RNSG 1301 FINAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100% GUARANTEED
TO PASS CONCEPTS!!!
Nursing priority action for digoxin toxicity - CORRECT ANSWER-Administer
| | | | | | | |
digoxin immune fab (Digifab) IV to reverse effects
| | | | | | | |
What should a pt avails when taking Digoxin - CORRECT ANSWER-Ginseng,
| | | | | | | | | |
Hawthorne, licorice reports increased risk of digoxin toxicity.
| | | | | | | |
St. John's wort and psyllium have been shown to decrease effective of digoxin and
| | | | | | | | | | | | |
should be avoided
| | |
Identify human b-type natriuretic peptides - CORRECT ANSWER-Nesiritide
| | | | | | |
|(Natrecor) is the only drug currently available in a class of drugs called human b-
| | | | | | | | | | | | | |
|type natriuretic peptides
| |
An allergy to what is contraindicated in pts taking milrinone - CORRECT
| | | | | | | | | | |
ANSWER-Phosphodiesterase inhibitors and or bisulfites to avoid hypersensitivity
| | | | | | | |
,Side effects of disopyramide (Norpace) - CORRECT ANSWER-CNS: dizzy, drowsy,
| | | | | | | | |
fatigue, twitching, mouth numbness, slurred speech, vision change, tremors that
| | | | | | | | | |
can progress to convulsions
| | | |
GI: change in tase, NV
| | | |
Cardiovascular: arrhythmia a including heart block, hypotension, vasodilation,
| | | | | | |
potential cardiac arrest
| | |
Respiratory: depression progressing to respiratory arrests
| | | | |
Other: rash, hypersensitivity reactions, loss of hair, potential bone marrow
| | | | | | | | |
depression, urinary retention, dry mouth, constipation
| | | | | |
Initial drug therapy for newly dx HTN for nonblacks, blacks, <18, CKD - CORRECT
| | | | | | | | | | | | |
ANSWER-Non blacks including diabetics: Thiazide diuretics, the calcium channel
| | | | | | | | |
|blockers, ACE, ARB | |
Blacks including diabetics: Thiazide siuretics or calcium channel blockers
| | | | | | | |
| Pt <18 or w/CKD: ACE OR ARB
| | | | | |
Adverse effects of diltiazem - CORRECT ANSWER-Dizziness, flushing, headaches,
| | | | | | | |
peripheral edema, bradycardia, heart blocks, light head, atrioventricular block,
| | | | | | | | |
nausea
|
What increases the risk of drug toxicity w/calcium channel blockers - CORRECT
| | | | | | | | | | |
ANSWER-Cyclosporine if taken with/Dilitazem has a potentially serious effect to
| | | | | | | | | |
note is an increased in serum levels and toxicity
| | | | | | | | |
Pt edu that should be included when administering sustained-release
| | | | | | | |
| antihypertensive drugs? - CORRECT ANSWER-Swallow the drug whole, do not | | | | | | | | |
,cut, chew of crush to avoid potential for excessive dosing if these drugs are
| | | | | | | | | | | | |
inappropriately cut
| |
What to continuously monitor when administering an anti arrhythmic agent? -
| | | | | | | | | |
CORRECT ANSWER-Cardiac rate and rhythm
| | | | |
Pt edu when administering quinidine - CORRECT ANSWER-A avoid foods that
| | | | | | | | | |
alkalinize the urine due to this drug needing slightly acidic urine for excretion.
| | | | | | | | | | | | |
These foods include: citrus juices, vegetables, antacids, milk products; these can
| | | | | | | | | | |
lease to increased quinidine levels
| | | | |
Grapefruit should also be avoided | | | |
Class II antiarrhythmics are contraindicated in pts with what health hx - CORRECT
| | | | | | | | | | | |
ANSWER-Sinus Bradycardia (rate <45 bpm), AV block, cardiogenic shock, HF,
| | | | | | | | | |
asthma, respiratory depression, pregnancy and lactation
| | | | | |
What effect should the nurse monitor for in a pt taking both antihypertensive
| | | | | | | | | | | |
sand antianginal - CORRECT ANSWER-HR, BP on both arms if possible, monitor
| | | | | | | | | | | |
for orthostatic bp
| | |
Pt edu when administering sublingual nitroglycerin -CORRECTANSWER-Place
| | | | | | | |
one tab under tongue. DO NOT SWALLOW until tab has dissolved. The tab
| | | | | | | | | | | | |
should burn/fizzle slightly under tongue, if not the tab will not be effective and
| | | | | | | | | | | | | |
you should get a fresh supply. Usually relieves pain in 3-5min. If pain is not
| | | | | | | | | | | | | | |
relieved in 5mins take another tab. A total of (typically) 3 tabs maybe used
| | | | | | | | | | | | | |
spaces 5mins apart. If pain still not relieved contact pcp/911.
