HESI Pharmacology- Fortis Questions with Accurate
Answers.
How do you assess for Digoxin - accurate answers-Always take AP for a full
minute
A 62 year old Male comes to the ER with a long hx of daily digoxin and
furosemide(lasix), What is most likely the SE he is experiencing? - accurate
answers-Dig toxicity because this Dx causes hypokalemia to occur when taken
for a long time.
What range would digoxin level be considered normal? - accurate answers-
0.5- 2ng/ml
What is a normal serum K+ level? - accurate answers-3.5 to 5.0 mEq/L
What is the positive inotrope for Digoxin? - accurate answers-increases force
of contraction
What is the negative chronotope for Digoxin? - accurate answers-decreases
HR
Digoxin toxicity may be increased by what lab levels? - accurate answers-low
K+ or Mg levels
When do you hold Digoxin? - accurate answers-if AP is less than 60
What Mx do you take orange juice w/? - accurate answers-Iron
What vitamin deficiency causes night blindness? - accurate answers-Vitamin A
What are the S/S of dig toxicity? - accurate answers-Anorexia, Bradycardia,
Headache, Dizziness, Confusion, Nausea, and Visual Disturbances
What is the beta blocker Labetalol used for? - accurate answers-HTN
(hypertension)
When taking labetalol, when do you stop giving the Dx and notify the
prescriber? - accurate answers-When the Pulse rate becomes low
, What is a SE of labetalol and what those this mean? - accurate answers-Weight
gain, Fluid retention
Nitroglycerin transdermal patch is to treat? - accurate answers-Angina (chest
pain)
How do use nitroglycerin transdermal patch, patient teaching? - accurate
answers-remove patch at night to allow 8 hours w/o patch
What will happen if you use nitroglycerin transdermal patch for 24 hours? -
accurate answers-Intolerance to the Dx can occur
Why wear gloves when applying nitroglycerin paste or patch? - accurate
answers-severe vasodilation, decrease BP, intense HA, can occur
What can be given along w/ nitroglycerin patch for angina if VS ok, and how to
administer? - accurate answers-SL (sublingual) nitro, PRN
What can be given for HA? - accurate answers-acetaminophen
When is it okay to leave the Nitro patch on a pt and administer SL nitro? -
accurate answers-When VS are normal
A Pt in CCU is receiving nitro drip, the pt becomes hypotensive, what is the
nurses next step? - accurate answers-Decrease rate of nitro drip
What are the common SE of channel blockers? - accurate answers-Dizziness,
Facial flusching, Hypotension, edema
and constipation
What do dipine's, channel blockers like amlodipine, affect? - accurate
answers-Vessels only, causes vasodilation
What do channel blockers Verapamil and diltiazem affect? - accurate answers-
the Heart
What do you monitor when taking Channel blockers? - accurate answers-BP,
and decrease HR
Answers.
How do you assess for Digoxin - accurate answers-Always take AP for a full
minute
A 62 year old Male comes to the ER with a long hx of daily digoxin and
furosemide(lasix), What is most likely the SE he is experiencing? - accurate
answers-Dig toxicity because this Dx causes hypokalemia to occur when taken
for a long time.
What range would digoxin level be considered normal? - accurate answers-
0.5- 2ng/ml
What is a normal serum K+ level? - accurate answers-3.5 to 5.0 mEq/L
What is the positive inotrope for Digoxin? - accurate answers-increases force
of contraction
What is the negative chronotope for Digoxin? - accurate answers-decreases
HR
Digoxin toxicity may be increased by what lab levels? - accurate answers-low
K+ or Mg levels
When do you hold Digoxin? - accurate answers-if AP is less than 60
What Mx do you take orange juice w/? - accurate answers-Iron
What vitamin deficiency causes night blindness? - accurate answers-Vitamin A
What are the S/S of dig toxicity? - accurate answers-Anorexia, Bradycardia,
Headache, Dizziness, Confusion, Nausea, and Visual Disturbances
What is the beta blocker Labetalol used for? - accurate answers-HTN
(hypertension)
When taking labetalol, when do you stop giving the Dx and notify the
prescriber? - accurate answers-When the Pulse rate becomes low
, What is a SE of labetalol and what those this mean? - accurate answers-Weight
gain, Fluid retention
Nitroglycerin transdermal patch is to treat? - accurate answers-Angina (chest
pain)
How do use nitroglycerin transdermal patch, patient teaching? - accurate
answers-remove patch at night to allow 8 hours w/o patch
What will happen if you use nitroglycerin transdermal patch for 24 hours? -
accurate answers-Intolerance to the Dx can occur
Why wear gloves when applying nitroglycerin paste or patch? - accurate
answers-severe vasodilation, decrease BP, intense HA, can occur
What can be given along w/ nitroglycerin patch for angina if VS ok, and how to
administer? - accurate answers-SL (sublingual) nitro, PRN
What can be given for HA? - accurate answers-acetaminophen
When is it okay to leave the Nitro patch on a pt and administer SL nitro? -
accurate answers-When VS are normal
A Pt in CCU is receiving nitro drip, the pt becomes hypotensive, what is the
nurses next step? - accurate answers-Decrease rate of nitro drip
What are the common SE of channel blockers? - accurate answers-Dizziness,
Facial flusching, Hypotension, edema
and constipation
What do dipine's, channel blockers like amlodipine, affect? - accurate
answers-Vessels only, causes vasodilation
What do channel blockers Verapamil and diltiazem affect? - accurate answers-
the Heart
What do you monitor when taking Channel blockers? - accurate answers-BP,
and decrease HR
