Answered 2026/2027 Updated.
· Expected outcome of decongestant - Answer -Vasoconstriction of respiratory tract mucosa
-reduce edema and swelling
-relieve nasal congestion
-Allergic rhinitis
· Food rich in Vitamin K - Answer - Green Leafy vegetables
· Antidotes of certain anticoagulants, heparin and warfarin - Answer Heparin antidote:
protamine sulfate
-Warfarin antidote: vitamin K
· Nursing implications on the use of digoxin & normal values of digoxin level - Answer -BP,
apical-radial pulse, respiratory rate
-auscultate lungs
-examine extremities for edema
-check neck veins for distention
-weigh patient
-eval for cyanosis, shortness of breath, mental changes
-Be aware of lab values especially potassium levels
-before administering each dose, take the apical pulse rate for 60 seconds, and record
-with-hold and notify MD if rate below 60 or above 120 unless given other instructions
-daily weights
-measuring of I&O
-Assess for signs of drug toxicity
-Need for periodic lab studies
-Digoxin therapeutic level = 0.8 ng/mL-2ng/mL
-Digoxin toxic level = more than 2ng/mL
· Patient safety teaching when taking anticoagulants - Answer Warfarin:
-follow dosage schedule
-lab will be periodically monitored
, -inform dentist or other providers before any treatment or procedure
-notify MD if bleeding noticed
-Medic-Alert identification
-Use soft toothbrush, electric razor
Heparin:
-Report signs of bleeding
-lab tests
-Med as directed
-Advise providers before treatments
-Med-alert band
· Laboratory test monitoring for patients on anticoagulants - Answer -Heparin: closely monitor
aPTT therapeutic aPTT is 1.5-2 times baseline.
-Warfarin: closely monitor PT/INR levels: therapeutic INR is 2-3 (takes 3-5days to get to a
therapeutic level)
· patient education regarding the use and storage of nitroglycerin - Answer -Uses: treat and
prevent angina pectoris
-Examples: NTG SL: relieve pain of acute anginal attacks
ISOSORBIDE (isordil): prophylaxis
-Relaxing effect on smooth muscle of vessel > dilation > more blood flow
sublingual: placed under tongue; do not chew or swallow (nitrostat) = may be repeated every 5
minutes until pain is relieved up to three times in 15 minute period
PT teaching:
-take meds as described
-be aware of headache and flushing
-keep adequate supply of meds
-lie down when taking meds
-KEEP IN DARK GLASS CONTAINER; RECAP TIGHTLY
-keep record of pain and medications taken
-be aware of expiration dates.