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Pharmacology I CNM I

Nursing 2002 I CNM 2010 Saturday Class Final Exam Review

QuestionAnswer
The usefulness of a drug to treat a group of conditions in particular body system is referred to as the? Therapeutic Classification of the drug
Which of the following is an incorrect statement regarding nursing diagnosis? It identifies the medical problem experienced by the client
The student is preparing for the first pharmacology exam. In planning for this exam, what is the most important for the student nurse to remember about the Food, Drug and Cosmetic Act? It prevented the sale of drugs that had not been thoroughly tested before marketing
The nursing instructor is teaching a pharmacology class to student nurses. The current focus is pharmacology and therapeutics. The nursing instructor determines that learning has occurred when the students make which comment? Pharmacology is the use of drugs to relieve suffering
The elderly client diagnosed with coronary artery disease (CAD) has been taking aspirin daily for more than 1 year. Which data would warrant notifying the health-care provider. The client is complaining of bleeding gums
A nurse is conducting an educational seminar for clients taking the anticoagulation medication warfarin (Coumadin). The nurse instructs the clients to make which dietary adjustment? Reduce intake of foods such as broccoli and cabbage
When administering medication to a hospitalized client who is awake and carrying on a conversation with visitors, what would be the most accurate way for the nurse to check this client’s identity? Ask the client, “Can you tell me your name and date of birth?”
The mother of the pediatric client asks the nurse, “What is the difference between Advil & ibuprofen? I can buy ibuprofen at a cheaper price, but the instructions from the clinic say to use Children’s Advil Liquid.” What would be the nurse’s best response ”Similarities do exist, but these instructions were written specifically for your child.”
The nurse is caring for a 78-year-old client who has multiple medications ordered to treat various health problems.The nurse considers which of the following physical changes commonly associated with aging most likely to require a reduction in medication Decreased rate of drug metabolism by the liver
"What is the purpose of learning information about prototype drugs? "The actions and adverse effects of other drugs in the same class can be predicted.
A client who is taking several prescribed medications for the treatment of congestive heart failure tells the nurse, “I usually take all of my medications with my breakfast.” Which of the following would be the nurse’s best response? “It might be a good idea to review each drug to determine the best times and conditions for taking it.”
The physician prescribes an oral medication for the client. What is the primary nursing assessment of the client prior to receiving this medication? The client’s ability to swallow.
Which of the following factors may elicit a client’s individual physiological response to medication therapy? The client’s age
The charge nurse is making rounds on the clients and notices that the primary nurse left a medication cup with three tablets at the client’s bedside. Which action should the charge nurse implement? Remove the medication cup from the room.
Which intervention should the nurse implement when administering sublingual medication? Wear gloves when administering sublingual medication.
The nurse is preparing to administer the morning medications to a group of clients in a medical department. Which intervention should the nurse implement first? Wash the hands with soap and warm water for at least 30 seconds.
The client has a severe anaphylactic reaction to insect bites. Which priority discharge intervention should the nurse discuss with the client. Keep an EpiPen (Epinephrine) in their personal possession at all times.
The nurse is presenting a lecture on herbs to a group in the community. Which guideline should the nurse discuss with the group? Consumers need to think of herbs as medicines; more is not necessarily better.
Nursing Process is a systematic way of gathering and using information to plan and provide patient care and to evaluate the outcomes of care. Which of the following is not part of the Nursing Process? therapeutic communications
Nursing Process is a systematic way of gathering and using information to plan and provide patient care and to evaluate the outcomes of care. Which of the following is part of the Nursing Process? "Diagnosis, Interventions and Assessment"
Interventions are an important component of the nursing process. Which of the following does the nurse recognize as interventions of the nursing process? monitoring, teaching, problem solving
Legal responsibilities are given to nurses under the New Mexico Nurse Practice Act. Which of the following does the nurse recognize is not part of the nurse’s responsibility? Assisting clients with dispensing of prescriptions.
Which statement best describes the evaluation portion of the nursing process? Evaluate the effectiveness of the teaching plan in achieving learning objectives (goals).
