Which effect(s) would alert the nurse to suspect early digoxin toxicity?
A. Nausea and vomiting
B. Tachycardia
C. Diarrhea
D. Visual changes
A. Nausea and vomiting
100
Nitrate SL is given in what increments?
5 min
100
The patient has a serum digoxin level drawn and it comes back 0.4 ng/mL. The nurse recognizes that this is
A. below the therapeutic level.
B. a therapeutic level.
C. above the therapeutic level.
D. a toxic level.
A. below the therapeutic level.
100
Which instruction should be included in the discharge teaching for a patient with a transdermal nitroglycerin patch?
A. “Apply the patch to a nonhairy, nonfatty area of the upper torso or arms.”
B. “Apply the patch to the same site each day to maintain consistent drug absorption.”
C. “If you get a headache, remove the patch for 4 hours and then reapply.”
D. “If you get chest pain, apply a second patch right next to the first patch.”
A. “Apply the patch to a nonhairy, nonfatty area of the upper torso or arms.”
200
When taking verapamil what should be limited?
Caffeine intake
200
What is the ADR’s of Nitrates?
Syncope, anxiety, tachycardia
200
When teaching a patient regarding the administration of digoxin, the nurse instructs the patient not to take this medication with which food?
A. Bananas
B. Wheat bran
C. French toast
D. Scrambled eggs
B. Wheat bran
200
The patient weighs 44 lb and is to be digitalized. The digitalizing dose is 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
200
The patient asks how nitroglycerin should be stored while traveling. What is the nurse’s best response?
A. “You can protect it from heat by placing the bottle in an ice chest.”
B. “It’s best to keep it in its original container away from heat and light.”
C. “You can put a few tablets in a resealable bag and carry in your pocket.”
D. “It’s best to lock them in the glove compartment of your car to keep them away from heat and light.”
B. “It’s best to keep it in its original container away from heat and light.”
300
When giving Nesiritide only give to clients that are what at all time?
Continuous monitioring
300
Colored vision, Halo vision, flickering lights are ADR signs of what drug?
Digoxin
300
What do you monitor when giving Nesiritide?
Cardiac response, HR & B/P
300
In heart failure, by what mechanism does the body compensate for decreased circulating blood volume?
A. Increasing stroke volume
B. Decreasing afterload
C. Activation of the renin-angiotensin-aldosterone system
D. Increasing preload
C. Activation of the renin-angiotensin-aldosterone system
300
Patient teaching regarding sublingual nitroglycerin should include which statement?
A. “You can take up to five doses every 3 minutes for chest pain.”
B. “Chew the tablet for the quickest effect.”
C. “Keep the tablets locked in a safe place until you need them.”
D. “Sit or lie down after you take a nitroglycerin tablet to prevent dizziness.”
D. “Sit or lie down after you take a nitroglycerin tablet to prevent dizziness.”
400
What is hidden in diabetics taking B-blockers?
Hypoglycemia S&S
400
A patient who is taking sublingual nitroglycerin is complaining of flushing and headaches. What is the nurse’s best response?
A. “This is a normal response to your chest pain.”
B. “Stop taking the nitroglycerin because you are probably allergic to it.”
C. “These are the most common side effects of nitroglycerin. They should subside with continued use of nitroglycerin.”
D. “These symptoms are not related to your sublingual nitroglycerin. You should notify your doctor for diagnostic testing.”
C. “These are the most common side effects of nitroglycerin. They should subside with continued use of nitroglycerin.”
400
Which nitrate preparation or dosage form has the longest duration of action?
A. Sublingual nitroglycerin
B. Sublingual isosorbide dinitrate
C. Oral isosorbide dinitrate
D. Transdermal nitroglycerin patch
D. Transdermal nitroglycerin patch
400
What is the antidote for Digoxin?
Digoxin Immune Fab (Digibind)
400
You are teaching Ms. Smith about the sublingual nitroglycerin that the physician has prescribed for management of her stable angina. Which statement by Ms. Smith indicates that she understands the teaching session?
A. “I will take the nitroglycerin once a week to improve my ability to exercise.:
B. “I will take the nitroglycerin whenever I eat, to help with the absorption of the medication.”
C. “I will take the nitroglycerin twice a day.”
D. “I will use the nitroglycerin if I experience chest pain.”
D. “I will use the nitroglycerin if I experience chest pain.”
500
When taking B-blockers what should you avoid?
Heat, excessive exercise or hot showers/tub
500
What is the most accurate method for preventing adverse effects associated with the use of digoxin?
A. Assess the patient’s heart rate and hold administration if it is less than 60.
B. Monitor therapeutic effects based on echocardiogram results.
C. Teach patients to take their digoxin in divided doses with each meal.
D. Teach patients the signs and symptoms of heart failure.
A. Assess the patient’s heart rate and hold administration if it is less than 60.
500
In order to prevent the development of tolerance, the nurse instructs the patient to perform which action?
A. Apply the nitroglycerin patch every other day.
B. Switch to sublingual nitroglycerin when the patient’s systolic blood pressure elevates to >140 mm Hg.
C. Apply the nitroglycerin patch for 16 hours each and remove for 8 hours at night.
D. Use the nitroglycerin patch for acute episodes of angina only.
C. Apply the nitroglycerin patch for 16 hours each and remove for 8 hours at night.
500
When giving Digoxin to a client what do you assess?
BP, apical pulse for one full minute, heart and breath sounds, weight, I&O, EKG, and Labs (K+, Na+, Mg+, Ca+, renal and liver functions
500
Which statement by the patient demonstrates a need for further education regarding nitroglycerin?
A. “If I get a headache, I should keep taking my nitroglycerin and use Tylenol for pain relief.”
B. “I should keep my nitroglycerin in a cool, dry place.”
C. “I should change positions slowly to avoid getting dizzy from the nitroglycerin’s effect on my blood pressure.”
D. “I can take up to three tablets at 5-minute intervals for chest pain.”
D. “I can take up to three tablets at 5-minute intervals for chest pain.”