NUR 316- PREP U chap 44, 46 Exam | Questions
with 100% Correct Answers | Verified | Latest
Update 2026/2027
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Terms in this set (77)
A patient is experiencing nausea and Digoxin immune fab (Digibind)
visual disturbances when taking
digoxin (Lanoxin). Which medication Explanation:
will be administered?
A patient who has nausea and visual changes while
Acetylsalicylic acid (aspirin) taking digoxin will most likely be administered
Nesiritide (Natrecor) digoxin immune fab (Digibind). Acetylsalicylic acid
Felbamate (Felbatol) is not administered for digoxin toxicity. Nesiritide is
Digoxin immune fab (Digibind) not administered when the patient is experiencing
digoxin toxicity. Felbamate is administered for the
treatment of seizures.
,Mrs. Houston is a 78-year-old The importance of having required laboratory work
woman who resides in an assisted performed on time
living facility. Her doctor prescribed
digoxin at her last visit to the clinic Explanation:
and she has approached the nurse
who makes regular visits to the Patients taking digoxin need to know the
assisted-living facility about this new importance of having all laboratory work (serum
drug. What teaching point should the drug levels; electrolytes) performed on time.
nurse emphasize to Mrs. Houston? Digoxin is not taken if the patient is bradycardic,
and it does not provide an immediate or short-term
The importance of having required increase in exercise tolerance. Blood pressure
laboratory work performed on time monitoring is not normally required for patients
The need to take the medication at who are taking digoxin.
the same time each day regardless
of her heart rate
The correct technique for using a
home blood pressure cuff
Timing household activities to
coincide with the administration
times of her digoxin
What is the most accurate method Assess the patient's heart rate and hold
for preventing adverse effects administration if it is less than 60.
associated with the use of digoxin?
Explanation:
Teach patients to take their digoxin in
divided doses with each meal. Patients should be taught to hold their digoxin if
Assess the patient's heart rate and their heart rate is less than 60 (or some other
hold administration if it is less than defined heart rate). Divided doses are not normally
60. used and an awareness of heart failure does not
Teach patients the signs and preclude adverse effects of digoxin.
symptoms of heart failure.
Monitor therapeutic effects based
on echocardiogram results.
,The nurse is to administer digoxin to Notify the physician
a client with heart failure. The nurse
auscultates an apical pulse rate of Explanation:
52. What action should the nurse
take? Before administering each dose of digoxin, take
the apical pulse rate for 60 seconds. If the apical
Administer medication rate is below 60 beats per minute, withhold the
Notify the physician drug and notify the physician. Blood pressure is not
Assess the blood pressure affected by digoxin. Without prescriptive authority,
Administer half of the dose the nurse cannot change medication dosages.
After teaching a class of students Digoxin
about heart failure and drug therapy,
the instructor determines that the Explanation:
teaching has been successful when
the students identify which drug as Digoxin is the drug most often used to treat heart
most often used as treatment? failure. Human B-type natriuretic peptide, nitrate,
or furosemide also may be used, but these drugs
are not the ones most commonly used.
, When educating a group of nursing It increases cardiac output by positive inotropic
students on the mechanisms of action
action of digitalis, the nurse identifies It decreases the heart rate through negative
what as the pharmacological actions chronotropic effect
of digitalis? (Select all that apply.) It retards the conduction velocity through the AV
node in the heart
Explanation:
The pharmacological actions of digitalis are
increased cardiac output, decreased heart rate,
and retarding conduction velocity. Digitalis
increases cardiac output by positive inotropic
action. It does not have negative inotropic action.
It decreases the heart rate through negative
chronotropic effect. In atrial fibrillation rapid atrial
contractions are seen. Digitalis is used to treat atrial
fibrillation.
A patient with class-IV CHF has a blood pressure.
medication regimen consisting of
metoprolol (Lopressor), enalapril Explanation:
(Vasotec), and furosemide (Lasix). In
addition to regularly assessing the Fluid balance, cognition, and exercise tolerance
patient's heart rate, the nurse should are all affected by CHF and should be regularly
prioritize assessment of the patient's assessed as part of thorough nursing care.
