A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum ther
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apeutic range for digoxin? jhs jhs jhs
a. 0.1 to 1.5 ng/mL
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b. 0.5 to 2.0 ng/mL
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c. 1.0 to 2.5 ng/mL
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d. 2.0 to 4.0 ng/mL - correct answers-b. 0.5 to 2.0 ng/mL
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The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxi
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n level?
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a. It is in the high (elevated) range.
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b. It is in the low (decreased) range.
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c. It is within the normal range.
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d. It is in the low average range. - correct answers-a. It is in the high (elevated) range.
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The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges
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that which is included in the signs and symptoms for digitalis toxicity?
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a. Pulse (heart) rate of 100 beats/min
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b. Pulse of 72 with an irregular rate
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c. Pulse greater than 60 beats/min and irregular rate
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d. Pulse below 60 beats/min and irregular rate
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The client is also taking a diuretic that decreases her potassium level. The nurse expects that a lo
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w potassium level (hypokalemia) could have what effect on the digoxin?
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a. Increase the serum digoxin sensitivity level
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The nurse acknowledges that beta blockers are as effective as antianginals because they do what?
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a. Increase oxygen to the systemic circulation.
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b. Maintain heart rate and blood pressure.
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c. Decrease heart rate and decrease myocardial contractility.
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c. Decrease heart rate and decrease myocardial contractility.
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The health care provider is planning to discontinue a client's beta blocker. What instruction should
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the nurse give the client regarding the beta blocker?
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a. The beta blocker should be abruptly stopped when another cardiac drug is prescribed.
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b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
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c. The beta blocker dose should be maintained while taking another antianginal drug.
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d. Half the beta blocker dose should be taken for the next several weeks. - correct answers-
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b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down.
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The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is
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the primary purpose of the drug?
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a. To increase the beta1 and beta2 receptors in the cardiac tissues
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b. To increase the flow of oxygen to the cardiac tissues
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,c. To block the beta1-adrenergic receptors in the cardiac tissues
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d. To block the beta2-adrenergic receptors in the cardiac tissues - correct answers-
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c. To block the beta1-adrenergic receptors in the cardiac tissues
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A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will th
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e nurse include in the client's teaching plan?
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a. "Apply the patch to a nonhairy area of the upper torso or arm."
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b. "Apply the patch to the same site each day."
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c. "If you have a headache, remove the patch for 4 hours and then reapply."
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d. "If you have chest pain, apply a second patch next to the first patch." - correct answers-
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a. "Apply the patch to a nonhairy area of the upper torso or arm."
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A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessme
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nt finding indicates that the nitroglycerin has been effective?
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a. Blood pressure 120/80 mm Hg
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b. Heart rate 70 beats per minute
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c. ECG without evidence of ST changes
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d. Client stating that pain is 0 out of 10 - correct answers-
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d. Client stating that pain is 0 out of 10
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The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cau
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se the nurse to take action?
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a. Blood pressure 110/90 mm Hg
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Which statement made by the client demonstrates a need for further instruction regarding the us
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e of nitroglycerin?
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a. "If I get a headache, I should keep taking nitroglycerin and use Tylenol for pain relief."
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b. "I should keep my nitroglycerin in a cool, dry place."
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, c. "I should change positions slowly to avoid getting dizzy."
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d. "I can take up to five tablets at 3-minute intervals for chest pain if necessary." -
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correct answers-d. "I can take up to five tablets at 3-
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minute intervals for chest pain if necessary."
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Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium chan
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nel blocker? jhs
a. Client states that she has no chest pain.
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b. Client states that the swelling in her feet is reduced.
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c. Client states the she does not feel dizzy.
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d. Client states that she feels stronger. - correct answers-
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a. Client states that she has no chest pain.
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What statement is the most important for the nurse to include in the teaching plan for a client
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who has started on a transdermal nitroglycerin patch?
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a. "This medication works faster than sublingual nitroglycerin works."
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b. "This medication is the strongest of any nitroglycerin preparation available."
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c. "This medication should be used only when you are experiencing chest pain."
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d. "This medication will work for 24 hours and you will need to change the patch daily." -
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correct answers-
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d. "This medication will work for 24 hours and you will need to change the patch daily."
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What will the nurse instruct the client to do to prevent the development of tolerance to nitroglyc
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erin?
a. Apply the nitroglycerin patch every other day.
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b. Switch to sublingual nitroglycerin when the client's systolic blood pressure elevates to more tha
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n 140 mm Hg.
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c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.
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d. Use the nitroglycerin patch for acute episodes of angina only. - correct answers-
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c. Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.
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Before the nurse administers isosorbide mononitrate (Imdur), what is a priority nursing assessment
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?
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