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Pharmacology Hesi 2023 EXAM QUESTIONS AND ANSWERS 100%CORRECT
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Pharmacology Hesi 2023 EXAM
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Pharmacology Hesi 2023Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative
chronotrope (decreases heart rate). How do you assess for this? - ANSWERAlways
take apical pulse for one full minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for
dig toxicity because - ANSWERLasix can cause hypokalemia, which can lead to dig
toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which is another
anti-dysrhythmic drug)? - ANSWERDigoxin can increase in the blood level and further
increase the effects
What is the normal digoxin level? - ANSWER0.5-2 ng/mL
Normal serum potassium level is - ANSWER3.5-5.0 mEq/L
Low potassium or magnesium levels may increase risk for - ANSWERDigoxin toxicity
What are the signs and symptoms for digoxin toxcitiy? - ANSWERanorexia,
bradycardia, headache, dizziness, confusion, nausea, and visual disturbances such as
blurred, yellow, or halo vision.
When should you hold off on giving digoxin drug therapy? - ANSWERif apical pulse is
less than 60
What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc), nifedipine
(Procardia) cause - ANSWERproduce vasodialation and reflex tachycardia
(lowers BP but increases HR)
Verapamil and diltiazam produce - ANSWERvasodialation and cardiosuppresssion
(lowers BP and Lowers heart rate)
Beta blockers have the drug ending - ANSWER-OLOL such as atenolol, propanolol,
esmolol, ect.)
Beta 1 blocks receptors in the - ANSWERheart
, Beta 2 blocks receptors in the - ANSWERlungs
Beta blockers can be non selective so be aware of any - ANSWERrespiratory conditions
such as asthma, emphysema COPD, ect.
A nurse should always check _____ and _____ before giving a beta blocker -
ANSWERAP and BP
do not give if HR is below 60
never stop abruptly
Why do you never stop taking a Beta BLocker abruptly - ANSWERMust taper because
angina or MI can orccur
When would a nurse hold HTN medication Labetalol? - ANSWERA patient with a low
pulse rate.
Side effect of Labetalol (beta blocker) is - ANSWERweight gain / fluid retention
montioring weight is one of the best indicators of loss/gain
1kg is equivalent to 1,000 mL
It is important to assess _____ when taking a beta blocker such as Labetalol -
ANSWERpulmonary
is it OK to give nitroglycerin to a patient who is hypertensive? - ANSWERYes
If an ICU patient on a nirto drip becomes hypotensive what immediate action should the
nurse take? - ANSWERtitrate (decrease the rate) of the nitro drip.
This drug is used for a rapid diuresis in emergencies to decrease pulmonary edema -
ANSWERFurosemide (Lasix) a loop diuretic
Furosemide (Lasix) can cause - ANSWERhypokalemia
When taking furosemide (Lasix) a nurse should assess for what signs of hypokalemia? -
ANSWERmuscle cramps and muscle weakness
Hypotension
F/E abnormalities
dehydration
Side effects with aminoglycosides (-mycin drugs) - ANSWERdizziness
head ache
tinnitus
N/V/D
low potassium
hyperglycemia
ototoxicity
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