| | | | | | | | | |
, Ideally take tabs before chest pain begins esp of know a certain activity causes
| | | | | | | | | | | | |
|this pain |
Onset action of metoprolol - CORRECT ANSWER-Oral: 15mins
| | | | | | |
| IV: Immediate
|
Mechanism of action for beta blockers - CORRECT ANSWER-Competitively block
| | | | | | | | |
beta-adrenergic receptors in the heart and juxtaglomerular apparatus. Decreasing
| | | | | | | | |
the influence of the sympathetic nervous system on the tissues. The result is a
| | | | | | | | | | | | | |
decrease in excitability of the heart, decreased CO, decreased cardiac O2
| | | | | | | | | | |
consumption and decreased BP
| | | |
Pt edu to include when administering Atotvastatin (Lipitor) - CORRECT
| | | | | | | | |
ANSWER-Avoid grapefruit juice it alters metabolism of the drug leading to
| | | | | | | | | | |
increased serum levels and increased risk for adverse effects such as
| | | | | | | | | | |
rhabdomyolysis.
|
Can be taken anytime of day
| | | | |
Edu dietary changes to reduce weight and cholesterol such as low calorie low
| | | | | | | | | | | |
saturated fat diet and exercise program
| | | | | |
Inform women of childbearing age of potential harm to fetus should they become
| | | | | | | | | | | |
|pregnant
Adverse effects of lovastatin - CORRECT ANSWER-GI: flatulance, abdominal
| | | | | | | |
cramping/pain, NV, constipation.
| | |
AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100% GUARANTEED
TO PASS CONCEPTS!!!
Nursing priority action for digoxin toxicity - CORRECT ANSWER-Administer
| | | | | | | |
digoxin immune fab (Digifab) IV to reverse effects
| | | | | | | |
What should a pt avails when taking Digoxin - CORRECT ANSWER-Ginseng,
| | | | | | | | | |
Hawthorne, licorice reports increased risk of digoxin toxicity.
| | | | | | | |
St. John's wort and psyllium have been shown to decrease effective of digoxin and
| | | | | | | | | | | | |
should be avoided
| | |
Identify human b-type natriuretic peptides - CORRECT ANSWER-Nesiritide
| | | | | | |
|(Natrecor) is the only drug currently available in a class of drugs called human b-
| | | | | | | | | | | | | |
|type natriuretic peptides
| |
An allergy to what is contraindicated in pts taking milrinone - CORRECT
| | | | | | | | | | |
ANSWER-Phosphodiesterase inhibitors and or bisulfites to avoid hypersensitivity
| | | | | | | |
,Side effects of disopyramide (Norpace) - CORRECT ANSWER-CNS: dizzy, drowsy,
| | | | | | | | |
fatigue, twitching, mouth numbness, slurred speech, vision change, tremors that
| | | | | | | | | |
can progress to convulsions
| | | |
GI: change in tase, NV
| | | |
Cardiovascular: arrhythmia a including heart block, hypotension, vasodilation,
| | | | | | |
potential cardiac arrest
| | |
Respiratory: depression progressing to respiratory arrests
| | | | |
Other: rash, hypersensitivity reactions, loss of hair, potential bone marrow
| | | | | | | | |
depression, urinary retention, dry mouth, constipation
| | | | | |
Initial drug therapy for newly dx HTN for nonblacks, blacks, <18, CKD - CORRECT
| | | | | | | | | | | | |
ANSWER-Non blacks including diabetics: Thiazide diuretics, the calcium channel
| | | | | | | | |
|blockers, ACE, ARB | |
Blacks including diabetics: Thiazide siuretics or calcium channel blockers
| | | | | | | |
| Pt <18 or w/CKD: ACE OR ARB
| | | | | |
Adverse effects of diltiazem - CORRECT ANSWER-Dizziness, flushing, headaches,
| | | | | | | |
peripheral edema, bradycardia, heart blocks, light head, atrioventricular block,
| | | | | | | | |
nausea
|
