MEDICAL SURGICAL EXAM 3: SAUNDERS
WITH 100% CORRECTLY SOLVED
SOLUTIONS.
Which medication, if prescribed for the client with glaucoma, should the
nurse question?
1. Betaxolol
2. Pilocarpine
3. Erythromycin
4. Atropine sulfate - Correct Answer-4. Atropine sulfate
The nurse provides home care instructions to the parents of a child with
heart failure regarding the procedure for administration of digoxin. Which
statement made by the parent indicates the need for further instruction?
1. "I will not mix the medication with food."
2. "I will take my child's pulse before administering the medication."
3. "If more than 1 dose is missed, I will call the
1. health care provider."
4. "If my child vomits after medication administration, I will repeat the
dose." - Correct Answer-4. "If my child vomits after medication
administration, I will repeat the dose."
The nurse is monitoring a client who is taking digoxin for adverse effects.
Which findings are characteristic of digoxin toxicity? Select all that apply.
1. Tremors
2. Diarrhea
3. Irritability
4. Blurred vision
5. Nausea and vomiting - Correct Answer- 2. Diarrhea
4. Blurred vision
5. Nausea and vomiting
The nurse monitors a client receiving digoxin for which early manifestation of
digoxin toxicity?
1. Anorexia
, 2. Facial pain
3. Photophobia
4. Yellow color perception - Correct Answer-1. Anorexia
The nurse provides medication instructions to a client about digoxin. Which
statement by the client indicates an understanding of its adverse effects?
1. "Blurred vision is expected."
2. "If I am nauseated or vomiting, I should stay on liquids and take some
liquid antacids."
3. "This medication may cause headache and weakness but that is
nothing to worry about."
4. "If my pulse rate drops below 60 beats per minute, I should let my
health care provider know." - Correct Answer-4. "If my pulse rate drops
below 60 beats per minute, I should let my health care provider know."
The nurse is caring for a client being admitted to the emergency department
with a chief complaint of anorexia, nausea, and vomiting. The nurse asks the
client about the home medications being taking. The nurse would be most
concerned if the client stated that which medication was being taken at
home?
1. Digoxin
2. Captopril
3. Losartan
4. Furosemide - Correct Answer-1. Digoxin
The nurse is providing medication instructions to an older client who is taking
digoxin daily. The nurse explains to the client that decreased lean body mass
and decreased glomerular filtration rate, which are age-related body
changes, could place the client at risk for which complication with medication
therapy?
1. Decreased absorption of digoxin
2. Increased risk for digoxin toxicity
3. Decreased therapeutic effect of digoxin
4. Increased risk for side effects related to digoxin - Correct Answer-2.
Increased risk for digoxin toxicity
A client who is receiving digoxin daily has a serum potassium level of 3
mEq/L (3 mmol/L) and is complaining of anorexia. The health care provider
prescribes a serum digoxin level to be done. The nurse checks the results
WITH 100% CORRECTLY SOLVED
SOLUTIONS.
Which medication, if prescribed for the client with glaucoma, should the
nurse question?
1. Betaxolol
2. Pilocarpine
3. Erythromycin
4. Atropine sulfate - Correct Answer-4. Atropine sulfate
The nurse provides home care instructions to the parents of a child with
heart failure regarding the procedure for administration of digoxin. Which
statement made by the parent indicates the need for further instruction?
1. "I will not mix the medication with food."
2. "I will take my child's pulse before administering the medication."
3. "If more than 1 dose is missed, I will call the
1. health care provider."
4. "If my child vomits after medication administration, I will repeat the
dose." - Correct Answer-4. "If my child vomits after medication
administration, I will repeat the dose."
The nurse is monitoring a client who is taking digoxin for adverse effects.
Which findings are characteristic of digoxin toxicity? Select all that apply.
1. Tremors
2. Diarrhea
3. Irritability
4. Blurred vision
5. Nausea and vomiting - Correct Answer- 2. Diarrhea
4. Blurred vision
5. Nausea and vomiting
The nurse monitors a client receiving digoxin for which early manifestation of
digoxin toxicity?
1. Anorexia
, 2. Facial pain
3. Photophobia
4. Yellow color perception - Correct Answer-1. Anorexia
The nurse provides medication instructions to a client about digoxin. Which
statement by the client indicates an understanding of its adverse effects?
1. "Blurred vision is expected."
2. "If I am nauseated or vomiting, I should stay on liquids and take some
liquid antacids."
3. "This medication may cause headache and weakness but that is
nothing to worry about."
4. "If my pulse rate drops below 60 beats per minute, I should let my
health care provider know." - Correct Answer-4. "If my pulse rate drops
below 60 beats per minute, I should let my health care provider know."
The nurse is caring for a client being admitted to the emergency department
with a chief complaint of anorexia, nausea, and vomiting. The nurse asks the
client about the home medications being taking. The nurse would be most
concerned if the client stated that which medication was being taken at
home?
1. Digoxin
2. Captopril
3. Losartan
4. Furosemide - Correct Answer-1. Digoxin
The nurse is providing medication instructions to an older client who is taking
digoxin daily. The nurse explains to the client that decreased lean body mass
and decreased glomerular filtration rate, which are age-related body
changes, could place the client at risk for which complication with medication
therapy?
1. Decreased absorption of digoxin
2. Increased risk for digoxin toxicity
3. Decreased therapeutic effect of digoxin
4. Increased risk for side effects related to digoxin - Correct Answer-2.
Increased risk for digoxin toxicity
A client who is receiving digoxin daily has a serum potassium level of 3
mEq/L (3 mmol/L) and is complaining of anorexia. The health care provider
prescribes a serum digoxin level to be done. The nurse checks the results
