the nurse teach the patient about occur at night.
this route?
A patient asks the nurse what side effects Blurred vision, palpitation to compensate for the low BP,
they should look out for while on tolerance, and orthostatic hypotension. A life-threatening
nitroglycerin. What information should the side effect is circulatory collapse which is when there is no BP
nurse give to the patient? if you overdose
What intervention should the nurse take Monitor VS, position pt sitting or laying down when
when administering nitroglycerin? administering, advise pt to NOT drink alcohol while taking
med bc alcohol also decreases BP and instruct pt on how to
properly store the med (not childproof, and temp sensitive)
A student nurse asks what are the used on It is used to treat HTN, angina and treat acute MI
Tenormin. What should the nurse teach the
student?
A doctor orders atenolol for a patient with a d. Question the HCPs order. Bronchospasm is a
history of acute bronchospasms. What contraindication because atenolol has a slight chance of
action should the nurse take next? stimulating Beta 2
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order
Terms in this set (252)
Which medication is in the cardiac b. Digoxin
glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
What are the uses of Digoxin? Used to treat heart failure and atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. D. The nurse should inform the HCP because this results
What action should the nurse take? indicates toxicity.
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
What is the therapeutic serum level of 0.5 - 1 ng/ml
digoxin?
,The nurse is caring for a patient on digoxin D. Green or yellow halos, cardiac dysrhythmias, bradycardia,
therapy. The student nurse asks the nurse vomiting, anorexia and diarrhea
what are signs of digoxin toxicity. What
should the nurse teach the student nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
A patient on digoxin therapy reports having B. Administer Digoxin Immune Fab. This med reverses the side
blurred vision and yellow halos and effect of bradycardia
respirations are 5 per minute. What action
should the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects
Which CAMs increase the risk of digitalis Ginseng, Licorice, Aloe and Ephedra
toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
,A patient on digoxin therapy frequently Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe,
takes CAMs. Which CAMs should the nurse and Ephedra
educate the patient to avoid?
What are 3 important things a nurse needs Apical pulse >60
to watch for during digoxin therapy? Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug a. Nitroglycerin
class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix
How should a nurse instruct a patient to The most common route is sublingual.
take nitroglycerin? Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a 2nd
dose.
If still having chest pain in 5 mins and EMT has not arrived,
take a 3 and FINAL dose
A patient asks a nurse why they can only The main side effect of this med is that it decreases BP. With
have 3 doses of nitroglycerin. What should each dose the BP is decreasing. So with multiple doses, you
the nurse tell the patient? will eventually have no BP.
, A patient was prescribed a The patient needs to be nitrate free for 8-12 hours to avoid
topical/transdermal nitroglycerin. What developing a tolerance. Typically, this nitrate free period can
should the nurse teach the patient about occur at night.
this route?
A patient asks the nurse what side effects Blurred vision, palpitation to compensate for the low BP,
they should look out for while on tolerance, and orthostatic hypotension. A life-threatening
nitroglycerin. What information should the side effect is circulatory collapse which is when there is no BP
nurse give to the patient? if you overdose
What intervention should the nurse take Monitor VS, position pt sitting or laying down when
when administering nitroglycerin? administering, advise pt to NOT drink alcohol while taking
med bc alcohol also decreases BP and instruct pt on how to
properly store the med (not childproof, and temp sensitive)
A student nurse asks what are the used on It is used to treat HTN, angina and treat acute MI
Tenormin. What should the nurse teach the
student?
A doctor orders atenolol for a patient with a d. Question the HCPs order. Bronchospasm is a
history of acute bronchospasms. What contraindication because atenolol has a slight chance of
action should the nurse take next? stimulating Beta 2
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order