What increases the risk of drug toxicity w/calcium channel blockers - CORRECT
| | | | | | | | | | |
ANSWER-Cyclosporine if taken with/Dilitazem has a potentially serious effect to
| | | | | | | | | |
note is an increased in serum levels and toxicity
| | | | | | | | |
Pt edu that should be included when administering sustained-release
| | | | | | | |
| antihypertensive drugs? - CORRECT ANSWER-Swallow the drug whole, do not | | | | | | | | |
,cut, chew of crush to avoid potential for excessive dosing if these drugs are
| | | | | | | | | | | | |
inappropriately cut
| |
What to continuously monitor when administering an anti arrhythmic agent? -
| | | | | | | | | |
CORRECT ANSWER-Cardiac rate and rhythm
| | | | |
Pt edu when administering quinidine - CORRECT ANSWER-A avoid foods that
| | | | | | | | | |
alkalinize the urine due to this drug needing slightly acidic urine for excretion.
| | | | | | | | | | | | |
These foods include: citrus juices, vegetables, antacids, milk products; these can
| | | | | | | | | | |
lease to increased quinidine levels
| | | | |
Grapefruit should also be avoided | | | |
Class II antiarrhythmics are contraindicated in pts with what health hx - CORRECT
| | | | | | | | | | | |
ANSWER-Sinus Bradycardia (rate <45 bpm), AV block, cardiogenic shock, HF,
| | | | | | | | | |
asthma, respiratory depression, pregnancy and lactation
| | | | | |
What effect should the nurse monitor for in a pt taking both antihypertensive
| | | | | | | | | | | |
sand antianginal - CORRECT ANSWER-HR, BP on both arms if possible, monitor
| | | | | | | | | | | |
for orthostatic bp
| | |
Pt edu when administering sublingual nitroglycerin -CORRECTANSWER-Place
| | | | | | | |
one tab under tongue. DO NOT SWALLOW until tab has dissolved. The tab
| | | | | | | | | | | | |
should burn/fizzle slightly under tongue, if not the tab will not be effective and
| | | | | | | | | | | | | |
you should get a fresh supply. Usually relieves pain in 3-5min. If pain is not
| | | | | | | | | | | | | | |
relieved in 5mins take another tab. A total of (typically) 3 tabs maybe used
| | | | | | | | | | | | | |
spaces 5mins apart. If pain still not relieved contact pcp/911.
| | | | | | | | | |
, Ideally take tabs before chest pain begins esp of know a certain activity causes
| | | | | | | | | | | | |
|this pain |
Onset action of metoprolol - CORRECT ANSWER-Oral: 15mins
| | | | | | |
| IV: Immediate
|
Mechanism of action for beta blockers - CORRECT ANSWER-Competitively block
| | | | | | | | |
beta-adrenergic receptors in the heart and juxtaglomerular apparatus. Decreasing
| | | | | | | | |
the influence of the sympathetic nervous system on the tissues. The result is a
| | | | | | | | | | | | | |
decrease in excitability of the heart, decreased CO, decreased cardiac O2
| | | | | | | | | | |
consumption and decreased BP
| | | |
Pt edu to include when administering Atotvastatin (Lipitor) - CORRECT
| | | | | | | | |
ANSWER-Avoid grapefruit juice it alters metabolism of the drug leading to
| | | | | | | | | | |
increased serum levels and increased risk for adverse effects such as
| | | | | | | | | | |
rhabdomyolysis.
|
Can be taken anytime of day
| | | | |
Edu dietary changes to reduce weight and cholesterol such as low calorie low
| | | | | | | | | | | |
saturated fat diet and exercise program
| | | | | |
Inform women of childbearing age of potential harm to fetus should they become
| | | | | | | | | | | |
|pregnant
Adverse effects of lovastatin - CORRECT ANSWER-GI: flatulance, abdominal
| | | | | | | |
cramping/pain, NV, constipation.
| | |
