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Saunders: Pharmacology/Cardiovascular Questions With Complete Solutions
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Saunders: Pharmacology/Cardiovascular Questions With Complete Solutions
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Saunders: Pharmacology/Cardiovascular Questions WithComplete Solutions
A 1-year-old child has been prescribed digoxin (Lanoxin) to
treat heart failure (HF). When should the nurse plan on
withholding the prescribed dose of the medication? Correct
Answer The child's pulse is less than 80 beats per minute.
A child is being sent home on digoxin (Lanoxin) after being
diagnosed with a congenital heart defect. The medication needs
to be given once a day. Which should the nurse reinforce in the
teaching plan for the family? Correct Answer "Give the
medication in the morning 20 to 30 minutes before a feeding."
A child with a right-to-left cardiac shunt is receiving propranolol
(Inderal-LA). The health care provider visits the child and writes
prescriptions in the child's record. The licensed practical nurse
(LPN) reviews the prescriptions and notes that the child is
placed on a nothing-by-mouth (NPO) status. The LPN consults
with the registered nurse and prepares to monitor which
parameter closely? Correct Answer Glucose level
A client arrives at the health care clinic for follow-up care and
evaluation of the effectiveness of prazosin (Minipress). Which
finding indicates a therapeutic effect related to the use of this
medication? Correct Answer Decrease in blood pressure
A client complaining of not feeling well is seen in a clinic. The
client is taking several medications for the control of heart
disease and hypertension. These medications include a beta
blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis
,of digoxin toxicity is made. Which assessment data supports this
diagnosis? Correct Answer Double vision, loss of appetite, and
nausea
A client has a prescription for niacin. The nurse determines that
the client understands the importance of this therapy if the client
verbalizes the importance of which periodic monitoring?
Correct Answer The serum cholesterol level
A client has arrived at the emergency department complaining
of weakness, an irregular heartbeat, and lethargy. The nurse is
attempting to discover what caused these symptoms. The nurse
asks the client "Have you been prescribed any new
medications?" The client tells the nurse "About 2 weeks ago I
was prescribed a drug to make me pee, but I don't know the
name." The nurse determines that the client is referring to which
medication? Correct Answer Furosemide (Lasix)
A client has been given a prescription for gemfibrozil (Lopid).
The nurse plans to instruct the client to limit intake of which
food while taking this medication? Correct Answer Beef
A client has received atropine sulfate intravenously during a
surgical procedure. The nurse monitors the client for which side
effect of the atropine sulfate in the postoperative period?
Correct Answer Urinary retention
A client has taken his first dose of lisinopril (Zestril) about 2
hours ago and begins to develop fullness in his face and
hoarseness. Which action should the nurse take first? Correct
Answer Determine the client's ability to breathe effectively.
, A client is at risk for pulmonary embolism and is on
anticoagulant therapy with warfarin sodium (Coumadin). The
nurse is told that the client's prothrombin time is 18 seconds
with a control of 11 seconds. Which action should the nurse
plan? Correct Answer Administer the next dose of warfarin
sodium.
A client is at risk for pulmonary embolism and is on
anticoagulant therapy with warfarin sodium (Coumadin). The
nurse is told that the client's prothrombin time is 18 seconds
with a control of 11 seconds. Which action should the nurse
plan? Correct Answer Administer the next dose of warfarin
sodium.
A client is being discharged following treatment for left-sided
heart failure. The nurse is reinforcing teaching the client the
purpose, actions, adverse effects, and use of digoxin (Lanoxin)
and hydrochlorothiazide (HCTZ) prescribed for daily use.
Which statement by the client indicates that a need for further
teaching is needed? Correct Answer "I should decrease my
intake of foods high in potassium, such as bananas."
A client is being discharged from the hospital on warfarin
(Coumadin) for venous thromboembolism (VTE) prevention.
Which instructions should the nurse reinforce in the client's
teaching plan?
Select all that apply. Correct Answer -Wear a Medic Alert
bracelet.
-Check urine and stool for blood.
-Notify your dentist before an appointment.
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