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NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Quiz Bank (Latest 2022/2023) | Rated A | Questions and Answers| Rasmussen College$13.99
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NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Quiz Bank (Latest 2022/2023) | Rated A | Questions and Answers| Rasmussen College
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NUR 2474 / NUR2474 (NUR2474)
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Rasmussen College
NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Quiz Bank | Rated A | Questions and Answers| Rasmussen College
1. A man asks a nurse why he cannot use digoxin (Lanoxin) for his heart failure, because both of his parents used it for HF. The nurse will explain that digoxin is ...
nur2474 pharmacology for professional nursing final exam
nur 2474 pharmacology for professional nursing final exam
nur2474 pharmacology for professional nursing
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NUR2474 / NUR 2474 Pharmacology for Professional
Nursing Final Exam Quiz Bank | Rated A | Questions and
Answers| Rasmussen College
1. A man asks a nurse why he cannot use digoxin (Lanoxin) for his heart failure, because both
of his parents used it for HF. The nurse will explain that digoxin is not first-line therapy for
which reason?
A. It causes tachycardia and increases the cardiac workload.
B. It does not correct the underlying pathology of heart failure.
C. It has a wide therapeutic range that makes dosing difficult.
D. It may actually shorten the patient's life expectancy.
2. A nurse is preparing to administer digoxin (Lanoxin) to a patient. The patient's heart rate is
62 beats per minute, and the blood pressure is 120/60 mm Hg. The last serum electrolyte
value showed a potassium level of 5. 2 mEq/L. What will the nurse do?
A. Contact the provider to request an increased dose of digoxin.
B. Give the dose of digoxin and notify the provider of the potassium level.
C. Request an order for a diuretic.
D. Withhold the dose and notify the provider of the heart rate.
3. A patient with heart failure who has been given digoxin (Lanoxin) daily for a week
complains of nausea. Before giving the next dose, the nurse will:
A. assess the heart rate (HR) and give the dose if the HR is greater than 60 beats per
minute.
B. contact the provider to report digoxin toxicity.
C. request an order for a decreased dose of digoxin.
, D. review the serum electrolyte values and withhold the dose if the potassium level is
greater than 3. 5 mEq/L.
4. A patient is taking a thiazide diuretic for hypertension and quinidine to treat a dysrhythmia.
The prescriber orders digoxin 0. 125 mg to improve this patient's cardiac output. The nurse
should contact the provider to request:
A. adding spironolactone (Aldactone).
B. reducing the dose of digoxin.
C. discontinuing the quinidine.
D. giving potassium supplements.
5. A patient with heart failure who takes a thiazide diuretic and digoxin (Lanoxin) is admitted
for shortness of breath. The patient's heart rate is 66 beats per minute, and the blood pressure
is 130/88 mm Hg. The serum potassium level is 3. 8 mEq/L, and the digoxin level is 0. 8
ng/mL. The nurse admitting this patient understands that the patient:
A. has digoxin toxicity.
B. is showing signs of renal failure.
C. is experiencing worsening of the disease.
D. needs a potassium-sparing diuretic.
6. A patient has been taking digoxin (Lanoxin) 0. 25 mg, and furosemide (Lasix) 40 mg, daily.
Upon routine assessment by the nurse, the patient states, "I see yellow halos around the
lights. " The nurse should perform which action based on this assessment?
A. Check the patient for other symptoms of digitalis toxicity.
B. Withhold the next dose of furosemide.
, C. Continue to monitor the patient for heart failure.
D. Document the findings and reassess in 1 hour.
7. A nurse is providing teaching for a patient with stable angina who will begin taking
nitroglycerin. Which statement by the patient indicates understanding of the teaching?
A. "I should not participate in aerobic exercise while taking this drug. "
B. "I should take aspirin daily to reduce my need for nitroglycerin. "
C. "If I take nitroglycerin before exertion, I can reduce the chance of an anginal
attack. "
D. "I take nitroglycerin to increase the amount of oxygen to my heart. "
8. A patient asks a nurse how nitroglycerin works to relieve anginal pain. The nurse correctly
states, "Nitroglycerin:
A. dilates coronary arteries to increase blood flow to the heart. "
B. increases the oxygen supply to the cardiac muscle. "
C. increases ventricular filling to improve cardiac output. "
D. promotes vasodilation, which reduces preload and oxygen demand. "
9. A hospitalized patient complains of acute chest pain. The nurse administers a 0. 3 mg
sublingual nitroglycerin tablet, but the patient continues to complain of pain. Vital signs
remain stable. What is the nurse's next step?
A. Apply a nitroglycerin transdermal patch.
B. Continue dosing at 10-minute intervals.
C. Give a second dose of nitroglycerin in 5 minutes.
D. Request an order for intravenous nitroglycerin.
, 10. A patient who has begun using transdermal nitroglycerin for angina reports occasional
periods of tachycardia. The nurse will expect the prescriber to order:
A. digoxin (Lanoxin) to slow the heart rate.
B. immediate discontinuation of the nitroglycerin.
C. periods of rest when the heart rate increases.
D. verapamil as an adjunct to nitroglycerin therapy.
11. A patient with angina who uses sublingual nitroglycerin tells the nurse that the episodes are
increasing in frequency and usually occur when the patient walks the dog. The patient
reports needing almost daily doses of the nitroglycerin and states that one tablet usually
provides complete relief. What will the nurse do?
A. Contact the provider to suggest ordering a transdermal patch for this patient.
B. Question the patient about consumption of grapefruit juice.
C. Suggest that the patient limit walking the dog to shorter distances less frequently.
D. Suggest that the patient take two tablets of nitroglycerin each time, because the
symptoms are increasing in frequency.
12. A patient is taking a calcium channel blocker (CCB) for stable angina. The patient's spouse
asks how calcium channel blockers relieve pain. The nurse will explain that CCBs:
A. help relax peripheral arterioles to reduce afterload.
B. improve coronary artery perfusion.
C. increase the heart rate to improve myocardial contractility.
D. increase the QT interval.
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