When a medication error occurs, the nurse knows to report it and fill out a report. Which of the following is the name of the report needed to be filled out by the nurse? Incident report
In the ‘Schedule of Controlled Substances’, which schedule has the lowest risk for abuse potential, physical dependence and psychological dependence? Schedule V
According to the ‘Pregnancy Safety Drug Categories’, which category indicates that the drug has no risk during the first and later trimesters of pregnancy? Category A
Pharmacokinetics is the study of drug movement through the body. Which of the following are components of pharmacokinetics? absorption and excretion
A nurse knows there are factors that can influence the absorption of medications. The nurse identifies which of the following as not a factor in the absorption of medications? Cost of medication
Distribution includes how the drug is delivered to tissues and fluids within the body. Which of the following is a variable (factor) to consider when it comes to distribution of a drug? blood flow
Drugs taken orally cross directly into the hepatic portal circulation which carries blood to the liver before it is distributed to other parts of the body. Some drugs can be completely metabolized in an inaction form before they ever reach general circula Taking an enteric-coated drug or giving the medication rectally.
The half-life of a drug is described as ‘how long it takes by the excretion to process to reduce the blood concentration by ½ . Which of the following is not a factor influencing the excretion process? rate of distribution
The elimination of drugs from the body is known as excretion. The nurse knows that the most significant organ system responsible for excretion is which of the following? kidneys
How are unpredictable and unexplained drug reactions labeled? idiosyncratic reactions
What is a drug that occupies a receptor site and prevents endogenous chemicals from action called? antagonist
Each nurse is responsible for becoming familiar with the Nurse Practice Act of the state in which she/he practice. Which of the following is the correct rationale for the nurse to understand? define nursing practice and standards of care for the nurse practicing in a specific state
The client with liver dysfunction experiences toxicity to a drug following administration of several doses. This adverse reaction may have been prevented if the nurse had followed which phase of the nursing process? assessment
Which of the following adverse drug effects would the nurse assess with the administration of adrenergic agents (sympathomimetics)? insomnia, nervousness and anorexia
Before administering drugs by the enteral route, which of the following would the nurse evaluate? ability of the client to swallow
A 5-year-old is being treated for asthma using adrenalin (epinephrine hydrochloride) SC stat. Which of the following assessment should be reported to the physician? heart rate 160 and B/P 140/96
Which of the following is not a potential adverse reaction of adrenergic antagonist medications? bronchodilation
Which of the following is the highest nursing priority when a client has an allergic reaction to a newly prescribed medication? Notify the physician of the allergic reaction.
The client says to the nurse, “My wife and I take the same drug but we have different side effects. Are we doing something wrong?” What is the best response by the nurse? “No, differences such as your gender can result in different side effects.”
A client with cirrhosis of the liver exhibits decreased metabolic activity. This will require what possible change in her drug regiment? A reduction in the dosage of drugs.
Some drugs may be completely metabolized by the liver circulation before ever reaching the general circulation. What is this effect known as? First-pass effect
To reduce the effect of a prescribed medication on the infant of a breast-feeding mother, what time should the nurse plan to administer the medication? Immediately after breast-feeding
A client has arthritis in her hands. She takes several prescription drugs. Which statement by this client requires follow-up by the nurse? “I care for my 2-year-old grandson twice a week.”
The nursing instructor is teaching a pharmacology class to student nurses. The current focus is pharmacology and therapeutics. The nursing instructor determines that learning has occurred when the students make the following comment? “Pharmacology is the study of medicines.”
"The physician has prescribed a brand name drug for the client. The client tells the nurse that the medication is too expensive. What is the best plan by the nurse? "Ask the physician if a generic drug may be substituted.
Which factor is most important for the nurse to assess when evaluating the effectiveness of a client’s drug therapy? Evidence of therapeutic benefit
Which of the following is the part of the Nursing Process that has the nurse assess the effectiveness of the medication? Evaluation (Assessment on 2nd exam)
In considering the pharmacotherapeutic perspective, which property is considered to be of most importance? Efficacy
The nurse should include which of the following in the teaching plan of a patient phenelyphrine (Neosynephrine)? Monitor blood pressure for hypertension
Which of these was the first law passed to prevent the sale of drugs that had been thoroughly tested before marketing? The 1938 Food, Drug & Cosmetic Act
The nurse knows that a patient has physical dependence to a drug. The best response to what physical dependence is best described as which of the following? Altered physical condition caused by the adaptation of the nervous system to repeated drug use=the person will express physical signs of discomfort known as withdrawls.
