NSG 318 EXAM 3 Nursing Pharmacology Exam: Digoxin, Beta-Blockers,
ACE Inhibitors, ARBs, Calcium Channel Blockers, Diuretics,
Anticoagulants, Antiplatelets, Thrombolytics, Antianginals,
Antihyperlipidemics, Antibiotics, Antivirals, Antifungals,
Anthelmintics, TB Medications, Electrolyte Management, Cardiac
Glycosides, Loop & Thiazide Diuretics, Potassium-Sparing Agents,
Warfarin, Heparin, Clopidogrel, Nitroglycerin, Statins, Macrolides,
Tetracyclines, Aminoglycosides, Fluoroquinolones, Sulfonamides,
Patient Safety, Nursing Interventions, Toxicity Monitoring Exam
Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
Digoxin (Lanoxin)
class: cardiac glycoside
use: HF, cardiogenic shock, A FIB
-increase contraction force = increase CO (+ inotropic activity)
-decrease HR (slow beats) (- chronotropic)
-slows impulse conduction (- dromotropic)
Antidote: Digoxin immune fab
,Therapeutic range: 0.8-2.0 ng/ml (concern if at 1.5)
Toxicity s/s: GI distress (N/V, diarrhea), Visual changes (blurry, yellow or green, halo), CNS effects
(HA, drowsy, confusion, disorientation)
causes of toxicity (DIG): Decreased K+ (hypokalemia), Injured kidneys, Gfr decreased (elderly)
contraindication: V-fib (lethal rhythm)
Nursing considerations:
*assess apical pulse for 60 sec. before giving*
-hold med if the pulse is < 60 bpm (bradycardia)
-monitor drug level and electrolytes
HR, BP, breath sounds
what assessment findings are important to evaluate if a patient is on digoxin?
digoxin
,if HR is low you should not give this drug?
Nitroglycerin (NTG)
Class: Antianginal
use: control angina, acute MI, hypertensive crisis, pulmonary edema, HF
-Decreases BP
-Dilates blood vessels
-Decreases vascular resistance
-Decreased workload
-Decreased oxygen consumption
Contraindications: hypersensitivity, head trauma, intracranial pressure, anemia, cardiomyopathy
side effects: HA, Hypotension, Hot flushing
-orthostatic hypotension
-Alarming = lack of coordination, lightheadedness, pallor, irritable
, nursing considerations: no PDE inhibitors (erectile dysfunction drugs ), no Viagra (if it ends in -
afil = low BP resulting in death)
-monitor BP; stop if < 100/30
patient education:
-teach how to use based on the route
*KEEP IN ORIGINAL BOTTLE*
*DO NOT SWALLOW OR CHEW TABS*
*NEVER RUB INTO SKIN (causes rapid absorption)*
*NO ALCOHOL*
*CAN TAKE once every 5 min up to 3 doses, after the first dose call 911 before taking the second
dose*
nitro patch (remove at night for a break)
you should remove this after 12 hours....
nitroglycerin
ACE Inhibitors, ARBs, Calcium Channel Blockers, Diuretics,
Anticoagulants, Antiplatelets, Thrombolytics, Antianginals,
Antihyperlipidemics, Antibiotics, Antivirals, Antifungals,
Anthelmintics, TB Medications, Electrolyte Management, Cardiac
Glycosides, Loop & Thiazide Diuretics, Potassium-Sparing Agents,
Warfarin, Heparin, Clopidogrel, Nitroglycerin, Statins, Macrolides,
Tetracyclines, Aminoglycosides, Fluoroquinolones, Sulfonamides,
Patient Safety, Nursing Interventions, Toxicity Monitoring Exam
Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
Digoxin (Lanoxin)
class: cardiac glycoside
use: HF, cardiogenic shock, A FIB
-increase contraction force = increase CO (+ inotropic activity)
-decrease HR (slow beats) (- chronotropic)
-slows impulse conduction (- dromotropic)
Antidote: Digoxin immune fab
,Therapeutic range: 0.8-2.0 ng/ml (concern if at 1.5)
Toxicity s/s: GI distress (N/V, diarrhea), Visual changes (blurry, yellow or green, halo), CNS effects
(HA, drowsy, confusion, disorientation)
causes of toxicity (DIG): Decreased K+ (hypokalemia), Injured kidneys, Gfr decreased (elderly)
contraindication: V-fib (lethal rhythm)
Nursing considerations:
*assess apical pulse for 60 sec. before giving*
-hold med if the pulse is < 60 bpm (bradycardia)
-monitor drug level and electrolytes
HR, BP, breath sounds
what assessment findings are important to evaluate if a patient is on digoxin?
digoxin
,if HR is low you should not give this drug?
Nitroglycerin (NTG)
Class: Antianginal
use: control angina, acute MI, hypertensive crisis, pulmonary edema, HF
-Decreases BP
-Dilates blood vessels
-Decreases vascular resistance
-Decreased workload
-Decreased oxygen consumption
Contraindications: hypersensitivity, head trauma, intracranial pressure, anemia, cardiomyopathy
side effects: HA, Hypotension, Hot flushing
-orthostatic hypotension
-Alarming = lack of coordination, lightheadedness, pallor, irritable
, nursing considerations: no PDE inhibitors (erectile dysfunction drugs ), no Viagra (if it ends in -
afil = low BP resulting in death)
-monitor BP; stop if < 100/30
patient education:
-teach how to use based on the route
*KEEP IN ORIGINAL BOTTLE*
*DO NOT SWALLOW OR CHEW TABS*
*NEVER RUB INTO SKIN (causes rapid absorption)*
*NO ALCOHOL*
*CAN TAKE once every 5 min up to 3 doses, after the first dose call 911 before taking the second
dose*
nitro patch (remove at night for a break)
you should remove this after 12 hours....
nitroglycerin
