HESI Pharmacology- Fortis exam with answers

HESI Pharmacology- Fortis exam |\ |\ |\ |\




with answers |\




How do you assess for Digoxin - CORRECT ANSWERS ✔✔Always
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take AP for a full minute
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A 62 year old Male comes to the ER with a long hx of daily
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digoxin and furosemide(lasix), What is most likely the SE he is
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experiencing? - CORRECT ANSWERS ✔✔Dig toxicity because this |\ |\ |\ |\ |\ |\ |\ |\


Dx causes hypokalemia to occur when taken for a long time.
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What range would digoxin level be considered normal? -
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CORRECT ANSWERS ✔✔0.5- 2ng/ml |\ |\ |\




What is a normal serum K+ level? - CORRECT ANSWERS ✔✔3.5
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to 5.0 mEq/L
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What is the positive inotrope for Digoxin? - CORRECT ANSWERS
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✔✔increases force of contraction |\ |\ |\




What is the negative chronotope for Digoxin? - CORRECT
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ANSWERS ✔✔decreases HR |\ |\




Digoxin toxicity may be increased by what lab levels? - CORRECT
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ANSWERS ✔✔low K+ or Mg levels |\ |\ |\ |\ |\

,When do you hold Digoxin? - CORRECT ANSWERS ✔✔if AP is less
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than 60 |\




What Mx do you take orange juice w/? - CORRECT ANSWERS
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✔✔Iron


What vitamin deficiency causes night blindness? - CORRECT
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ANSWERS ✔✔Vitamin A |\ |\




What are the S/S of dig toxicity? - CORRECT ANSWERS
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✔✔Anorexia, Bradycardia, Headache, Dizziness, Confusion, |\ |\ |\ |\ |\


Nausea, and Visual Disturbances
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What is the beta blocker Labetalol used for? - CORRECT
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ANSWERS ✔✔HTN (hypertension) |\ |\




When taking labetalol, when do you stop giving the Dx and notify
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the prescriber? - CORRECT ANSWERS ✔✔When the Pulse rate
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becomes low |\




What is a SE of labetalol and what those this mean? - CORRECT
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ANSWERS ✔✔Weight gain, Fluid retention |\ |\ |\ |\




Nitroglycerin transdermal patch is to treat? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\


✔✔Angina (chest pain)
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, How do use nitroglycerin transdermal patch, patient teaching? -
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CORRECT ANSWERS ✔✔remove patch at night to allow 8 hours |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


w/o patch |\




What will happen if you use nitroglycerin transdermal patch for
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24 hours? - CORRECT ANSWERS ✔✔Intolerance to the Dx can
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occur


Why wear gloves when applying nitroglycerin paste or patch? -
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CORRECT ANSWERS ✔✔severe vasodilation, decrease BP, intense |\ |\ |\ |\ |\ |\


HA, can occur
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What can be given along w/ nitroglycerin patch for angina if VS
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ok, and how to administer? - CORRECT ANSWERS ✔✔SL
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(sublingual) nitro, PRN |\ |\




What can be given for HA? - CORRECT ANSWERS
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✔✔acetaminophen


When is it okay to leave the Nitro patch on a pt and administer
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SL nitro? - CORRECT ANSWERS ✔✔When VS are normal
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A Pt in CCU is receiving nitro drip, the pt becomes hypotensive,
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what is the nurses next step? - CORRECT ANSWERS ✔✔Decrease
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rate of nitro drip |\ |\ |\




What are the common SE of channel blockers? - CORRECT
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ANSWERS ✔✔Dizziness, Facial flusching, Hypotension, edema |\ |\ |\ |\ |\