A client who has a diagnosis of COPD (chronic obstructive pulmonary disease) as well as asthma requires the use of a Beta1-blocking agent. Which of the following drugs does the nurse anticipate will be ordered for this client? Atenolol (Tenormin)
A client has a new drug order for a Beta-adrenergic blocking drug for his hypertension. The nurse would evaluate the client closely for an adverse effect after noting that the client also has a history of which of the following health problems? Insulin-controlled diabetes mellitus
A client has an increase in blood pressure and cardiac output after receiving epinephrine. The nurse interprets that the change in assessment data is a result of the drug's action on which of the following receptors in the client's body? B-1 receptors
A female nursing student states she has never heard of isoproterenol (Isuprel). While showing the student where the drug literature is kept on the unit, the critical care nurse also shares that it is an effective: Nonselective B-adrenergic agonist
After reviewing a client's medication list and seeing an order for an Alpha-adrenergic blocking drug, what would the nurse recall about this type of medication? It inhibits vasospasms and leads to vasodilation in the periphery
A nerve that contains norepinephrine is what type of neuron? Adrenergic
A nurse preparing to administer propranolol (Inderal) recalls that it exerts its antihypertensive effect through which of the following mechanisms? B-antagonistic properties
Drug antagonism is best defined as an effect of a drug: That leads to a decreased physiologic response when combined with another drug
During a home health visit, the nurse surveys the homebound older adult's home for storage place for medication. What is the purpose of this survey? Evaluate the client's knowledge of how to store medication
Mr. S. states that he has taken epinephrine for years to manage his asthma and that he has taken it for prophylactic use as well. As his nurse, you inform him that prophylactic use: May lead to tolerance of its effects
What is an expected outcome of the administration of adrenergic agents? Increased heart rate
How does the adrenergic drug ephedrine (Ephedra) work? Stimulates the release of norepinephrine
How does an alpha 1 blocking agent, like prazosin (Minipress), assist in treating the symptoms of BPH? It dilates the arterioles and veins.
The client is being given a drug that blocks the action of the sympathetic division of the autonomic nervous system. For which of the following cardiovascular manifestations should the nurse remain alert? Decreased heart rate; decreased blood pressure
Adrenergic antagonistic drugs produce effects somewhat similar to the: Parasympathetic nervous system
Mr. Smith has been started on an adrenergic drug. You would expect to see which of the following effects? Increased heart rate
Jill has been giving her 6-year-old son Nicholas, Afrin nose drops four times a day for the past 2 weeks. She says at first, his nasal congestion seemed to get better, but now "his cold is worse than ever" since she stopped giving him the drops. How do yo Excessive use of nasal decongestants can lead to greater congestion because of a "rebound effect" that occurs when the medication is stopped.
The adrenergic receptor that causes bronchodilation when stimulated is: Beta 2
The adrenergic receptor that causes an increase in blood pressure is: Alpha 1
The general sympathetic response to adrenergic drugs include: Increasing heart rate and constricting blood vessels
A new drug is developed which is found to stimulate the release of norephinephrine selectively at alpha 1 receptors. The effects of this drug would be most pronounced upon which organ or tissue? GI tract
The primary use of a new drug developed as a selective beta 1 antagonist would be to: Decrease heart rate
What are drugs that block the action of norepinephrine at alpha and beta receptors called? Sympatholytics
A client requires a beta-blocking agent that is cardioselective in affecting beta 1 receptors but not beta 2 receptors {because of concurrent history of lung disease}. Which of the following drugs does the nurse anticipate will be ordered for this client? Atenolol (Tenormin)
The nurse who is writing goals for a client's drug therapy is engaged in which step of the nursing process? Planning
A healthcare provider taking a medical history notes that the patient is taking allopurinol (Zyloprim). The health care provider inquires whether the patient has a history of: Gout
A patient self-administers 325 mg of acetylsalicytic (aspirin) daily. The health care provider should assess this patient for which of the following most frequent side effects of salicylate therapy? Gastrointestinal (GI) distress
The following drug is used to reverse the effects of opioids. Naloxone hydrochloride (Narcan)
Prior to administering morphine, the nurse should inform the client that a common side effect is: Drowsiness
When administering pain medication to a client, all of the following are appropriate except wait until the client shows signs of pain before administering the drug
The best way to evaluate pain response after administering analgesia is to: Use a pain assessment tool before and 30 minutes after medication administration.
What narcotics have the highest potential for abuse? Schedule II
How does Aspirin work? By blocking transmission of pain impulses.
