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Pharm 2

Unclassified Antidysrhythmic Therapy

QuestionAnswer
The nurse is preparing to administer a loading dose of digoxin to a patient in atrial fibrillation with a heart rate of 130 beats/minute. Which statement describes the rationale for the loading dose? Achieve therapeutic effect of digoxin more quickly.
A nurse would anticipate that which dysrhythmia will likely develop when adenosine is administered? Asystole
A patient remains in supraventricular tachycardia after administration of adenosine 6 mg. Which action would the nurse anticipate taking? Administer adenosine 12 mg in 1 to 2 minutes after the previous dose.
A patient is being treated with digoxin for atrial fibrillation. Which finding would concern the nurse? Development of second-degree block
A nurse is reviewing laboratory results on a patient who is taking oral digoxin. Which electrolyte imbalance would the nurse associate with digoxin toxicity? Hypokalemia
A patient’s rhythm is now asystole after receiving adenosine. Which action would the nurse take? Monitor the patient.
A patient who has been taking digoxin for several months is now complaining about changes to vision. Which action would the nurse take? Further inquire about the vision changes.
A patient with a history of heart failure is taking both a diuretic and digoxin. Which substance would the nurse anticipate administering to this patient? Potassium supplement
Digoxin is prescribed to a patient who has been taking verapamil for hypertension. Which dosing change would the nurse anticipate seeing in the prescription? A reduction in digoxin dose by 50%
Before administering digoxin, the nurse would conduct a thorough assessment, knowing that digoxin accumulates the highest in which areas of the body? -Kidney -Intestine -Heart -Skeletal muscle
A nurse is preparing to administer adenosine through an established intravenous site with intravenous fluids infusing. Which intravenous fluids would the nurse accept as compatible with adenosine? -0.9% NaCl -D5W -Ringer’s lactate
Created by: Lightnning54
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