PN VATI Pharmacology QUESTIONS, ANSWERS and
Rationale COMPREHENSIVE VERSION WITH MOST
RECENT AND VERIFIED ANSWERS GUARANTEED PASS
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care
provider prescribes atropine sulfate. Which of the following best describes the
intended action of atropine for this client?
a. To reduce peristalsis and urinary bladder tone.
b. To stimulate the SA node and sympathetic fibers to increase the rate
c. To accelerate the heart rate by interfering with vagal impulses
d. To dry oral and tracheobronchial secretions.
c. To accelerate the heart rate by interfering with vagal impulses.
Atropine accelerates the heart rate by interfering with vagal impulses. It is given
IVP at doses of 0.5mg to 1.0mg per dose; every 3 to 5 minutes; up to 2.0mg.
Doses less than 0.5mg may cause a paradoxical slowing of the heart rate. When
Atropine is given to a client with history of an MI it should be used with great
caution; increasing the heart rate also increases myocardial oxygen consumption!
A client is prescribed digoxin 1mg by mouth QID. The client states that the objects
in his room have a yellowish tinge and he is nauseated. Select the most
appropriate nursing action at this time.
a. Administer the medication and observe the client for further nausea.
b. Hold the drug and call the health care provider.
c. Count the apical pulse; if it is regular and above 60, administer the drug as
ordered.
d. Hold the medication and count the apical pulse before the next dose is to be
given.
b. Hold the drug and call the health care provider. This client is showing signs of
digitalis toxicity. The most appropriate action is to hold the drug and call the
health care provider. Severe arrhythmia may develop if action is not taken.
,A client diagnosed with preterm labor has been prescribed nifedipine. The client
asks the nurse why this particular medication has been prescribed. Which of the
following statements by the nurse is correct?
a. To lower your blood pressure
b. To promote development of your baby's lungs
c. To decrease the intensity of your pain
d. To relax your muscles of your uterus
d. To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an unlabeled use of the
drug. Nifedipine, a calcium channel blocker, is more commonly used to treat high
blood pressure and heart disease. Smooth muscle tissue, like the uterus, needs
calcium to contract. Nifedipine blocks the passage of calcium into certain tissues,
relaxing the uterine muscles and smooth muscles of blood vessels throughout the
body.
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA).
An intravenous infusion of regular insulin has been started. Which of the following
nursing interventions is most appropriate for this client?
a. Obtain an arterial blood gas every 2 hours
b. Monitor blood glucose levels every 4 hours
c. Ensure glucagon is readily available
d. Add the prescribed dose of NPH insulin to the IV infusion
c. Ensure glucagon is readily available Glucagon and D50 are used for rapid
treatment of hypoglycemia which can occur when insulin is administered
intravenously
A nurse is evaluating a client's understanding of lithium. Which statement by the
client indicates a need for further education?
a. "I will drink 8-12 glasses of water a day."
b. "I should take the medication on an empty stomach."
c. "I should have my blood level drawn as directed."
d. "I will contact my provider if I develop diarrhea."
, b. "I should take the medication on an empty stomach." Lithium should be taken
with meals or milk to decrease gastric upset.
A nurse is caring for a client taking captopril. Which finding would require
immediate attention for this client?
a. Sodium 133
b. Potassium 5.8
c. Blood pressure 96/48
d. Pulse 56
b. potassium of 5.8 is elevated- normal is 3.5-5. One effect of captopril is elevation
of potassium levels because this drug inhibits the formation of angiotensin II and
blocks the release of aldosterone. The blocking of the aldosterone results in
sodium excretion and potassium retention. Hyperkalemia can result in cardiac
arrhythmias and if untreated lead to cardiac arrest.
A nurse is caring for a client taking captopril who has started experiencing a
frequent dry cough. What action should the nurse take?
a. Encourage the client to use over the counter cough syrup for the cough.
b. Encourage the client to continue taking the medication as prescribed.
c. Instruct the client to decrease the dosage of the medication.
d. Notify the provider of the client's symptom.
d. Notify the provider of the client's symptom. An adverse effect of ACE inhibitors
is a cough related to inhibition of kinase II which results in an increase in
bradykinin. The provider should be notified if a dry cough occurs so that the
medication can be discontinued.
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of
the following outcomes best demonstrates that TPN therapy is effective?
a. The client reports less frequent bowel movements.
b. The client maintains an albumin level of 5.0 g/100mL.
c. The client's urinary output increases by 800 mL per day.
