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NSG 318 FINAL EXAM LATEST UPDATE 2024-2025 WITH
CORRECT VERIFIED ANSWERS GRADE A+
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Diltiazem
d. Clopidogrel
b. Digoxin
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. What action should the
nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
D. The nurse should inform the HCP because this results indicates
toxicity.
What is the therapeutic serum level of digoxin?
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse
asks the nurse what are signs of digoxin toxicity. What should the nurse
teach the student nurse?
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a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
D. Green or yellow halos, cardiac dysrhythmias, bradycardia,
vomiting, anorexia and diarrhea
A patient on digoxin therapy reports having blurred vision and yellow
halos and 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
B. Administer Digoxin Immune Fab. This med reverses the side
effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
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Ginseng, Licorice, Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs. Which CAMs
should the nurse educate the patient to avoid?
Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and
Ephedra
What are 3 important things a nurse needs to watch for during digoxin
therapy?
Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Clopidogrel
a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin?
The most common route is sublingual.
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 have 3 doses of nitroglycerin.
What should the nurse tell the patient?
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The main side effect of this med is that it decreases BP. With each dose
the BP is decreasing. So with multiple doses, you will eventually have
no BP.
A patient was prescribed a topical/transdermal nitroglycerin. What
should the nurse teach the patient about this route?
The patient needs to be nitrate free for 8-12 hours to avoid developing a
tolerance. Typically, this nitrate free period can occur at night.
A patient asks the nurse what side effects they should look out for while
on nitroglycerin. What information should the nurse give to the patient?
Blurred vision, palpitation to compensate for the low BP, tolerance, and
orthostatic hypotension. A life-threatening side effect is circulatory
collapse which is when there is no BP if you overdose
What intervention should the nurse take when administering
nitroglycerin?
Monitor VS, position pt sitting or laying down when 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 Atenolol. What should the
nurse teach the student?
It is used to treat HTN, angina and treat acute MI
A doctor orders atenolol for a patient with a history of acute
bronchospasms. What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order
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NSG 318 FINAL EXAM LATEST UPDATE 2024-2025 WITH
CORRECT VERIFIED ANSWERS GRADE A+
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Diltiazem
d. Clopidogrel
b. Digoxin
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. What action should the
nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP
D. The nurse should inform the HCP because this results indicates
toxicity.
What is the therapeutic serum level of digoxin?
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The student nurse
asks the nurse what are signs of digoxin toxicity. What should the nurse
teach the student nurse?
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a. Depression
b. Circulatory Collapse
c. Tachycardia
d. Green or yellow hallos
D. Green or yellow halos, cardiac dysrhythmias, bradycardia,
vomiting, anorexia and diarrhea
A patient on digoxin therapy reports having blurred vision and yellow
halos and 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
B. Administer Digoxin Immune Fab. This med reverses the side
effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
f. Parsley
g. Green tea
h. Ephedra
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Ginseng, Licorice, Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs. Which CAMs
should the nurse educate the patient to avoid?
Ginseng, St. John's Wort, Psyllium, Hawthorn, Licorice, Aloe, and
Ephedra
What are 3 important things a nurse needs to watch for during digoxin
therapy?
Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Clopidogrel
a. Nitroglycerin
How should a nurse instruct a patient to take nitroglycerin?
The most common route is sublingual.
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 have 3 doses of nitroglycerin.
What should the nurse tell the patient?
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The main side effect of this med is that it decreases BP. With each dose
the BP is decreasing. So with multiple doses, you will eventually have
no BP.
A patient was prescribed a topical/transdermal nitroglycerin. What
should the nurse teach the patient about this route?
The patient needs to be nitrate free for 8-12 hours to avoid developing a
tolerance. Typically, this nitrate free period can occur at night.
A patient asks the nurse what side effects they should look out for while
on nitroglycerin. What information should the nurse give to the patient?
Blurred vision, palpitation to compensate for the low BP, tolerance, and
orthostatic hypotension. A life-threatening side effect is circulatory
collapse which is when there is no BP if you overdose
What intervention should the nurse take when administering
nitroglycerin?
Monitor VS, position pt sitting or laying down when 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 Atenolol. What should the
nurse teach the student?
It is used to treat HTN, angina and treat acute MI
A doctor orders atenolol for a patient with a history of acute
bronchospasms. What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order
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