Latest Sherpath Case Studies Pharmacology-Med Surg
Sherpath Case Studies: Pharmacology-Med Surg
Study online at https://quizlet.com/_ex0tiz
1. Scenario: 74-year-old female -Confusion
brought into emergency de- -Headache
partment by personal vehicle -Nausea
per self with reports of ab- -Yellow Vision
dominal swelling, fatigue, and -Dizziness
shortness of breath. Histo- -Irregular Pulse
ry is significant for hyperten-
sion, heart failure, and anx- Rationale: Signs and symptoms of digoxin toxicity include
iety. Client denies history of confusion, headache, nausea, bradycardia, visual disturbances
smoking or significant alcohol (blurred vision or yellow vision), and dizziness. In addition, elec-
intake. trocardiogram (ECG) findings may include heart block, atrial
Question: Digoxin is pre- tachycardia with block, or ventricular dysrhythmias, all causing
scribed for a client with heart an irregular pulse. Increased urine output is an expected effect
failure. The nurse will assess of improved cardiac output. Changes in respiratory rate, slow or
for which clinical manifesta- fast, are not associated with digoxin toxicity.
tion that indicates digoxin tox-
icity? SATA
-Confusion
-Headache
-Nausea
-Yellow Vision
-Dizziness
-Irregular Pulse
-Increased Urine Output
-Decreased Respiratory Rate
2. Scenario: 67-year-old female -melena (black, tarry stools from blood digested in GI tract)
brought into emergency de- -purpura (red/purple spots from broken capillaries aka pe-
partment via personal vehicle techiae)
from home by son for assess- -hematuria (blood in urine *think internal bleeding and kidneys
ment of fever, chills, and di- are HIGHLY vascular beds*)
arrhea. History is significant
1 4/16/2026
, Latest Sherpath Case Studies Pharmacology-Med Surg
Sherpath Case Studies: Pharmacology-Med Surg
Study online at https://quizlet.com/_ex0tiz
for colon cancer with current Rationale for other answers:
chemotherapeutic treatment -low RBCs (*anemia*) = fatigue, dizziness, pale skin (*think
once a week in outpatient on- about these symptoms: RBCs carry O2 so without O2 we're
cology center. 100 pack years working harder to breathe=fatigue, less O2 makes us dizzy-think
of smoking noted, 2 packs a high altitude, what happens?, RBCs are RED so pale skin makes
day for 50 years. Quit with- sense*)
in last two months after can- -DVT & emboli would be s/s for Thrombocytosis (^ platelets give
cer diagnosis. Previous histo- us clots)
ry of frequent casual alcohol
intake.
Question: What symptoms
would the nurse monitor
for thrombocytopenic effects?
SATA
-fatigue
-pale skin
-melena
-DVT
-hematuria
-purpura
-emboli
-dizziness
3. Scenario: 63-year-old female - "Monitor the blood pressure often." -Hypotension risk ^ with
admitted two days ago via ARBs (we're blocking Aldosterone in RAAS which normally ^ BP!)
emergency department for so we want to teach Pt of s/s of low BP & need for frequent
hypertensive emergency. Pre- monitoring.
senting symptoms includ- - "Discontinue treatment if cough develops."-Dry cough is more
ed blurry vision, short- common with ACE inhibitors, but can occur with ARBs, but it not
ness of breath, and intense a reason to stop as it usually resolves. FOR OUR PRACTICE, if it's
headache. History is signifi- bothering the Pt they can call and see what PCP says, but this
cant for hypertension and mi- isn't taught for testing purposes.
2 4/16/2026
Sherpath Case Studies: Pharmacology-Med Surg
Study online at https://quizlet.com/_ex0tiz
1. Scenario: 74-year-old female -Confusion
brought into emergency de- -Headache
partment by personal vehicle -Nausea
per self with reports of ab- -Yellow Vision
dominal swelling, fatigue, and -Dizziness
shortness of breath. Histo- -Irregular Pulse
ry is significant for hyperten-
sion, heart failure, and anx- Rationale: Signs and symptoms of digoxin toxicity include
iety. Client denies history of confusion, headache, nausea, bradycardia, visual disturbances
smoking or significant alcohol (blurred vision or yellow vision), and dizziness. In addition, elec-
intake. trocardiogram (ECG) findings may include heart block, atrial
Question: Digoxin is pre- tachycardia with block, or ventricular dysrhythmias, all causing
scribed for a client with heart an irregular pulse. Increased urine output is an expected effect
failure. The nurse will assess of improved cardiac output. Changes in respiratory rate, slow or
for which clinical manifesta- fast, are not associated with digoxin toxicity.
tion that indicates digoxin tox-
icity? SATA
-Confusion
-Headache
-Nausea
-Yellow Vision
-Dizziness
-Irregular Pulse
-Increased Urine Output
-Decreased Respiratory Rate
2. Scenario: 67-year-old female -melena (black, tarry stools from blood digested in GI tract)
brought into emergency de- -purpura (red/purple spots from broken capillaries aka pe-
partment via personal vehicle techiae)
from home by son for assess- -hematuria (blood in urine *think internal bleeding and kidneys
ment of fever, chills, and di- are HIGHLY vascular beds*)
arrhea. History is significant
1 4/16/2026
, Latest Sherpath Case Studies Pharmacology-Med Surg
Sherpath Case Studies: Pharmacology-Med Surg
Study online at https://quizlet.com/_ex0tiz
for colon cancer with current Rationale for other answers:
chemotherapeutic treatment -low RBCs (*anemia*) = fatigue, dizziness, pale skin (*think
once a week in outpatient on- about these symptoms: RBCs carry O2 so without O2 we're
cology center. 100 pack years working harder to breathe=fatigue, less O2 makes us dizzy-think
of smoking noted, 2 packs a high altitude, what happens?, RBCs are RED so pale skin makes
day for 50 years. Quit with- sense*)
in last two months after can- -DVT & emboli would be s/s for Thrombocytosis (^ platelets give
cer diagnosis. Previous histo- us clots)
ry of frequent casual alcohol
intake.
Question: What symptoms
would the nurse monitor
for thrombocytopenic effects?
SATA
-fatigue
-pale skin
-melena
-DVT
-hematuria
-purpura
-emboli
-dizziness
3. Scenario: 63-year-old female - "Monitor the blood pressure often." -Hypotension risk ^ with
admitted two days ago via ARBs (we're blocking Aldosterone in RAAS which normally ^ BP!)
emergency department for so we want to teach Pt of s/s of low BP & need for frequent
hypertensive emergency. Pre- monitoring.
senting symptoms includ- - "Discontinue treatment if cough develops."-Dry cough is more
ed blurry vision, short- common with ACE inhibitors, but can occur with ARBs, but it not
ness of breath, and intense a reason to stop as it usually resolves. FOR OUR PRACTICE, if it's
headache. History is signifi- bothering the Pt they can call and see what PCP says, but this
cant for hypertension and mi- isn't taught for testing purposes.
2 4/16/2026
