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Quiz sobre Chapter 24, criado por KRISTY ROWE em 09-10-2019.

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Chapter 24

Questão 1 de 15

1

A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/min. What
will the nurse do next?

Selecione uma das seguintes:

  • a. Administer the dose.

  • b. Administer the dose, and notify the prescriber.

  • c. Check the radial pulse for 1 full minute.

  • d. Withhold the dose, and notify the prescriber.

Explicação

Questão 2 de 15

1

A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room
with the morning medications, the patient states, “I am seeing a funny yellow color around the
lights.” What is the nurse’s next action?

Selecione uma das seguintes:

  • a. Assess the patient for symptoms of digoxin toxicity.

  • b. Withhold the next dose of the diuretic.

  • c. Administer the digoxin and diuretic together as ordered.

  • d. Document this finding, and reassess in 1 hour.

Explicação

Questão 3 de 15

1

While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that the
drug has a negative chronotropic effect. How would this drug effect be evident in the patient?

Selecione uma das seguintes:

  • a. Decreased blood pressure

  • b. Decreased heart rate

  • c. Decreased conduction

  • d. Decreased ectopic beats

Explicação

Questão 4 de 15

1

A patient has been taking digoxin at home but took an accidental overdose and has developed
toxicity. The patient has been admitted to the telemetry unit, where the physician has ordered
digoxin immune Fab (Digifab). The patient asks the nurse why the medication is ordered. What
is the nurse’s best response?

Selecione uma das seguintes:

  • a. “It will increase your heart rate.”

  • b. “This drug helps to lower your potassium levels.”

  • c. “It helps to convert the irregular heart rhythm to a more normal rhythm.”

  • d. “This drug is an antidote to digoxin and will help to lower the blood levels.”

Explicação

Questão 5 de 15

1

A patient has been placed on a milrinone (Primacor) infusion as part of the therapy for end-stage
heart failure. What adverse effect of this drug will the nurse watch for when assessing this
patient during the infusion?

Selecione uma das seguintes:

  • Hypertension

  • Hyperkalemia

  • Nausea and vomiting

  • Cardiac dysrhythmias

Explicação

Questão 6 de 15

1

A patient has a digoxin level of 1.1 ng/mL. Which interpretation by the nurse is correct?

Selecione uma das seguintes:

  • It is below the therapeutic level.

  • It is within the therapeutic range.

  • It is above the therapeutic level.

  • It is at a toxic level.

Explicação

Questão 7 de 15

1

The nurse is reviewing discharge teaching for a patient who will be taking digoxin (Lanoxin)
therapy. The nurse will teach the patient to avoid which foods when taking the digoxin?

Selecione uma das seguintes:

  • Leafy green vegetables

  • Dairy products

  • Grapefruit juice

  • Bran muffins

Explicação

Questão 8 de 15

1

In assessing a patient before administration of a cardiac glycoside, the nurse knows that which
lab result can increase the toxicity of the drug?

Selecione uma das seguintes:

  • Potassium level 2.8 mEq/L

  • Potassium level 4.9 mEq/L

  • Sodium level 140 mEq/L

  • Calcium level 10 mg/dL

Explicação

Questão 9 de 15

1

The nurse administering the phosphodiesterase inhibitor milrinone (Primacor) recognizes that
this drug will have a positive inotropic effect. Which result reflects this effect?

Selecione uma das seguintes:

  • Increased heart rate

  • Increased blood vessel dilation

  • Increased force of cardiac contractions

  • Increased conduction of electrical impulses across the heart

Explicação

Questão 10 de 15

1

The nurse notes in a patient’s medical record that nesiritide (Natrecor) has been ordered. Based
on this order, the nurse interprets that the patient has which disorder?

Selecione uma das seguintes:

  • Atrial fibrillation

  • Acutely decompensated heart failure with dyspnea at rest

  • Systolic heart failure

  • Chronic, stable heart failure

Explicação

Questão 11 de 15

1

When administering digoxin immune Fab (Digibind) to a patient with severe digoxin toxicity,
the nurse knows that each vial can bind with how much digoxin?

Selecione uma das seguintes:

  • 0.5 mg

  • 5 mg

  • 5.5 mg

  • 15 mg

Explicação

Questão 12 de 15

1

A patient is in the intensive care unit and receiving an infusion of milrinone (Primacor) for
severe heart failure. The prescriber has written an order for an intravenous dose of furosemide
(Lasix). How will the nurse give this drug?

Selecione uma das seguintes:

  • Infuse the drug into the same intravenous line as the milrinone.

  • Stop the milrinone, flush the line, and then administer the furosemide.

  • Administer the furosemide in a separate intravenous line

  • Notify the prescriber that the furosemide cannot be given at this time.

Explicação

Questão 13 de 15

1

When a patient is experiencing digoxin toxicity, which clinical situation would necessitate the
use of digoxin immune Fab (Digifab)? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • The patient reports seeing colorful halos around lights.

  • The patient’s serum potassium level is above 5 mEq/L.

  • The patient is experiencing nausea and anorexia.

  • The patient is experiencing severe sinus bradycardia that does not respond to
    cardiac pacing.

  • The patient has received an overdose of greater than 10 mg of digoxin.

  • The patient reports fatigue and headaches.

Explicação

Questão 14 de 15

1

Which drug classes are considered first-line treatment for heart failure? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Angiotensin-converting enzyme (ACE) inhibitors

  • Angiotensin II receptor blockers (ARBs)

  • Digoxin (cardiac glycoside)

  • Beta blockers

  • Nesiritide (Natrecor), the B-type natriuretic peptide

Explicação

Questão 15 de 15

1

The medication order for a 4-year-old child reads, “Give digoxin elixir, 15 mcg/kg, PO now.”
Convert the micrograms to milligrams. ______

Selecione uma das seguintes:

  • 0.015 mg

  • 0.10 mg

  • .05 mg

Explicação