NSG 318 Exam 3 Questions and Answers Rated A+

NSG 318 Exam 3 Questions and Answers Rated A+ What is the indication of use for Digoxin? treat heart failure and A-fib You suspect your client is experiencing digitalis toxicity. What action do you take? administration of Digoxin-immune fab What nursing intervention will you take prior to administering digoxin? check apical pulse rate You suspect your client is experiencing an angina episode while ambulating around the nurses' station. What non-pharmacologic action is the priority to stabilize the client? Return them to bed and provide them with adequate rest What is the goal of using Nitroglycerin (Nitrostat)? relieve angina by: decrease cardiac preload and afterload reduces myocardial O2 demand Your client has self-administered SL Nitroglycerin for chest pain. The pain has not subsided after five minutes. What is the next step for the client? call 911, then take another pill *only take 3 doses What is the overall goal for a client that uses Furosemide (Lasix)? to get excess fluid out of the body *make sure client is on a NAS diet Why might the HCP prescribe Spironlactaone instead of Furosemide? Spironolactone is a potassium-sparing diuretic, so is would be good to use for someone with hypokalemia A client has a serum potassium level of 5.5 mEq/L and is taking spirolactone. What do you advise the patient? discontinue the potassium-sparing diuretic and restrict foods high in potassium What is the priority action before administering Metoprolol? Take blood pressure Anticoagulants prevent blood clot formation ex: Heparin and Warfarin Antiplatelet drugs Inhibit platelet aggregation Prevent platelet plugs ex: Clopidogrel Bisulfate Thrombolytic drugs drugs that dissolve thrombi by functioning similarly to tissue plasminogen activator ex: Alteplase (tPA) What is the indication of use for Heparin? Prevents potential blood clot through SubQ route Stops blood clot through IV *DO NOT GIVE ORALLY, does not work Your client takes Warfarin and has symptoms of overdose which include black tarry stools. What do you anticipate giving them as an antidote? Vitamin K takes 24-48 hours to become effective though A client was administered the wrong dose of Heparin, and starts to hemorrhage. What do you anticipate giving? protamine sulfate via IV route Your client has self-administered Rosuvastatin. The patient now has pain and weakness in his muscles. What is the next step for the client? draw lab levels for AST, ALT, CPK What is the importance of monitoring the HDL and LDL when a client is taking Statin? to see how effective the drug is abnormal serum levels can lead to cardiovascular events or CVA Serum Lipid Values Triglycerides less than 150 (40-150 is normal) LDL less than 100 Greater than 60 for HDL