Chap 24 (exam 3) Flashcards
As part of treatment for early heart failure, a patient is starting on an angiotensin-converting enzyme (ACE) inhibitor. The nurse will monitor the patient’s laboratory work for which potential effect? Agranulocytes Proteinuria Hyperkalemia Hypoglycemia
Hyperkalemia
Before giving oral digoxin (Lanoxin), the nurse discovers that the patient’s radial pulse is 52-beats/ minute. What will be the nurse’s next action? Give the dose Delay the dose until later Hold the dose and notify the physician Check the apical pulse for 1 minute
Check the apical pulse for 1 minute
Which statement regarding digoxin (Lanoxin) therapy and potassium levels is correct?
Low potassium levels increase the chance of digoxin (Lanoxin) toxicity
High potassium levels increase the chance of digoxin (Lanoxin) toxicity
Digoxin reduces the excretion of potassium in the kidneys
Digoxin promotes the excretion of potassium in the kidneys
Low potassium levels increase the chance of digoxin (Lanoxin) toxicity
When infusing milrinone (Primacor), the nurse will keep which consideration in mind)?
The patient must be monitored for hyperkalemia
The patient’s cardiac status must be monitored closely
The drug may cause reddish discoloration of the extremities
Hypertension is the primary effect seen with excessive doses
The patient’s cardiac status must be monitored closely
When caring for a patient who is taking digoxin (Lanoxin), the nurse will monitor for which signs and symptoms of toxicity? Select all that apply: Anorexia Diarrhea Visual changes Nausea and vomiting Headache Bradycardia
Anorexia Visual changes Nausea and vomiting Headache Bradycardia
A patient who has heart failure will be started on an oral ACE inhibitor. While monitoring the patient’s response to this drug therapy, which laboratory tests would be a priority? Select all that apply: White blood cell count Platelet count Serum potassium level Serum magnesium level Creatinine level Blood urea nitrogen (BUN)
Serum potassium level
Creatinine level
Blood urea nitrogen (BUN)
