NURS 504 EXAM 2 GUIDE
Potassium levels - answerA nurse is caring for a client who is taking digoxin and a loop
diuretic. Which would be most important for the nurse to monitor?
Electrocardiogram results Potassium levels Sodium levels Liver enzymes
blood pressure. - answerA patient with class-IV CHF has a medication regimen
consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In
addition to regularly assessing the patient's heart rate, the nurse should prioritize
assessment of the patient's
intake and output. blood pressure. cognition. exercise tolerance.
Presence of blood in urine or stools - answerA male client is receiving heparin by
continuous intravenous infusion. The nurse will instruct the client and family members to
report what should it occur?
A skin rash Sudden occurrence of sleepiness and drowsiness Dizziness Presence of
blood in urine or stools
Protamine sulfate - answerA nurse is caring for a 64-year-old female client who is
receiving IV heparin and reports bleeding from her gums. The nurse checks the client's
laboratory test results and finds that she has a very high aPTT. The nurse anticipates
that which drug may be ordered?
Coumadin Alteplase Ticlopidine Protamine sulfate
intake of vitamin K. - answerA 59-year-old client is on warfarin therapy. On follow-up
visits to the clinic, the nurse will assess the client's:
blood glucose level. intake of vitamin K. presence of skin-related disorders. presence of
breathing disorders.
By inactivating clotting factors and thus stopping the coagulation cascade - answerA 60-
year-old client experienced a sudden onset of chest pain and shortness of breath and
was subsequently diagnosed with a pulmonary embolism in the emergency department.
The client has been started on an intravenous heparin infusion. How does this drug
achieve therapeutic effect?
By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa By
inhibiting the action of vitamin K at its sites of action By inhibiting platelet aggregation on
, vessel walls and promoting fibrinolysis By inactivating clotting factors and thus stopping
the coagulation cascade
break down existing clots. - answerA 70-year-old resident of a long-term care facility
has experienced increasing pain, swelling, and redness to her lower leg over the past
12 hours, prompting the care providers at the facility to have the woman brought to the
local emergency department. Diagnostic testing has confirmed deep vein thrombosis
(DVT) and an IV infusion of alteplase (Activase) has been initiated? Unlike
anticoagulants, a thrombolytic such as alteplase can
break down existing clots. prevent the formation of new clots. inhibit platelet
aggregation. potentiate the action of vitamin K.
hypersensitivity to beta blockers. - answerPropranolol is ordered for a client who has a
cardiac arrhythmia. It will be important for the nurse to determine if the person has a
history of:
chronic heart failure secondary to a tachyarrhythmia. idiosyncratic reaction to cinchona
derivatives. hypersensitivity to beta blockers. hypersensitivity to sulfonylureas.
inhibiting the movement of calcium ions across the cardiac muscle cell membrane. -
answerA 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect by:
blocking adrenergic receptors and producing antisympathetic effects. inhibiting the
movement of calcium ions across the cardiac muscle cell membrane. decreasing
sodium and potassium conduction. weakening diastolic depolarization and the action
potential duration.
Digitalis toxicity is a possibility. - answerWhat conclusion should the nurse draw when a
client's digoxin level is reported to be 2.2 ng/mL?
The medication is at a subtherapeutic drug level. A therapeutic drug level has been
achieved. Digitalis toxicity is a possibility. A loading dose of digoxin has been given.
True - answerNesiritide is a human B-type natriuretic peptide.
True False
Intravenous - answerA client is to receive abciximab. The nurse would expect to
administer the drug by which route?
Intravenous Oral Intramuscular Subcutaneous
False - answerThe most common adverse effects associated with antiplatelet agents
are headache and dizziness.
Potassium levels - answerA nurse is caring for a client who is taking digoxin and a loop
diuretic. Which would be most important for the nurse to monitor?
Electrocardiogram results Potassium levels Sodium levels Liver enzymes
blood pressure. - answerA patient with class-IV CHF has a medication regimen
consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In
addition to regularly assessing the patient's heart rate, the nurse should prioritize
assessment of the patient's
intake and output. blood pressure. cognition. exercise tolerance.
Presence of blood in urine or stools - answerA male client is receiving heparin by
continuous intravenous infusion. The nurse will instruct the client and family members to
report what should it occur?
A skin rash Sudden occurrence of sleepiness and drowsiness Dizziness Presence of
blood in urine or stools
Protamine sulfate - answerA nurse is caring for a 64-year-old female client who is
receiving IV heparin and reports bleeding from her gums. The nurse checks the client's
laboratory test results and finds that she has a very high aPTT. The nurse anticipates
that which drug may be ordered?
Coumadin Alteplase Ticlopidine Protamine sulfate
intake of vitamin K. - answerA 59-year-old client is on warfarin therapy. On follow-up
visits to the clinic, the nurse will assess the client's:
blood glucose level. intake of vitamin K. presence of skin-related disorders. presence of
breathing disorders.
By inactivating clotting factors and thus stopping the coagulation cascade - answerA 60-
year-old client experienced a sudden onset of chest pain and shortness of breath and
was subsequently diagnosed with a pulmonary embolism in the emergency department.
The client has been started on an intravenous heparin infusion. How does this drug
achieve therapeutic effect?
By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa By
inhibiting the action of vitamin K at its sites of action By inhibiting platelet aggregation on
, vessel walls and promoting fibrinolysis By inactivating clotting factors and thus stopping
the coagulation cascade
break down existing clots. - answerA 70-year-old resident of a long-term care facility
has experienced increasing pain, swelling, and redness to her lower leg over the past
12 hours, prompting the care providers at the facility to have the woman brought to the
local emergency department. Diagnostic testing has confirmed deep vein thrombosis
(DVT) and an IV infusion of alteplase (Activase) has been initiated? Unlike
anticoagulants, a thrombolytic such as alteplase can
break down existing clots. prevent the formation of new clots. inhibit platelet
aggregation. potentiate the action of vitamin K.
hypersensitivity to beta blockers. - answerPropranolol is ordered for a client who has a
cardiac arrhythmia. It will be important for the nurse to determine if the person has a
history of:
chronic heart failure secondary to a tachyarrhythmia. idiosyncratic reaction to cinchona
derivatives. hypersensitivity to beta blockers. hypersensitivity to sulfonylureas.
inhibiting the movement of calcium ions across the cardiac muscle cell membrane. -
answerA 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic effect by:
blocking adrenergic receptors and producing antisympathetic effects. inhibiting the
movement of calcium ions across the cardiac muscle cell membrane. decreasing
sodium and potassium conduction. weakening diastolic depolarization and the action
potential duration.
Digitalis toxicity is a possibility. - answerWhat conclusion should the nurse draw when a
client's digoxin level is reported to be 2.2 ng/mL?
The medication is at a subtherapeutic drug level. A therapeutic drug level has been
achieved. Digitalis toxicity is a possibility. A loading dose of digoxin has been given.
True - answerNesiritide is a human B-type natriuretic peptide.
True False
Intravenous - answerA client is to receive abciximab. The nurse would expect to
administer the drug by which route?
Intravenous Oral Intramuscular Subcutaneous
False - answerThe most common adverse effects associated with antiplatelet agents
are headache and dizziness.