However, the combination of an ACE inhibitor, a
intake and output. beta blocker, and a diuretic constitutes a significant
blood pressure. risk for hypotension and indicates a need for
cognition. frequent blood pressure monitoring.
exercise tolerance.
with 100% Correct Answers | Verified | Latest
Update 2026/2027
Save
Terms in this set (77)
A patient is experiencing nausea and Digoxin immune fab (Digibind)
visual disturbances when taking
digoxin (Lanoxin). Which medication Explanation:
will be administered?
A patient who has nausea and visual changes while
Acetylsalicylic acid (aspirin) taking digoxin will most likely be administered
Nesiritide (Natrecor) digoxin immune fab (Digibind). Acetylsalicylic acid
Felbamate (Felbatol) is not administered for digoxin toxicity. Nesiritide is
Digoxin immune fab (Digibind) not administered when the patient is experiencing
digoxin toxicity. Felbamate is administered for the
treatment of seizures.
,Mrs. Houston is a 78-year-old The importance of having required laboratory work
woman who resides in an assisted performed on time
living facility. Her doctor prescribed
digoxin at her last visit to the clinic Explanation:
and she has approached the nurse
who makes regular visits to the Patients taking digoxin need to know the
assisted-living facility about this new importance of having all laboratory work (serum
drug. What teaching point should the drug levels; electrolytes) performed on time.
nurse emphasize to Mrs. Houston? Digoxin is not taken if the patient is bradycardic,
and it does not provide an immediate or short-term
The importance of having required increase in exercise tolerance. Blood pressure
laboratory work performed on time monitoring is not normally required for patients
The need to take the medication at who are taking digoxin.
the same time each day regardless
of her heart rate
The correct technique for using a
home blood pressure cuff
Timing household activities to
coincide with the administration
times of her digoxin
What is the most accurate method Assess the patient's heart rate and hold
for preventing adverse effects administration if it is less than 60.
associated with the use of digoxin?
Explanation:
Teach patients to take their digoxin in
divided doses with each meal. Patients should be taught to hold their digoxin if
Assess the patient's heart rate and their heart rate is less than 60 (or some other
hold administration if it is less than defined heart rate). Divided doses are not normally
60. used and an awareness of heart failure does not
Teach patients the signs and preclude adverse effects of digoxin.
symptoms of heart failure.
Monitor therapeutic effects based
on echocardiogram results.
,The nurse is to administer digoxin to Notify the physician
a client with heart failure. The nurse
auscultates an apical pulse rate of Explanation:
52. What action should the nurse
take? Before administering each dose of digoxin, take
the apical pulse rate for 60 seconds. If the apical
Administer medication rate is below 60 beats per minute, withhold the
Notify the physician drug and notify the physician. Blood pressure is not
Assess the blood pressure affected by digoxin. Without prescriptive authority,
Administer half of the dose the nurse cannot change medication dosages.
After teaching a class of students Digoxin
about heart failure and drug therapy,
the instructor determines that the Explanation:
teaching has been successful when
the students identify which drug as Digoxin is the drug most often used to treat heart
most often used as treatment? failure. Human B-type natriuretic peptide, nitrate,
or furosemide also may be used, but these drugs
are not the ones most commonly used.
, When educating a group of nursing It increases cardiac output by positive inotropic
students on the mechanisms of action
action of digitalis, the nurse identifies It decreases the heart rate through negative
what as the pharmacological actions chronotropic effect
of digitalis? (Select all that apply.) It retards the conduction velocity through the AV
node in the heart
Explanation:
The pharmacological actions of digitalis are
increased cardiac output, decreased heart rate,
and retarding conduction velocity. Digitalis
increases cardiac output by positive inotropic
action. It does not have negative inotropic action.
It decreases the heart rate through negative
chronotropic effect. In atrial fibrillation rapid atrial
contractions are seen. Digitalis is used to treat atrial
fibrillation.
A patient with class-IV CHF has a blood pressure.
medication regimen consisting of
metoprolol (Lopressor), enalapril Explanation:
(Vasotec), and furosemide (Lasix). In
addition to regularly assessing the Fluid balance, cognition, and exercise tolerance
patient's heart rate, the nurse should are all affected by CHF and should be regularly
prioritize assessment of the patient's assessed as part of thorough nursing care.
However, the combination of an ACE inhibitor, a
intake and output. beta blocker, and a diuretic constitutes a significant
blood pressure. risk for hypotension and indicates a need for
cognition. frequent blood pressure monitoring.
exercise tolerance.
