HESI Pharmacology| 281 questions| with complete solutions

Assess AP for a full minute; if its below 60 or above 100 then hold the drug. correct answer: What do you do before administering Digoxin? Postive & negative correct answer: Digoxin has a _______ inotrope &_________ chronotrope. Positive inotrope correct answer: increases force of contraction Negative chronotrope correct answer: decreases HR Digoxin toxicity correct answer: Lasix can cause hypokalemia, which can lead to what toxicity? dig toxicity correct answer: A client with longterm hx use of digoxin and lasix can create a high risk of what? 0.5 - 2 ng/mL correct answer: What is the normal range for digoxin? 3.5 - 5.0 mEq/L correct answer: What is the normal level for potassium? potassium and magnesium correct answer: What 2 electrolyte deficiency would cause a increase risk for digoxin toxicity? Anorexia, bradycardia, HA, dizziness, confusion, nausea, and visual disturbances (blurred vision, yellow vision, and/or halo vision). correct answer: What are the S/S of digoxin toxicity? HTN correct answer: Labetalol is a beta blocker used to tx what condition? Notify the prescriber for the low pulse (bradycardia) and do not give the med. correct answer: Patient is about to be administered Labetalol for HTN. The nurse checks the patient's pulse and it is below 60. What step does the nurse take next? Weight gain (fluid retention); Monitor patient's weight daily. 1 kg = 2.2 lb = 1,000 mL fluid gain or loss in 24 hours. correct answer: Major SE of labetalol? How do you assess for this? Chest Pain correct answer: Nitroglycerin transdermal patch is for tx of..... at bedtime to allow 8 hours without patch ( can produce tolerance in 24 hours) correct answer: When do you remove the nitroglycerin patch? patient may use SL nitro when wearing patch if patient having chest pain. correct answer: A patient who is prescribed the nitroglycerin patch for angina is still continuing to have chest pain. What is a nursing consideration for this? B/c it can cause severe vasodilation, decrease in BP, & intense HA. correct answer: Why wear gloves when applying a nitroglycerin patch? They can take APAP for the HA. correct answer: What can a patient take if experiencing a HA while taking nitroglycerin? decrease rate of nitro drip correct answer: Pt. in CCU/ICU on nitro drip; becomes hypotensive, what does the nurse do? Yes b/c nitrates cause hypotension. correct answer: is it OK to give nitroglycerin to a patient who is hypertensive?)