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Chapter 27: Drugs Used to Treat Heart Failure Test
Bank
MULTIPLE CHOICE
1. Which drug will be administered to a patient being admitted with severe digoxin
intoxication? a. Amiodarone (Cordarone)
b. Spironolactone (Aldactone)
c. Digoxin immune Fab (Digibind)
d. Digitalis glycoside
ANS: C
The antidote for digoxin intoxication is digoxin immune Fab (Digibind). Amiodarone is an
antidysrhythmic and would not treat digoxin intoxication. Spironolactone is a diuretic and
does not treat digoxin intoxication. Giving more of the same type of drug does not treat drug
intoxication.
DIF: Cognitive Level: ComprehensionREF: p. 453 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
2. The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. The patient’s
current medications include digoxin and furosemide (Lasix). The apical pulse rate is 100
beats/min. Which action will the nurse take?
a. Administer the medication.
b. Contact the pediatric cardiologist for further orders.
c. Hold the digoxin.
d. Request that another unit nurse assess the child.
ANS: A
A pulse rate of 100 beats/min in a child who is 3 years old is considered acceptable.
Administration of the medication is appropriate. There is no indication for contacting the
cardiologist, holding the dose, or requesting further assessment because this is within the
expected range.
DIF: Cognitive Level: Application REF: p. 452 OBJ: 6
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
3. An older adult male patient with long term heart failure has presented for an office visit. The
nurse obtains information that he has recently begun taking St. John’s wort. What results
with the use of this herbal supplement?
a. Digoxin toxicity
b. Altered potassium electrolyte balance
c. Reduced therapeutic benefits of digoxin
d. Enhanced digoxin effectiveness without producing toxicity
ANS: C
St. John’s wort is a drug that may reduce therapeutic benefits of digoxin. St. John’s wort has
the opposite effect on digoxin and does not affect electrolytes.
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DIF: Cognitive Level: Application REF: p. 453 OBJ: 6
7. Which agents stimulate the heart to increase the force of contractions, thereby increasing
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. The nurse is to administer digoxin to an 18 month old patient who weighs 16.5 lb. Guidelines
for administration read as follows: 0.0075-0.010 mg/kg/day. Which is a safe medication
dosage?
a. 0.05 mg
b. 0.12 mg
c. 0.074 mg
d. 0.75 mg
ANS: C
16.5 lb converts to 7.5 kg; 7.5 kg 0.0075 mg = 0.05625; 7.5 kg 0.010 mg = 0.075 mg;
0.074 mg is the only answer within the safe dosage range. Values of 0.05 mg, 0.12 mg, and
0.75 mg are too large.
DIF: Cognitive Level: Application REF: pp. 451-453 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
5. The nurse monitors a patient receiving digoxin closely for toxicity when which other
medication is prescribed?
a. Potassium supplements
b. Furosemide (Lasix)
c. Acetylsalicylic acid (aspirin)
d. Antibiotics
ANS: B
Furosemide is a potassium depleting diuretic. Low potassium levels potentiate digoxin
toxicity. Taking potassium supplements with a diuretic prevents digoxin toxicity. Aspirin and
antibiotics do not affect digoxin levels.
DIF: Cognitive Level: Knowledge REF: p. 453 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
6. Which is the initial manifestation of digoxin toxicity in children?
a. Hallucinations
b. Weakness
c. Atrial dysrhythmia
d. Diuresis
ANS: C
In children, digoxin toxicity is often first detected by the development of atrial dysrhythmias.
Hallucinations, weakness, and diuresis are not initial manifestations of digoxin toxicity in
children.
DIF: Cognitive Level: Knowledge REF: p. 453 OBJ: 4 |5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
cardiac output?
a. Inotropic
b. Chronotropic
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Chapter 27: Drugs Used to Treat Heart Failure Test
Bank
MULTIPLE CHOICE
1. Which drug will be administered to a patient being admitted with severe digoxin
intoxication? a. Amiodarone (Cordarone)
b. Spironolactone (Aldactone)
c. Digoxin immune Fab (Digibind)
d. Digitalis glycoside
ANS: C
The antidote for digoxin intoxication is digoxin immune Fab (Digibind). Amiodarone is an
antidysrhythmic and would not treat digoxin intoxication. Spironolactone is a diuretic and
does not treat digoxin intoxication. Giving more of the same type of drug does not treat drug
intoxication.
DIF: Cognitive Level: ComprehensionREF: p. 453 OBJ: 4
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
2. The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. The patient’s
current medications include digoxin and furosemide (Lasix). The apical pulse rate is 100
beats/min. Which action will the nurse take?
a. Administer the medication.
b. Contact the pediatric cardiologist for further orders.
c. Hold the digoxin.
d. Request that another unit nurse assess the child.
ANS: A
A pulse rate of 100 beats/min in a child who is 3 years old is considered acceptable.
Administration of the medication is appropriate. There is no indication for contacting the
cardiologist, holding the dose, or requesting further assessment because this is within the
expected range.
DIF: Cognitive Level: Application REF: p. 452 OBJ: 6
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
3. An older adult male patient with long term heart failure has presented for an office visit. The
nurse obtains information that he has recently begun taking St. John’s wort. What results
with the use of this herbal supplement?
a. Digoxin toxicity
b. Altered potassium electrolyte balance
c. Reduced therapeutic benefits of digoxin
d. Enhanced digoxin effectiveness without producing toxicity
ANS: C
St. John’s wort is a drug that may reduce therapeutic benefits of digoxin. St. John’s wort has
the opposite effect on digoxin and does not affect electrolytes.
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:44:40 GMT -05:00
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DIF: Cognitive Level: Application REF: p. 453 OBJ: 6
7. Which agents stimulate the heart to increase the force of contractions, thereby increasing
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
4. The nurse is to administer digoxin to an 18 month old patient who weighs 16.5 lb. Guidelines
for administration read as follows: 0.0075-0.010 mg/kg/day. Which is a safe medication
dosage?
a. 0.05 mg
b. 0.12 mg
c. 0.074 mg
d. 0.75 mg
ANS: C
16.5 lb converts to 7.5 kg; 7.5 kg 0.0075 mg = 0.05625; 7.5 kg 0.010 mg = 0.075 mg;
0.074 mg is the only answer within the safe dosage range. Values of 0.05 mg, 0.12 mg, and
0.75 mg are too large.
DIF: Cognitive Level: Application REF: pp. 451-453 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
5. The nurse monitors a patient receiving digoxin closely for toxicity when which other
medication is prescribed?
a. Potassium supplements
b. Furosemide (Lasix)
c. Acetylsalicylic acid (aspirin)
d. Antibiotics
ANS: B
Furosemide is a potassium depleting diuretic. Low potassium levels potentiate digoxin
toxicity. Taking potassium supplements with a diuretic prevents digoxin toxicity. Aspirin and
antibiotics do not affect digoxin levels.
DIF: Cognitive Level: Knowledge REF: p. 453 OBJ: 4
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
6. Which is the initial manifestation of digoxin toxicity in children?
a. Hallucinations
b. Weakness
c. Atrial dysrhythmia
d. Diuresis
ANS: C
In children, digoxin toxicity is often first detected by the development of atrial dysrhythmias.
Hallucinations, weakness, and diuresis are not initial manifestations of digoxin toxicity in
children.
DIF: Cognitive Level: Knowledge REF: p. 453 OBJ: 4 |5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
cardiac output?
a. Inotropic
b. Chronotropic
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https://www.coursehero.com/file/19255138/ch28/
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