Pharmacology Exam Review With Actual Question| Multiple Choices
Pharmacology Exam Review With Actual Question| Multiple Choices 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 -CORRECT 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 -CORRECT 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 -CORRECT ANSWER-B. Decreased heart rate
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