VATI Pharmacological and Parenteral Therapies Quiz - Questions, Answers and Rationales

VATI Pharmacological and Parenteral Therapies Quiz A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care provider prescribes atropine sulfate. Which of the following best describes the intended action of atropine for this client? Select one: a. To reduce peristalsis and urinary bladder tone. b. To stimulate the SA node and sympathetic fibers to increase the rate. c. To accelerate the heart rate by interfering with vagal impulses. d. To dry oral and tracheobronchial secretions. - c. To accelerate the heart rate by interfering with vagal impulses. A client is prescribed digoxin 1mg by mouth QID. The client states that the objects in his room have a yellowish tinge and he is nauseated. Select the most appropriate nursing action at this time. Select one: a. Count the apical pulse; if it is regular and above 60, administer the drug as ordered. b. Hold the medication and count the apical pulse before the next dose is to be given. c. Administer the medication and observe the client for further nausea. d. Hold the drug and call the health care provider. - d. Hold the drug and call the health care provider. A client diagnosed with preterm labor has been prescribed nifedipine. The client asks the nurse why this particular medication has been prescribed. Which of the following statements by the nurse is correct? Select one: a. To relax your muscles of your uterus b. To lower your blood pressure c. To promote development of your baby's lungs d. To decrease the intensity of your pain - a. To relax your muscles of your uterus A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). An intravenous infusion of regular insulin has been started. Which of the following nursing interventions is most appropriate for this client? Select one: a. Obtain an arterial blood gas every 2 hours b. Monitor blood glucose levels every 4 hours c. Add the prescribed dose of NPH insulin to the IV infusion d. Ensure glucagon is readily available - d. Ensure glucagon is readily available A nurse is evaluating a client's understanding of lithium. Which statement by the client indicates a need for further education? Select one: a. "I will contact my provider if I develop diarrhea." b. "I should have my blood level drawn as directed." c. "I will drink 8-12 glasses of water a day." d. "I should take the medication on an empty stomach." - d. "I should take the medication on an empty stomach."