NSG 318 FINAL EXAM 2026/2027 BANK 500
QUESTIONS WITH DETAILED VERIFIED ANSWERS||
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A patient on digoxin therapy reports having blurred vision
and yellow halos and respirations are 5 per minute. What
action should the nurse take next?
a. Administer protamine
b. Administer digoxin immune fab
c. Administer vitamin K
d. Nothing these are normal side effects - Answer-B.
Administer Digoxin Immune Fab. This med reverses the
side effect of bradycardia
Which CAMs increase the risk of digitalis toxicity? SATA
a. Gingko
b. Ginseng
c. Cinnamon
d. Licorice
e. Aloe
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f. Parsley
g. Green tea
h. Ephedra - Answer-Ginseng, Licorice, Aloe and Ephedra
A patient on digoxin therapy frequently takes CAMs.
Which CAMs should the nurse educate the patient to
avoid? - Answer-Ginseng, St. John's Wort, Psyllium,
Hawthorn, Licorice, Aloe, and Ephedra
What are 3 important things a nurse needs to watch for
during digoxin therapy? - Answer-Apical pulse >60
Toxicity: 0.5-1.0 ng/mL
Potassium: Increases risk of digitalis toxicity
Which medication is in the antianginal drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
d. Plavix - Answer-a. Nitroglycerin
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How should a nurse instruct a patient to take nitroglycerin?
- Answer-The most common route is sublingual.
Take 1 dose when the chest pain begins.
If still having chest pain in 5 mins call 911 and then take a
2nd dose.
If still having chest pain in 5 mins and EMT has not
arrived, take a 3 and FINAL dose
A patient asks a nurse why they can only have 3 doses of
nitroglycerin. What should the nurse tell the patient? -
Answer-The main side effect of this med is that it
decreases BP. With each dose the BP is decreasing. So
with multiple doses, you will eventually have no BP.
A patient was prescribed a topical/transdermal
nitroglycerin. What should the nurse teach the patient
about this route? - Answer-The patient needs to be nitrate
free for 8-12 hours to avoid developing a tolerance.
Typically, this nitrate free period can occur at night.
Which medication is in the cardiac glycoside drug class?
a. Nitroglycerin
b. Digoxin
c. Coumadin
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d. Plavix - Answer-b. Digoxin
What are the uses of Digoxin? - Answer-Used to treat
heart failure and atrial fibrillation?
A patient's serum digoxin level is 1.1 ng/mL. What action
should the nurse take?
a. Given the next dose
b. Retake the lab test
c. Split the dose in half
d. Inform the HCP - Answer-D. The nurse should inform
the HCP because this results indicates toxicity.
What is the therapeutic serum level of digoxin? - Answer-
0.5 - 1 ng/ml
The nurse is caring for a patient on digoxin therapy. The
student nurse asks the nurse what are signs of digoxin
toxicity. What should the nurse teach the student nurse?
a. Depression
b. Circulatory Collapse
c. Tachycardia