A 70-year-old resident of a long-term care facility has experienced
increasing pain, swelling, and redness to her lower leg over the past 12
hours, prompting the care providers at the facility to have the woman
brought to the local emergency department. Diagnostic testing has
confirmed deep vein thrombosis (DVT) and an IV infusion of alteplase
(Activase) has been initiated? Unlike anticoagulants, a thrombolytic such as
alteplase can
break down existing clots. prevent the formation of new clots. inhibit
platelet aggregation. potentiate the action of vitamin K. - ANS ✓break down
existing clots.
Propranolol is ordered for a client who has a cardiac arrhythmia. It will be
important for the nurse to determine if the person has a history of:
chronic heart failure secondary to a tachyarrhythmia. idiosyncratic
reaction to cinchona derivatives. hypersensitivity to beta blockers.
hypersensitivity to sulfonylureas. - ANS ✓hypersensitivity to beta blockers.
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a therapeutic
effect by:
blocking adrenergic receptors and producing antisympathetic effects.
inhibiting the movement of calcium ions across the cardiac muscle cell
membrane. decreasing sodium and potassium conduction. weakening
NURS 504
, 2
NURS
diastolic depolarization and the action potential duration. - ANS ✓inhibiting
the movement of calcium ions across the cardiac muscle cell membrane.
What conclusion should the nurse draw when a client's digoxin level is
reported to be 2.2 ng/mL?
The medication is at a subtherapeutic drug level. A therapeutic drug level
has been achieved. Digitalis toxicity is a possibility. A loading dose of
digoxin has been given. - ANS ✓Digitalis toxicity is a possibility.
Nesiritide is a human B-type natriuretic peptide.
True False - ANS ✓True
A client is to receive abciximab. The nurse would expect to administer the
drug by which route?
Intravenous Oral Intramuscular Subcutaneous - ANS ✓Intravenous
The most common adverse effects associated with antiplatelet agents are
headache and dizziness.
True False - ANS ✓False
Which is classified as an antiplatelet agent? Select all that apply.
An instructor is describing positive inotropic activity. Which would the
instructor include as a result of this activity?
NURS 504
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