Quiz – Chapter 24 Flashcards
The patient weighs 44 pounds and is to receive a loading dose of dig oxen. The loading doses to be 0.03 mg/kg in three divided doses. How much will the nurse administer per dose? A) 0.2 mg B) 0.3 mg C) 0.4 mg D) 0.6 mg
A) 0.2 mg
– Convert pounds to kilograms by conversion factor: 1 lb = 2.204 kg, multiply the weight in kilograms by the loading dose and divide the product by 3
Which are therapeutic effects of digoxin?
A) positive inotropic, negative chronotropic, and negative dromotropic
B) positive inotropic, positive chronotropic, and negative dromotropic
C) negative inotropic, negative chronotropic, and negative dromotropic
D) positive inotropic, negative chronotropic, and positive dromotropic
A)
Assessment of the patient receiving a positive inotropic drug would include reviewing which values? (Select all that apply.) A) lung sounds B) daily weights C) apical pulse D) serum electrolytes E) complete blood count
A, B, C, D
Which is an expected outcome associated with the administration of digoxin? A) increased heart rate B) decreased heart rate C) decreased urinary output D) increased blood pressure
B) decreased heart rate
Phosphodiesterase inhibitor's have an added advantage in treating heart failure. The drugs cause a positive inotropic effect and what other effect? A) vasoconstriction B) vasodilation C) platelet inhibition D) bronchodilation
B) vasodilation
The patient is taking digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the patient states, “I think I need to take a nap. Everything is starting to look a little yellow. “ Which action will the nurse take?
A) evaluate the patient for other symptoms of digoxin toxicity
B) withhold the furosemide
C) administer the medication as ordered.
D) Document the findings and reassess in one hour.
A) evaluate the patient for other symptoms of digoxin toxicity
The patient has a serum dig oxen level drawn and it comes back 0.4 mg/ ml. How does the nurse interpret this lab result? A) below the therapeutic level B) a therapeutic level C) above the therapeutic level D) a toxic level
A) below the therapeutic level
When teaching a patient regarding the administration of digoxin, the nurse instructed patient not to take this medication with which food? A) bananas B) wheat bran C) French toast D) scrambled eggs
B) wheat bran
The nurse reviews a patient's laboratory values and finds a digoxin level of 10 mg/mL and a serum potassium level of 6.2 mEq/L. The nurse would notify the healthcare provider and anticipate administering: A) sodium polystyrene sulfonate B) Atropine C) epinephrine D) digoxin immune Fab.
D
The nurse would question the use of milrinone (Primacor) in a patient with which disorder? A) systolic heart failure B) aortic regurgitation C) acute renal failure D) Mitral valve prolapse
B) aortic regurgitation