What is the antidote for acetaminophen (Tylenol) poisoning? Acetylcysteine (Mucomyst)
Aspirin is not recommended for use in children because of its association with: Reye's syndrome
Which of the following is used as an adjunct to anesthesia to provide analgesia? Opioids.
The nurse notes that the medication administration record of a client contains neostigmine as an ordered medication. The nurse concludes that this client may have which diagnosis? Myasthenia gravis
Therapeutic uses for anticholinergics would include which of the following medical conditions? Peptic ulcer disease
A client in the emergency department has been given an intravenous dose of atropine sulfate. The nurse evaluates the client for which of the following intended therapeutic effects of the drug? Increased pulse
A client admitted with hepatitis B is prescribed Vicodin 2 tablets for pain. The nurse knows that the most appropriate action will include which of the following? Question the physician about the order
What is a drug that occupies a receptor site and prevents endogenous chemicals from acting called? Antagonist
The physician orders a low dose of an opioid to relieve the pain of a client with deep partial thickness burns. The nurse knows that the most rapid way for the patient to obtain relief from the pain is through which of the following routes? Intravenous
The nurse should include which of the following in the teaching plan of a patient receiving phenelyphrine (Neosynephrine)? Monitor the blood pressure for hypertension
A client who has been taking enteric-coated aspirin for rheumatoid arthritis asks if acetaminophen (Tylenol) can be substituted because it is on sale. The nurse knows that the best response will include which of the following statements? Aspirin is an anti-inflammatory.
Which of the following is not a potential adverse reaction of adrenergic antagonist medications? Bronchodilation
A nursing intervention for a client receiving opioid analgesics over an extended period should include which of the following? Encouraging increased fluids and fiber in the diet.
The nurse teaching the client relaxation techniques and guided imagery as an adjunct to medication for treatment of pain. The nurse understands that this is a major benefit to the patient because of which of the following reasons? Allow lower doses of drugs with few side effects
The nurse is caring for an 85-year-old client who has multiple medications ordered to treat various co-morbidities. The nurse considers which of the following physical changes commonly associated with aging most likely to require a reduction in medication Decreased rate of drug metabolism by the liver
The physician has ordered a drug for a client that is listed as pregnancy category A. Which of the following actions should the nurse take? Administer the ordered dose
Which of the following clients who are taking NSAIDS (non-steroidal anti-inflammatory drugs) should be referred immediately to the healthcare provider for further follow-up? A client who has developed abdominal pain.
The nurse is caring for a client receiving neostigmine (Prostigmin) for treatment of myasthenia gravis. Which medication does the nurse ensure is readily available as an antidote to this medication if toxicity occurs? Atropine sulfate
Which of the following is not a characteristic of an opioid analgesic? Does not affect the respiratory rate
Which of the following is a therapeutic use for morphine? Use for a patient about to undergo an extensive dressing change.
The nurse explains to a patient with arthritis that an advantage to u sing aspirin for mild pain is for which of the following reasons? Does not cause mental sluggishness, memory disturbances, hallucinations, sedation
Which of the following is not a therapeutic use for acetaminophen (Tylenol)? Chest pain
A client is taking bethanechol (Urecholine) for urinary retention secondary to spinal cord injury. Knowing the client is at risk for cholinergic over stimulation, the nurse would assess this client for which of the following manifestations? Nausea and vomiting
A client is admitted to the recovery room following an exploratory surgery. Which medication should be kept at the bedside? Naloxone hydrochloride (Narcan)
Which of the following is an incorrect statement regarding nursing diagnosis? It identifies the medical problem experienced by the client.
The nurse needs to review key adverse effects and nursing considerations of a medication before administering it to a client. Which of the following sources would be most practical for this purpose? Nursing drug handbook
A client who would benefit from drug therapy with benzodiazepines, at times also takes opioid analgesic to manage exacerbations of chronic back pain. The nurse would be most concerned about which of the following adverse drug effects for this client? Excessive sedation
A client who cannot be roused after overdosed with diazepam (Valium) requires administration of a drug to reverse sedation. Which of the following drugs does the nurse anticipate will be ordered? flumazenil (Romazicon)
A client will be starting drug therapy with fluoxetine (Prozac). The nurse determines that the client understands medication teaching when the client states that the most frequent adverse effects to expect include: nausea and sexual dysfunction
The client tells the nurse he worries about everything all day, feels confused, restless, and just can’t stop worrying. What is the best response by the nurse? “You have generalized anxiety. I will teach you some relaxation techniques.”
