VATI Pharmacological and Parenteral Therapies EXAM
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VATI Pharmacological and Parenteral Therapies
Institution
VATI Pharmacological And Parenteral Therapies
VATI Pharmacological and Parenteral Therapies EXAM
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care provider prescribes atropine sulfate. Which of the following best describes the intended action of atropine for this client? - ANSWER ...
VATI Pharmacological and
Parenteral Therapies EXAM
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care
provider prescribes atropine sulfate. Which of the following best describes the
intended action of atropine for this client? - ANSWER
To accelerate the heart rate by interfering with vagal impulses.
Atropine accelerates the heart rate by interfering with vagal impulses. It is given
IVP at doses of 0.5mg to 1.0mg per dose; every 3 to 5 minutes; up to 2.0mg. Doses
less than 0.5mg may cause a paradoxical slowing of the heart rate. When Atropine
is given to a client with history of an MI it should be used with great caution;
increasing the heart rate also increases myocardial oxygen consumption!
A client is prescribed digoxin 1mg by mouth QID. The client states that the objects
in his room have a yellowish tinge and he is nauseated. Select the most appropriate
nursing action at this time. - ANSWER
Hold the drug and call the health care provider.
This client is showing signs of digitalis toxicity. The most appropriate action is to
hold the drug and call the health care provider. Severe arrhythmia may develop if
action is not taken.
, A client diagnosed with preterm labor has been prescribed nifedipine. The client
asks the nurse why this particular medication has been prescribed. Which of the
following statements by the nurse is correct? - ANSWER
To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an unlabeled use of the
drug. Nifedipine, a calcium channel blocker, is more commonly used to treat high
blood pressure and heart disease. Smooth muscle tissue, like the uterus, needs
calcium to contract. Nifedipine blocks the passage of calcium into certain tissues,
relaxing the uterine muscles and smooth muscles of blood vessels throughout the
body.
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis
(DKA). An intravenous infusion of regular insulin has been started. Which of the
following nursing interventions is most appropriate for this client? -
ANSWER Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which can occur
when insulin is administered intravenously
A nurse is evaluating a client's understanding of lithium. Which statement by the
client indicates a need for further education? - ANSWER
"I should take the medication on an empty stomach."
Lithium should be taken with meals or milk to decrease gastric upset.
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