Rationale COMPREHENSIVE VERSION WITH MOST
RECENT AND VERIFIED ANSWERS GUARANTEED PASS
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care
provider prescribes atropine sulfate. Which of the following best describes the
intended action of atropine for this client?
a. To reduce peristalsis and urinary bladder tone.
b. To stimulate the SA node and sympathetic fibers to increase the rate
c. To accelerate the heart rate by interfering with vagal impulses
d. To dry oral and tracheobronchial secretions.
c. To accelerate the heart rate by interfering with vagal impulses.
Atropine accelerates the heart rate by interfering with vagal impulses. It is given
IVP at doses of 0.5mg to 1.0mg per dose; every 3 to 5 minutes; up to 2.0mg.
Doses less than 0.5mg may cause a paradoxical slowing of the heart rate. When
Atropine is given to a client with history of an MI it should be used with great
caution; increasing the heart rate also increases myocardial oxygen consumption!
A client is prescribed digoxin 1mg by mouth QID. The client states that the objects
in his room have a yellowish tinge and he is nauseated. Select the most
appropriate nursing action at this time.
a. Administer the medication and observe the client for further nausea.
b. Hold the drug and call the health care provider.
c. Count the apical pulse; if it is regular and above 60, administer the drug as
ordered.
d. Hold the medication and count the apical pulse before the next dose is to be
given.
b. Hold the drug and call the health care provider. This client is showing signs of
digitalis toxicity. The most appropriate action is to hold the drug and call the
health care provider. Severe arrhythmia may develop if action is not taken.
,A client diagnosed with preterm labor has been prescribed nifedipine. The client
asks the nurse why this particular medication has been prescribed. Which of the
following statements by the nurse is correct?
a. To lower your blood pressure
b. To promote development of your baby's lungs
c. To decrease the intensity of your pain
d. To relax your muscles of your uterus
d. To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an unlabeled use of the
drug. Nifedipine, a calcium channel blocker, is more commonly used to treat high
blood pressure and heart disease. Smooth muscle tissue, like the uterus, needs
calcium to contract. Nifedipine blocks the passage of calcium into certain tissues,
relaxing the uterine muscles and smooth muscles of blood vessels throughout the
body.
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA).
An intravenous infusion of regular insulin has been started. Which of the following
nursing interventions is most appropriate for this client?
a. Obtain an arterial blood gas every 2 hours
b. Monitor blood glucose levels every 4 hours
c. Ensure glucagon is readily available
d. Add the prescribed dose of NPH insulin to the IV infusion
c. Ensure glucagon is readily available Glucagon and D50 are used for rapid
treatment of hypoglycemia which can occur when insulin is administered
intravenously
A nurse is evaluating a client's understanding of lithium. Which statement by the
client indicates a need for further education?
a. "I will drink 8-12 glasses of water a day."
b. "I should take the medication on an empty stomach."
c. "I should have my blood level drawn as directed."
d. "I will contact my provider if I develop diarrhea."
, b. "I should take the medication on an empty stomach." Lithium should be taken
with meals or milk to decrease gastric upset.
A nurse is caring for a client taking captopril. Which finding would require
immediate attention for this client?
a. Sodium 133
b. Potassium 5.8
c. Blood pressure 96/48
d. Pulse 56
b. potassium of 5.8 is elevated- normal is 3.5-5. One effect of captopril is elevation
of potassium levels because this drug inhibits the formation of angiotensin II and
blocks the release of aldosterone. The blocking of the aldosterone results in
sodium excretion and potassium retention. Hyperkalemia can result in cardiac
arrhythmias and if untreated lead to cardiac arrest.
A nurse is caring for a client taking captopril who has started experiencing a
frequent dry cough. What action should the nurse take?
a. Encourage the client to use over the counter cough syrup for the cough.
b. Encourage the client to continue taking the medication as prescribed.
c. Instruct the client to decrease the dosage of the medication.
d. Notify the provider of the client's symptom.
d. Notify the provider of the client's symptom. An adverse effect of ACE inhibitors
is a cough related to inhibition of kinase II which results in an increase in
bradykinin. The provider should be notified if a dry cough occurs so that the
medication can be discontinued.
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of
the following outcomes best demonstrates that TPN therapy is effective?
a. The client reports less frequent bowel movements.
b. The client maintains an albumin level of 5.0 g/100mL.
c. The client's urinary output increases by 800 mL per day.
