Latest N1240 Case Study Pharmacology Medical Surgical Drugs
N1240 Case Study: Pharmacology Medical Surgical Drugs
Study online at https://quizlet.com/_dx9njg
1. The nurse reviews the elec- 1-6
tronic health record and docu- Rationale:
ments visit-related care in the Signs and symptoms of digoxin toxicity include confusion,
nursing progress notes. Labs headache, nausea, bradycardia, visual disturbances (blurred
drawn and imaging completed vision or yellow vision), and dizziness. In addition, electrocar-
per provider orders. diogram (ECG) findings may include heart block, atrial tachy-
Digoxin is prescribed for a cardia with block, or ventricular dysrhythmias, all causing an
client with heart failure. The irregular pulse. Increased urine output is an expected effect
nurse will assess for which of improved cardiac output. Changes in respiratory rate, slow
clinical manifestation that indi- or fast, are not associated with digoxin toxicity.
cates digoxin toxicity? Select all
that apply. One, some, or all
responses may be correct.
1. Confusion
2. Headache
3. Nausea
4. Yellow vision
5. Dizziness
6. Irregular pulse
7. Increased urine output
8. Decreased respiratory rate
2. The nurse reviews the elec- 5,6 & 8
tronic health record system Rationale:
for client information and doc- Bone marrow suppression results in a reduced number of
uments care in the nursing circulating white and red blood cells, as well as platelets. Black
progress notes. Labs drawn tarry feces caused by the action of intestinal secretions on
and diagnostics completed per blood are associated with bleeding in the gastrointestinal tract;
provider orders. bleeding is related to a reduced number of thrombocytes,
A client receiving chemother- which are part of the coagulation process. Hemorrhages into
apy develops bone marrow the skin and mucous membranes (purpura) may occur with
suppression. The nurse will reduced numbers of thrombocytes, which are part of the co-
4/16/2026, 1:43:23 PM
, Latest N1240 Case Study Pharmacology Medical Surgical Drugs
N1240 Case Study: Pharmacology Medical Surgical Drugs
Study online at https://quizlet.com/_dx9njg
monitor for which thrombocy- agulation process. Blood in the urine (hematuria) may occur
topenic effect? Select all that with a reduced number of thrombocytes, which are part of
apply. One, some, or all re- the coagulation process. Signs of reduced red blood cells, not
sponses may be correct. platelets, include fatigue, pale skin, and dizziness. Deep vein
thrombosis and emboli are effects of thrombocytosis.
1. Fatigue
2. Pale skin
3. Deep vein thrombosis
4. Dizziness
5. Melena
6. Purpura
7. Emboli
8. Hematuria
3. thrombocytopenic effect Thrombocytopenia signs and symptoms may include: Easy or
excessive bruising (purpura) Superficial bleeding into the skin
that appears as a rash of pinpoint-sized reddish-purple spots
(petechiae), usually on the lower legs. Prolonged bleeding
from cuts. Bleeding from your gums or nose
4. The nurse obtains report and 1, 3, 4, 6, 7,
reviews the electronic health Rationale:
record. Documentation related The risk for hypotension is increased with ARB use, therefore
to care provided is recorded in the client should be educated on the signs and symptoms of
nursing progress notes. Diag- a low blood pressure and the need to monitor blood pres-
nostics completed as ordered. sure often. The medication should be stopped if angioedema
A client with hypertension is occurs, and the health care provider should be notified. Elec-
prescribed an angiotensin II trolyte levels of potassium, sodium, and chloride should be ob-
receptor blocker (ARB). Which tained 2 weeks after the start of therapy and then periodically
instruction will the nurse pro- thereafter. ARBs may increase the effects of other medications
vide about this medication? Se- such as antihypertensives and lithium, dosages may need to
lect all that apply. One, some, be adjusted accordingly. A dry cough may occur during treat-
4/16/2026, 1:43:23 PM
N1240 Case Study: Pharmacology Medical Surgical Drugs
Study online at https://quizlet.com/_dx9njg
1. The nurse reviews the elec- 1-6
tronic health record and docu- Rationale:
ments visit-related care in the Signs and symptoms of digoxin toxicity include confusion,
nursing progress notes. Labs headache, nausea, bradycardia, visual disturbances (blurred
drawn and imaging completed vision or yellow vision), and dizziness. In addition, electrocar-
per provider orders. diogram (ECG) findings may include heart block, atrial tachy-
Digoxin is prescribed for a cardia with block, or ventricular dysrhythmias, all causing an
client with heart failure. The irregular pulse. Increased urine output is an expected effect
nurse will assess for which of improved cardiac output. Changes in respiratory rate, slow
clinical manifestation that indi- or fast, are not associated with digoxin toxicity.
cates digoxin toxicity? Select all
that apply. One, some, or all
responses may be correct.
1. Confusion
2. Headache
3. Nausea
4. Yellow vision
5. Dizziness
6. Irregular pulse
7. Increased urine output
8. Decreased respiratory rate
2. The nurse reviews the elec- 5,6 & 8
tronic health record system Rationale:
for client information and doc- Bone marrow suppression results in a reduced number of
uments care in the nursing circulating white and red blood cells, as well as platelets. Black
progress notes. Labs drawn tarry feces caused by the action of intestinal secretions on
and diagnostics completed per blood are associated with bleeding in the gastrointestinal tract;
provider orders. bleeding is related to a reduced number of thrombocytes,
A client receiving chemother- which are part of the coagulation process. Hemorrhages into
apy develops bone marrow the skin and mucous membranes (purpura) may occur with
suppression. The nurse will reduced numbers of thrombocytes, which are part of the co-
4/16/2026, 1:43:23 PM
, Latest N1240 Case Study Pharmacology Medical Surgical Drugs
N1240 Case Study: Pharmacology Medical Surgical Drugs
Study online at https://quizlet.com/_dx9njg
monitor for which thrombocy- agulation process. Blood in the urine (hematuria) may occur
topenic effect? Select all that with a reduced number of thrombocytes, which are part of
apply. One, some, or all re- the coagulation process. Signs of reduced red blood cells, not
sponses may be correct. platelets, include fatigue, pale skin, and dizziness. Deep vein
thrombosis and emboli are effects of thrombocytosis.
1. Fatigue
2. Pale skin
3. Deep vein thrombosis
4. Dizziness
5. Melena
6. Purpura
7. Emboli
8. Hematuria
3. thrombocytopenic effect Thrombocytopenia signs and symptoms may include: Easy or
excessive bruising (purpura) Superficial bleeding into the skin
that appears as a rash of pinpoint-sized reddish-purple spots
(petechiae), usually on the lower legs. Prolonged bleeding
from cuts. Bleeding from your gums or nose
4. The nurse obtains report and 1, 3, 4, 6, 7,
reviews the electronic health Rationale:
record. Documentation related The risk for hypotension is increased with ARB use, therefore
to care provided is recorded in the client should be educated on the signs and symptoms of
nursing progress notes. Diag- a low blood pressure and the need to monitor blood pres-
nostics completed as ordered. sure often. The medication should be stopped if angioedema
A client with hypertension is occurs, and the health care provider should be notified. Elec-
prescribed an angiotensin II trolyte levels of potassium, sodium, and chloride should be ob-
receptor blocker (ARB). Which tained 2 weeks after the start of therapy and then periodically
instruction will the nurse pro- thereafter. ARBs may increase the effects of other medications
vide about this medication? Se- such as antihypertensives and lithium, dosages may need to
lect all that apply. One, some, be adjusted accordingly. A dry cough may occur during treat-
4/16/2026, 1:43:23 PM
