FULL TEST BANK For Pharmacology and the Nursing Process, (Lilley, Pharmacology and the Nursing Process) 7th Edition Latest Update Graded A+.

13. Question Name: 0013 Type: MC Objective: Ch 24: Heart Failure Drugs Item Bank: Lilley Pharmacology and the NUrsing Process 7th Ed When a patient is experiencing digoxin toxicity, which clinical situation would necessitate the use of digoxin immune Fab (Digifab)? (Select all that apply.) A. The patient rePOrts seeing colorful halos around lights. * B. The patient’s serum POtassium level is above 5 mEq/L. C. The patient is experiencing nausea and anorexia. * D. The patient is experiencing severe siNUs bradycardia that does not resPOnd to cardiac pacing. * E. The patient has received an overdose of greater than 10 mg of digoxin. F. The patient rePOrts fatigue and headaches. Correct Answer: BDE Explanation/Rationale: ANS: B, D, E Clinical situations that would require the use of digoxin immune Fab in a patient with digoxin toxicity include serum POtassium level above 5 mEq/L, severe siNUs bradycardia that does not resPOnd to cardiac pacing, or an overdose of more than 10 mg of digoxin. Seeing colorful halos around lights and experiencing nausea, anorexia, fatigue, and headaches are POtential adverse effects of digoxin therapy but are not necessarily reasons for digoxin immune Fab treatment. DIF: COGNITIVE LEVEL: Analyzing (Analysis)REF: p. 389 TOP: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies Reference/Notes: Keywords: POints: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 02/01/13 10:51:56 Date Modified: 02/05/13 19:10:38 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students ResPOnded: 0 No. of Students ResPOnded: 0 Correct ResPOnses (%): Correct ResPOnses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 POint Biserial: 0.00 POint Biserial: 0.00 ResPOnse Frequencies (%) A B C D E F Last: 0.00 0.00 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 0.00 0.00 14. Question Name: 0014 Type: MC Objective: Ch 24: Heart Failure Drugs Item Bank: Lilley Pharmacology and the NUrsing Process 7th Ed Which drug classes are considered first-line treatment for heart failure? (Select all that apply.) * A. Angiotensin-converting enzyme (ACE) inhibitors * B. Angiotensin II receptor blockers (ARBs) C. Digoxin (cardiac glycoside) * D. Beta blockers E. Nesiritide (Natrecor), the B-type natriuretic peptide Correct Answer: ABD Explanation/Rationale: ANS: A, B, D ACE inhibitors, ARBs, and beta blockers are now considered the first-line treatments for heart failure. Digoxin is used when the first-line treatments are not successful; nesiritide is considered a last-resort treatment. DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 384 TOP: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies Reference/Notes: Keywords: POints: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 02/01/13 10:51:56 Date Modified: 02/05/13 19:10:51 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students ResPOnded: 0 No. of Students ResPOnded: 0 Correct ResPOnses (%): Correct ResPOnses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 POint Biserial: 0.00 POint Biserial: 0.00 ResPOnse Frequencies (%) A B C D E Last: 0.00 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 0.00 Item Bank: Lilley Pharmacology and the NUrsing Process 7th Ed