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Pharmacology Final Exam REVIEW!!!!
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Intro to Pharmacy Routes of Administration PEDS MODULE 5
78 terms 32 terms 37 terms
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Terms in this set (130)
A patient about to receive his A. Administer the dose.
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
In assessing a patient before A. Hypokalemia; control ventricular response to atrial fibrillation and a
administration of a cardiac derived from foxglove. Digoxin is the only available cardiac glycoside-
glycoside, the nurse knows that --positive inotropic---inhibits sodium potassium pump (adenosine
what condition can predispose a tripphophatase) Sodium and calcium rise. Cholinergic stimulation via
patient to digitalis toxicity? the vagus nerve of Parasympathetic nervous system. ---Negative
A. Hypokalemia chronotropic---Negative Dromotropic effect
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
,While assessing a patient who is B. Decreased heart rate
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
A patient has been taking digoxin at D. "This drug is an antidote to digoxin and will help to lower the blood
home but has taken an accidental levels." (severe bradycardia, advanced heart block, ventricularr
overdose and has developed tachycardia, fibrillation, and hyperkalemia); available in parental form.
toxicity. He has been admitted to Clinical signs and symptoms are monitored NOT serum levels----used
the telemetry unit where the for systolic heart failure and atrial fibrillation.
physician has ordered digoxin
immune Fab (Digibind). The patient
asks the nurse why the medication
is ordered. What is the nurse's best
response?
A. "It works faster than digoxin."
B. "It is safer than digoxin and can
be taken orally."
C. "It helps to convert the irregular
heart rhythm to a more normal
rhythm."
D. "This drug is an antidote to
digoxin and will help to lower the
blood levels."
5. A patient has been placed on a D. Cardiac dysrhythmias (contraindictated with ventricular tachycardia,
milrinone infusion as part of the and fibrillation) used for treatment of atrial fibrillation. Available in Oral
therapy for end-stage heart failure. and injection form.
What risks involved with this drug
will the nurse keep in mind while
assessing this patient during the
infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias
,6. A patient with atrial fibrillation B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
was started on digoxin, and 1 week
later a digoxin level was drawn.
Which result is within normal
therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
7. When reviewing the list of C. furosemide (Lasix); (loop Diuretics); numerous ones on page 341
medications taken by a patient who
will be receiving a new prescription
for digoxin, the nurse would be
concerned about which medication
that may interact with the digoxin?
A. aspirin
B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
8. The nurse is reviewing discharge D. Bran muffins
teaching for a patient who will be
taking digoxin (Lanoxin) therapy.
The patient should be taught to
avoid which foods when taking the
digoxin?
A. Leafy green vegetables
B. Dairy products
C. Grapefruit juice
D. Bran muffins
9. In assessing a patient before A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to 5.0)
administration of a cardiac
glycoside, the nurse knows that
which lab result can increase the
toxicity of the drug?
A. Potassium level 2.8 mEq/L
B. Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D. Calcium level 10 mg/dL
, 10. The nurse administering the C. force of cardiac contraction. (increase cAMP) positive inotropic (by
phosphodiesterase inhibitor more calcium available in SR)effect and vasodilation, (inodilators)---
inamrinone recognizes that this positive chornotropic effect); USED IN ICU; ADVERSE
drug should have a positive EFFECT...thrombocytopenia, dysrhythmia, ventricular, hypotension and
inotropic effect. This effect will angina, hypokalemia, tremor.
result in increased
A. heart rate.
B. blood vessel dilation.
C. force of cardiac contraction.
D. conduction of electrical impulses
across the heart.
11. The nurse notes in a patient's B. Acutely decompensated heart failure with dyspnea at rest
medical record that nesiritide has
been ordered. Based on this order,
the nurse interprets that the patient
has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart
failure with dyspnea at rest
C. Systolic heart failure
D. Long-term treatment of heart
failure.
SELECT ALL THAT APPLY: B. The patient's serum potassium level is above 5 mEq/L.
1. When a patient is experiencing D. The patient is experiencing severe sinus bradycardia that does not
digoxin toxicity, which clinical respond to cardiac pacing. (E) might be right as well a person taking
situation would necessitate the use 10mg of digoxin is a indication of toxicity...page 340 states life
of digoxin immune Fab (Digibind)? threatening digoxin overdose in adults and 4 mg in children)
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 taken an
overdose of greater than 10 mg of
digoxin.
Pharmacology Final Exam REVIEW!!!!
19 studiers today 4.8 (6 reviews)
Save
Students also studied
Intro to Pharmacy Routes of Administration PEDS MODULE 5
78 terms 32 terms 37 terms
ayeesha-19 Preview sportyshay Preview hannahadams524
Terms in this set (130)
A patient about to receive his A. Administer the dose.