After a patient has been treated for depression for 4 weeks, the nurse calls the patient to schedule a follow-up visit. What concern should the nurse know to look for during the conversation with the patient? suicidal ideation
A patient on a cardiac step-down medical-surgical unit is complaining of having difficulty sleeping. The patient orders do not include an order for a sedative-hypnotic drug for sleep; the nurse notes that the patient does have an order for a narcotic pain Provide an environment that is restful and reduce loud noise where possible. Tell the patient you will put a call out to the doctor to discuss the sleeplessness.
An older adult has been given a benzodiazepine for sleep induction, but the night nurse noted the patient was awake most of the night watching television and reading. This type of reaction is known as: A paradoxical reaction
The client is receiving a benzodiazepine for the treatment of panic attacks. What is an important medication outcome for this client as it relates to safety? “The client will verbalize the consequences of stopping the drug abruptly.”
What information does the nurse include during patient teaching for antianxiety medication therapy? Notify your health care provider if hangover symptoms persist, because the dose may need to be reduced or the medication changed.”
A client taking bupropion (Wellbutrin) denies a history of depression. The nurse then further assesses the client’s history, recalling that this drug is also used to help clients who are trying to stop using: tobacco
A client starting pheneizine (Nardil) for treatment of depression should be monitored for which of the following effects common to many CNS medications? Orthostatic hypotension
Various members of the benzodiazepine class of drugs can be used appropriately for a variety of effects. Which of the following is an inappropriate use of benzodiazepines? Analgesia
What is the main inhibitory neurotransmitter in the brain and spinal cord? GABA
Which of the following assessments would potentially decrease the sedative effects of diazepam (Valium)? The patient smokes 1 pack of cigarettes per day
Your client has hypertension and asks the nurse how this can lead to heart failure. What is your best response? “Hypertension causes resistance in your blood vessel, or afterload; your heart has to work harder and it becomes weakened.”
The client comes to the ER complaining of coughing and difficulty breathing. The client’s diagnosis is CHF. He asks you how difficulty breathing could be a heart problem. Which of the following would be your best response? (Select all that apply) “The left side of your heart has weakened and blood has entered your lungs.” and “What you have is called congestive heart failure.”
The client receives furosemide (Lasix) and digoxin (Lanoxin) together. Which laboratory findings will you assess as increasing the client’s risk for digoxin (Lanoxin) toxicity? hypokalemia and hypocalcemia
You have been teaching a class on dysrhythmias to a group of client with this disorder. The nurse determines that teaching has been effective when a client makes which statement? “Our sodium, potassium and calcium levels must be okay for our heart to have a normal electrical impulse.”
The client says to you (the nurse), “I did my own research on the internet and WebMD says my antidysrhythmic drug can actually cause me to have irregular heart beats. How can this be?” What is your best response? . “Your medication blocks the flow of the electrolytes in your heart and this can cause irregular heart beats.”
You are monitoring a client’s serum digoxin level and are aware that the therapeutic range is: 0.2 to 1.0 ng/mL (we picked this as the best answer but 0.5 to 2.9 ng/mL was the correct answer)
The effects of isoproterenol (Aerolone, Isuprel), a non-selective beta-adrenergic agonist, include: . positive inotropic effect, positive chronotropic effect, vasodilation
Which of the following drugs may be used to treat digoxin tonicity? digoxin immune FAB
Generally speaking, anti-arrhythmic drugs affect: the conductivity of the heart
What would be the expected outcome for a client who is taking an antidysrhythmic drug? decreased cardiac output , increased renal insufficiency and decreased respiratory distressd. all of the above"Which of the following patients should avoid the use of nitroglycerin?
Which of the following patients should avoid the use of nitroglycerin? Tyler, with a history of closed-angle glaucoma
Which of the following drug is not indicated in the treatment of shock? nitroglycerine
Charles White, age 72, is a patient on the medical-surgical unit due to a GI bleed from his ulcer. His medications include cimetidine (Tagamet) for his ulcer, albuterol inhaler prn for his asthma, propranalol (Inderal), a non-selective beta-blocker, for propranolol
Which of the following patients should refrain from hydrochlorothiazine (HCTZ) therapy? Justin, with renal impairment
A patient has been prescribed the SSRI, sertraline (Zoloft), 50 mg q day, PO for treatment of her depression. Her husband telephones after a week to say that there have been no improvements. What would be an appropriate response? “Antidepressants can take up to 4 weeks before improvement is seen.”
