Focus on Nursing Pharmacology Chapters 43-46 Exam Questions With 100% Correct Answers (Wolters Kluwer Amy M. Karch)

Focus on Nursing Pharmacology Chapters 43-46 Exam Questions With 100% Correct Answers (Wolters Kluwer Amy M. Karch) Which serum digoxin level would the nurse interpret as indicating digoxin toxicity? (Ch 44) - 0.3 ng/mL - 1.4 ng/mL - 1.8 ng/mL - 2.3 ng/mL - answer2.3 ng/mL Rationale: Therapeutic digoxin level (0.5 to 2 ng/mL) (pg. 767) The nurse is administering intravenous amiodarone to a client in the emergency department. Which task would the nurse need to prioritize? (Ch 45) - Giving drinks to the client. - Checking the client's urine output. - Monitoring the client's blood pressure. - Explaining the treatment to the client's family. - answerMonitoring the client's blood pressure. When administering milrinone (Primacor), the nurse should observe the client for which adverse effect? (Ch 44) - Hypoglycemia - Hypotension - Confusion - Seizures - answerHypotension A male client has called the clinic because he is taking digoxin and is concerned about his pulse rate. The nurse should tell the client to hold the medication if he reports a pulse rate of: (Ch 44) - 52 beats per minute - 66 beats per minute - 78 beats per minute - 84 beats per minute - answer52 beats per minute Rationale: Hold the dose if the pulse is less than 60 beats/min in an adult or 90 beats/min in an infant; retake the pulse in 1 hour. If the pulse remains low, pulse should be documented, drug should be withheld, and the prescriber should be notified because the pulse rate could indicate digoxin toxicity. (pg. 767) A client has been prescribed losartan (Cozaar) for hypertension. What should client teaching for this drug include? (Ch 43) - Limit fluid intake to decrease urinary output. - Take the drug early in the day to prevent sleepiness. - Take the medication with food to decrease GI distress. - Take the drug on an empty stomach to limit absorption. - answerTake the medication with food to decrease GI distress. There are adverse effects to many medications. What anti arrhythmic agents can cause insomnia? (Ch 45) - Disopyramide - Procainamide - Amiodarone - Propranolol - answerPropranolol A client using a nitroglycerin patch should avoid: (Ch 46) - Exercise - Milk products - Synthetic fabrics - Alcoholic beverages - answerAlcoholic beverages A client is receiving verapamil. What would be important for the nurse to stress that the client avoid? - Milk - Yogurt - Apple juice - Grapefruit juice - answerGrapefruit juice A client should be instructed to take sublingual nitroglycerin (NTG) how often if he experiences chest pain? (Ch 46) - Every 1 minute times 3 - Every 2 minutes times 3 - Every 5 minutes times 3 - Every 10 minutes times 5 - answerEvery 5 minutes times 3 Rationale: One tablet SL every 5 min for acute attack, up to three tablets in 15 minutes (pg 796, Box 46.1) The nurse should inform the client of the possibility of developing what the common adverse effect of captopril therapy? (Ch 43) - Rhinitis - Dry cough - Photosensitivity - Rash on the trunk and extremities - answerDry cough Rationale: Captopril may produce a persistent, dry cough that is not serious. (pg. 741) Clients may want to discontinue therapy because of the cough. Thorough patient teaching increases the efficacy of drug therapy and patient compliance; therefore, informing the client about the possibility of developing a dry cough is imperative. The nurse is administering sublingual nitroglycerin to a client. Prior to administering the medication, the nurse informs the client that immediately after administration, the client may experience: (Ch 46) - Tinnitus and diplopia - Nervousness and paresthesia - Drowsiness and blurred vision