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
In assessing a patient before A. Hypokalemia; control ventricular response to atrial fibrillation and a
administration of a cardiac derived from foxglove. Digoxin is the only available cardiac glycoside-
glycoside, the nurse knows that --positive inotropic---inhibits sodium potassium pump (adenosine
what condition can predispose a tripphophatase) Sodium and calcium rise. Cholinergic stimulation via
patient to digitalis toxicity? the vagus nerve of Parasympathetic nervous system. ---Negative
A. Hypokalemia chronotropic---Negative Dromotropic effect
B. Hyperkalemia
C. Hypocalcemia
D. Hypernatremia
,While assessing a patient who is B. Decreased heart rate
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
A patient has been taking digoxin at D. "This drug is an antidote to digoxin and will help to lower the blood
home but has taken an accidental levels." (severe bradycardia, advanced heart block, ventricularr
overdose and has developed tachycardia, fibrillation, and hyperkalemia); available in parental form.
toxicity. He has been admitted to Clinical signs and symptoms are monitored NOT serum levels----used
the telemetry unit where the for systolic heart failure and atrial fibrillation.
physician has ordered digoxin
immune Fab (Digibind). The patient
asks the nurse why the medication
is ordered. What is the nurse's best
response?
A. "It works faster than digoxin."
B. "It is safer than digoxin and can
be taken orally."
C. "It helps to convert the irregular
heart rhythm to a more normal
rhythm."
D. "This drug is an antidote to
digoxin and will help to lower the
blood levels."
5. A patient has been placed on a D. Cardiac dysrhythmias (contraindictated with ventricular tachycardia,
milrinone infusion as part of the and fibrillation) used for treatment of atrial fibrillation. Available in Oral
therapy for end-stage heart failure. and injection form.
What risks involved with this drug
will the nurse keep in mind while
assessing this patient during the
infusion?
A. Hypertension
B. Hyperkalemia
C. Nausea and vomiting
D. Cardiac dysrhythmias
,6. A patient with atrial fibrillation B. 0.7 ng/mL (normal 0.5 to 2.0 ng/mL
was started on digoxin, and 1 week
later a digoxin level was drawn.
Which result is within normal
therapeutic levels for digoxin?
A. 0.4 ng/mL
B. 0.7 ng/mL
C. 2.1 ng/mL
D. 2.6 ng/mL or higher
7. When reviewing the list of C. furosemide (Lasix); (loop Diuretics); numerous ones on page 341
medications taken by a patient who
will be receiving a new prescription
for digoxin, the nurse would be
concerned about which medication
that may interact with the digoxin?
A. aspirin
B. acetaminophen (Tylenol)
C. furosemide (Lasix)
D. vitamin K
8. The nurse is reviewing discharge D. Bran muffins
teaching for a patient who will be
taking digoxin (Lanoxin) therapy.
The patient should be taught to
avoid which foods when taking the
digoxin?
A. Leafy green vegetables
B. Dairy products
C. Grapefruit juice
D. Bran muffins
9. In assessing a patient before A. Potassium level 2.8 mEq/L (low potassium normal is 3.5 to 5.0)
administration of a cardiac
glycoside, the nurse knows that
which lab result can increase the
toxicity of the drug?
A. Potassium level 2.8 mEq/L
B. Potassium level 4.9 mEq/L
C. Sodium level 140 mEq/L
D. Calcium level 10 mg/dL
, 10. The nurse administering the C. force of cardiac contraction. (increase cAMP) positive inotropic (by
phosphodiesterase inhibitor more calcium available in SR)effect and vasodilation, (inodilators)---
inamrinone recognizes that this positive chornotropic effect); USED IN ICU; ADVERSE
drug should have a positive EFFECT...thrombocytopenia, dysrhythmia, ventricular, hypotension and
inotropic effect. This effect will angina, hypokalemia, tremor.
result in increased
A. heart rate.
B. blood vessel dilation.
C. force of cardiac contraction.
D. conduction of electrical impulses
across the heart.
11. The nurse notes in a patient's B. Acutely decompensated heart failure with dyspnea at rest
medical record that nesiritide has
been ordered. Based on this order,
the nurse interprets that the patient
has which disorder?
A. Atrial fibrillation
B. Acutely decompensated heart
failure with dyspnea at rest
C. Systolic heart failure
D. Long-term treatment of heart
failure.
SELECT ALL THAT APPLY: B. The patient's serum potassium level is above 5 mEq/L.
1. When a patient is experiencing D. The patient is experiencing severe sinus bradycardia that does not
digoxin toxicity, which clinical respond to cardiac pacing. (E) might be right as well a person taking
situation would necessitate the use 10mg of digoxin is a indication of toxicity...page 340 states life
of digoxin immune Fab (Digibind)? threatening digoxin overdose in adults and 4 mg in children)
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 taken an
overdose of greater than 10 mg of
digoxin.
