NSG-318 Exam 3 Frequently Tested Actual Questions and Answers

NSG-318 Exam 3 Frequently Tested Actual Questions and
Answers

Question 1.
acute HF

Correct Answer: -heart muscle weakens and enlarges -loses ability to pump
blood adequately -compensatory mechanisms fail -lungs/periphery become
congested


Question 2.
R sided heart failure

Correct Answer: blood backs up in periphery -peripheral edema & weight gain


Question 3.
L sided heart failure

Correct Answer: blood backs up into lungs -pulmonary edema, shortness of
breath, dyspnea, cough


Question 4.
cardiomegaly is common with

Correct Answer: heart failure


Question 5.
heart failure nonpharmacologic tx

Correct Answer: -limit salt and saturated fat intake (limit to 2g/1tsp/day)
-limit/avoid alcohol intake (avoid/1 drink/day) -stop smoking -perform mild
exercise -fluid intake (may be dec)


Question 6.
Digoxin class

Correct Answer: cardiac glycoside


Question 7.
digoxin use

Correct Answer: HF, a-fib (oral/IV admin)

,Question 8.
digoxin action

Correct Answer: inhibits Na/K+ ATPase; inc cardiac contractility, CO and tissue
perfusion


Question 9.
digoxin side effects/adverse effects

Correct Answer: hypokalemia, blurred/yellow vision, green/yellow halos w
toxicity


Question 10.
Digoxin contraindications

Correct Answer: V-fib, hypokalemia caution w/ acute MI, AV block, HTN, older
adults


Question 11.
digoxin drug interactions

Correct Answer: -Diuretics and cortisone: inc risk for toxicity (diuretics may
cause hypokalemia) -Antacids: dec digoxin absorption


Question 12.
digoxin CAM interactions

Correct Answer: -Ginseng: inc digitalis levels -St. John's wort and psyllium: dec
absorption -Hawthorn: inc effects -Licorice, aloe, ephedra: inc risk of toxicity


Question 13.
digoxin interventions

Correct Answer: -assess apical pulse before administering; DON'T ADMINISTER
IF HR <60bpm -advise client to eat foods high in K+


Question 14.
Antidote for digoxin toxicity

Correct Answer: digoxin immune FAB

,Question 15.
digoxin therapeutic serum level

Correct Answer: 0.5-1ng/mL


Question 16.
digoxin effects on heart muscle

Correct Answer: -inc. myocardial contractility and CO -dec. HR and conduction


Question 17.
angina

Correct Answer: acute cardiac pain caused by inadequate blood flow to
myocardium


Question 18.
antianginal drugs

Correct Answer: -nitrates -beta blockers -Ca channel blockers


Question 19.
nitroglycerin class

Correct Answer: antianginal (Nitrate)


Question 20.
nitroglycerin uses

Correct Answer: control angina, acute MI and HF


Question 21.
nitroglycerin action

Correct Answer: dec myocardial demand for O2 consumption (vasodilator)


Question 22.
Nitroglycerin Contraindications

Correct Answer: inc intracranial pressure; heat and light dec potency of drug.
keep in dark bottle

, Question 23.
nitroglycerin routes of administration

Correct Answer: -SL spray: 1-3min onset. space out over 5mins and call 911
before taking 2nd dose -Topical cream: wipe off old cream 1st (4-8hr duration)
-Transdermal: leave off for 12hrs to give break


Question 24.
nitroglycerin side effects/adverse effects

Correct Answer: CNS effects, syncope, tolerance, GI distress, circulatory
collapse


Question 25.
nitroglycerin drug interactions

Correct Answer: -alcohol, beta blockers, Ca channel blockers, antihypertensives,
Aspirin, benzos, vasodilators: inc effect -heparin: dec effect


Question 26.
nitroglycerin CAM interactions

Correct Answer: -Hawthorn: inc. levels


Question 27.
nitroglycerin interventions

Correct Answer: -for SL spray, call 911 if 1st dose doesn't work -proper storage
of tabs -administer SL tab if chest pain occurs


Question 28.
Atenolol class

Correct Answer: beta 1 adrenergic blocker


Question 29.
atenolol use

Correct Answer: tx of hypertension, prophylaxis, and acute MI