Pharmacology - Medical-Surgical Drugs Case Study
Study online at https://quizlet.com/_f137c2
1. The nurse reviews the Confusion
electronic health record Headache
and documents visit-re- Nausea
lated care in the nurs- Yellow vision
ing progress notes. Labs Dizziness
drawn and imaging com- Irregular pulse
pleted per provider or-
ders. Rationale:
Signs and symptoms of digoxin toxicity include confusion,
Digoxin is prescribed for headache, nausea, bradycardia, visual disturbances (blurred vi-
a client with heart fail- sion or yellow vision), and dizziness. In addition, electrocardiogram
ure. The nurse will assess (ECG) findings may include heart block, atrial tachycardia with block,
for which clinical manifes- or ventricular dysrhythmias, all causing an irregular pulse. Increased
tation that indicates digox- urine output is an expected effect of improved cardiac output.
in toxicity? Select all that Changes in respiratory rate, slow or fast, are not associated with
apply. One, some, or all re- digoxin toxicity.
sponses may be correct.
Confusion
Headache
Nausea
Yellow vision
Dizziness
Irregular pulse
Increased urine output
Decreased respiratory rate
2. The nurse reviews the elec- Melena
tronic health record sys- Purpura
tem for client informa- Hematuria
tion and documents care
in the nursing progress Rationale:
1 4/16/2026
, Latest Pharmacology - Medical-Surgical Drugs Case Study
Pharmacology - Medical-Surgical Drugs Case Study
Study online at https://quizlet.com/_f137c2
notes. Labs drawn and di- Bone marrow suppression results in a reduced number of circulat-
agnostics completed per ing white and red blood cells, as well as platelets. Black tarry feces
provider orders. caused by the action of intestinal secretions on blood are associated
with bleeding in the gastrointestinal tract; bleeding is related to a
A client receiving reduced number of thrombocytes, which are part of the coagulation
chemotherapy develops process. Hemorrhages into the skin and mucous membranes (pur-
bone marrow suppression. pura) may occur with reduced numbers of thrombocytes, which are
The nurse will monitor for part of the coagulation process. Blood in the urine (hematuria) may
which thrombocytopenic ef- occur with a reduced number of thrombocytes, which are part of the
fect? Select all that apply. coagulation process. Signs of reduced red blood cells, not platelets,
One, some, or all respons- include fatigue, pale skin, and dizziness. Deep vein thrombosis and
es may be correct. emboli are effects of thrombocytosis.
Fatigue
Pale skin
Deep vein thrombosis
Dizziness
Melena
Purpura
Emboli
Hematuria
3. The nurse obtains report "Monitor the blood pressure often."
and reviews the electron- "Stop the medication if swelling of the mouth, lips, or face devel-
ic health record. Documen- ops."
tation related to care pro- "Have blood drawn for potassium levels 2 weeks after starting the
vided is recorded in nurs- medication."
ing progress notes. Diag- "Notify other prescribers of new ARB prescription."
nostics completed as or- "Report lightheadedness or dizziness upon standing to the
dered. provider."
A client with hyperten- Rationale:
2 4/16/2026