Exam (elaborations)

Pharmacological and Parenteral Therapies (VATI) questions with correct answers

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RN- Nursing

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RN- Nursing

A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care provider prescribes atropine sulfate. Which of the following best describes the intended action of atropine for this client? Select one: a. To accelerate the heart rate by interfering with vagal impulses. b. To ...

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Institution RN- Nursing
Course RN- Nursing

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Pharmacological and Parenteral Therapies (VATI)
questions with correct answers
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The
health care provider prescribes atropine sulfate. Which of the following
best describes the intended action of atropine for this client?

Select one:
a. To accelerate the heart rate by interfering with vagal impulses.
b. To dry oral and tracheobronchial secretions.
c. To stimulate the SA node and sympathetic fibers to increase the rate.
d. To reduce peristalsis and urinary bladder tone. Correct Answer-a. To
accelerate the heart rate by interfering with vagal impulses.

Atropine does not have a direct effect on the SA node.

A client is prescribed digoxin 1mg by mouth QID. The client states that
the objects in his room have a yellowish tinge and he is nauseated.
Select the most appropriate nursing action at this time.

Select one:
a. Administer the medication and observe the client for further nausea.
b. Hold the medication and count the apical pulse before the next dose is
to be given.
c. Hold the drug and call the health care provider.

,d. Count the apical pulse; if it is regular and above 60, administer the
drug as ordered. Correct Answer-c. Hold the drug and call the health
care provider.

This client is showing signs of digitalis toxicity. The most appropriate
action is to hold the drug and call the health care provider. Severe
arrhythmia may develop if action is not taken.

A client diagnosed with preterm labor has been prescribed nifedipine.
The client asks the nurse why this particular medication has been
prescribed. Which of the following statements by the nurse is correct?

Select one:
a. To lower your blood pressure
b. To relax your muscles of your uterus
c. To promote development of your baby's lungs
d. To decrease the intensity of your pain Correct Answer-b. To relax
your muscles of your uterus

The use of nifedipine for the treatment of preterm labor is an unlabeled
use of the drug. Nifedipine, a calcium channel blocker, is more
commonly used to treat high blood pressure and heart disease. Smooth
muscle tissue, like the uterus, needs calcium to contract. Nifedipine
blocks the passage of calcium into certain tissues, relaxing the uterine
muscles and smooth muscles of blood vessels throughout the body.

, A client is admitted to the hospital with a diagnosis of diabetic
ketoacidosis (DKA). An intravenous infusion of regular insulin has been
started. Which of the following nursing interventions is most appropriate
for this client?

Select one:
a. Obtain an arterial blood gas every 2 hours
b. Add the prescribed dose of NPH insulin to the IV infusion
c. Ensure glucagon is readily available
d. Monitor blood glucose levels every 4 hours Correct Answer-c. Ensure
glucagon is readily available

Glucagon and D50 are used for rapid treatment of hypoglycemia which
can occur when insulin is administered intravenously

A nurse is evaluating a client's understanding of lithium. Which
statement by the client indicates a need for further education?

Select one:
a. "I should have my blood level drawn as directed."
b. "I will drink 8-12 glasses of water a day."
c. "I will contact my provider if I develop diarrhea."

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Exam (elaborations)

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