Pharmacology Final Exam
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
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A patient about to receive his morning dose of digoxin has an
apical pulse of 70 beats per minute. What will the nurse do?
A. Administer the dose.
B. Administer the dose and notify the physician.
,C. Check the radial pulse for 1 full minute.
D. Withhold the dose and notify the - Answer: A. Administer the
dose.
In assessing a patient before administration of a cardiac glycoside,
the nurse knows that what condition can predispose a patient to
digitalis toxicity?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia - Answer: A. Hypokalemia; control ventricular
response to atrial fibrillation and a derived from foxglove. Digoxin
is the only available cardiac glycoside---positive inotropic---
inhibits sodium potassium pump (adenosine tripphophatase)
Sodium and calcium rise. Cholinergic stimulation via the vagus
nerve of Parasympathetic nervous system. ---Negative
chronotropic---Negative Dromotropic effect
While assessing a patient who is receiving intravenous digitalis,
the nurse recognizes that the drug has a negative chronotropic
effect. How would this drug effect be evident in the patient?
A. Increased heart rate
B. Decreased heart rate
,C. Decreased conduction
D. Increased ectopic beats - Answer: B. Decreased heart rate
A patient has been taking digoxin at home but has taken an
accidental overdose and has developed toxicity. He has been
admitted to the telemetry unit where the physician has ordered
digoxin immune Fab (Digibind). The patient asks the nurse why
the medication is ordered. What is the nurse's best response?
A. "It works faster than digoxin."
B. "It is safer than digoxin and can be taken orally."
C. "It helps to convert the irregular heart rhythm to a more
normal rhythm."
D. "This drug is an antidote to digoxin and will help to lower the
blood levels." - Answer: D. "This drug is an antidote to digoxin
and will help to lower the blood levels." (severe bradycardia,
advanced heart block, ventricularr tachycardia, fibrillation, and
hyperkalemia); available in parental form. Clinical signs and
symptoms are monitored NOT serum levels----used for systolic
heart failure and atrial fibrillation.
5. A patient has been placed on a milrinone infusion as part of the
therapy for end-stage heart failure. What risks involved with this
drug will the nurse keep in mind while assessing this patient
during the infusion?
, A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias - Answer: D. Cardiac dysrhythmias
(contraindictated with ventricular tachycardia, and fibrillation)
used for treatment of atrial fibrillation. Available in Oral and
injection form.
6. A patient with atrial fibrillation was started on digoxin, and 1
week later a digoxin level was drawn. Which result is within
normal therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher - Answer: B. 0.7 ng/mL (normal 0.5 to 2.0
ng/mL
7. When reviewing the list of medications taken by a patient who
will be receiving a new prescription for digoxin, the nurse would
be concerned about which medication that may interact with the
digoxin?
A. aspirin
B. acetaminophen (Tylenol)
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
A patient about to receive his morning dose of digoxin has an
apical pulse of 70 beats per minute. What will the nurse do?
A. Administer the dose.
B. Administer the dose and notify the physician.
,C. Check the radial pulse for 1 full minute.
D. Withhold the dose and notify the - Answer: A. Administer the
dose.
In assessing a patient before administration of a cardiac glycoside,
the nurse knows that what condition can predispose a patient to
digitalis toxicity?
A. Hypokalemia
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia - Answer: A. Hypokalemia; control ventricular
response to atrial fibrillation and a derived from foxglove. Digoxin
is the only available cardiac glycoside---positive inotropic---
inhibits sodium potassium pump (adenosine tripphophatase)
Sodium and calcium rise. Cholinergic stimulation via the vagus
nerve of Parasympathetic nervous system. ---Negative
chronotropic---Negative Dromotropic effect
While assessing a patient who is receiving intravenous digitalis,
the nurse recognizes that the drug has a negative chronotropic
effect. How would this drug effect be evident in the patient?
A. Increased heart rate
B. Decreased heart rate
,C. Decreased conduction
D. Increased ectopic beats - Answer: B. Decreased heart rate
A patient has been taking digoxin at home but has taken an
accidental overdose and has developed toxicity. He has been
admitted to the telemetry unit where the physician has ordered
digoxin immune Fab (Digibind). The patient asks the nurse why
the medication is ordered. What is the nurse's best response?
A. "It works faster than digoxin."
B. "It is safer than digoxin and can be taken orally."
C. "It helps to convert the irregular heart rhythm to a more
normal rhythm."
D. "This drug is an antidote to digoxin and will help to lower the
blood levels." - Answer: D. "This drug is an antidote to digoxin
and will help to lower the blood levels." (severe bradycardia,
advanced heart block, ventricularr tachycardia, fibrillation, and
hyperkalemia); available in parental form. Clinical signs and
symptoms are monitored NOT serum levels----used for systolic
heart failure and atrial fibrillation.
5. A patient has been placed on a milrinone infusion as part of the
therapy for end-stage heart failure. What risks involved with this
drug will the nurse keep in mind while assessing this patient
during the infusion?
, A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias - Answer: D. Cardiac dysrhythmias
(contraindictated with ventricular tachycardia, and fibrillation)
used for treatment of atrial fibrillation. Available in Oral and
injection form.
6. A patient with atrial fibrillation was started on digoxin, and 1
week later a digoxin level was drawn. Which result is within
normal therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher - Answer: B. 0.7 ng/mL (normal 0.5 to 2.0
ng/mL
7. When reviewing the list of medications taken by a patient who
will be receiving a new prescription for digoxin, the nurse would
be concerned about which medication that may interact with the
digoxin?
A. aspirin
B. acetaminophen (Tylenol)