Teaching is extremely important when patients are prescribed new medications. A patient has been prescribed amitriptyline hydrocholoride (Elavil), 50 mg as a single daily dose to be taken at bedtime. The patient asks you why she must take this medicatio The evening medication time is recommended to minimize adverse effects like daytime sedation that is associated with this drug.
Drowsiness and sleep may occur with benzodiazepines because of their action on the: limbic system
General anesthesia consists of four stages. Which of the following is characteristic of Stage II? struggling or shouting
Postoperative nursing actions that will help the client to recover from the effects of anesthesia include: turning, coughing and deep breathing
The patient is having a cyst removed under local anesthesia. The physician requests a lidocaine (Xylocaine) with epinephrine. The nurse understands the addition of epinephrine is to: increase the duration of the anesthetic Which is the stage of anesthesia when surgery begins?
Which is the stage of anesthesia when surgery begins? Stage III
The patient with a history of cardiovascular disease should receive anesthetics without epinephrine because it can cause: tachycardia and hypertension
After receiving a first dose of sodium warfarin (Coumadin), the client receiving intravenous heparin therapy asks when the intravenous infusion can be discontinued. Which correct timeframe should the nurse share with the client? 48 – 72 hours
A client who has also started nursing school asks the nurse how sodium warfarin (Coumadin) exerts its anticoagulant effect. The nurse explains that the drug does which of the following? Interferes with synthesis of vitamin K-dependent clotting factors.
During streptokinase administration, which of the following nursing interventions is important? monitor for any signs of blood loss
What is the action of lovastatin? inhibits hepatic synthesis of cholesterol
The nurse reviews the results of which of the following tests used for monitoring therapy with oral anticoagulants? prothrombin time and international normalized ratio
Which drug is most effective in reducing most major types of dyslipidema? HMG-CoA reductase inhibitors
Which of the following medications should be given very cautiously to a client who is taking Lopid? anticoagulants
When teaching about primary hyperlipidemia, it is important to encourage the client to continue with an exercise program because it: elevates high-density lipoprotein (HDL)
Which breakfast is the best choice for improving cholesterol and triglyceride levels? oatmeal with strawberries
Which of the following is not a therapeutic effect of the HMG CoA reductase inhibitors (statins)? lowers HDL
Compared with traditional tricyclic antidepressants, newer agents such as the selective serotonin reuptake inhibitors (SSRIs) e.g., fluoxetine (Prozac) and sertraline (Zoloft): have fewer side effects
Which lipoprotein is most indicative of high risk for developing atherosclerosis? LDL
Cholestyramine (Questran) decrease lipid levels by: increasing cholesterol excretion
After a blood vessel has been injured, hemostasis is usually achieved by: platelet plugs
The nurse chooses which drug from the emergency cart as the antidote for Heparin (sodium heparin) overdose that results in hemorrhaging? protamine sulfate
Which of the following classes of drugs may potentiate the CNS depressant action of chlorpromazine (Thorazine)? benzodiazepines , opiate agonists, barbiturates all of the above
A 32-year-old patient present in the emergency department with severe chest pain, palpiattions, headache, and photophobia. She states to you that she had started to feel sick at a wine and cheese party she attended earlier that evening. She has a histor monamine oxidase inhibitors
Molly Kincade has hypertension and is being treated with hydrochlorothiazide (HCTZ). On her next clinic visit, you would anticipate obtaining which of the following lab tests? electrolyte panel
When taken with food, the effects of furosemide (Lasix) are: unchanged (this was our answer) but the teachers answer is lowered
Labetalol (Trandate) is classified as a(an): beta blocker (our answer) but teachers is alpha-beta blocker
Lois Larken is receiving digoxin as treatment for atrial flutter. To minimize adverse effects from the digoxin, what must the nurse do? take an apical pulse for 1 minute prior to medication administration; if under 60 bpm, hold medication
Elliot Young, age 67, is taking quinidine for atrial arrhythmias. Which of the following laboratory results would indicate need for intervention? K+ 2.6
Which of the following patients is most likely to develop cardiac arrhythmias with the use of digoxin? Eileen, with a history of severe pulmonary disease
Calcium channel blockers, such as verapamil, dilate coronary and peripheral arterioles
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