Chapter 37, Cardiotonic and Antiarrhythmic Drugs TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. A client has been admitted to a health care center with reports of dyspnea. The nurse suspects left-sided heart failure based on which assessment finding? A) Nocturia B) Pitting edema C) Weight gain D) Orthopnea Answer: D Rationale: The nurse should assess for orthopnea in clients with left-sided heart failure. Orthopnea is a condition where the client has difficulty breathing when lying down. The other features of left ventricular failure include a hacking cough or wheezing, restlessness, and anxiety. Nocturia, pitting edema, and weight gain are associated with right-sided heart failure. Question format: Multiple Choice Chapter: 37 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Physiological Adaptation Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 474, Heart Failure 2. A nurse is assessing the serum digoxin level of a client who is receiving treatment for atrial fibrillation. Which result should the nurse prioritize and report to the primary health care provider? A) 1.6 ng/mL B) 1.8 ng/mL C) 2.0 ng/mL D) 2.2 ng/mL Answer: D Rationale: A serum digoxin level of more than 2 ng/mL would require the nurse to report to the primary health care provider; therefore, serum digitalis levels of 2.2 ng/mL indicate digoxin toxicity. The therapeutic levels range from 0.5 to 2 ng/mL. Question format: Multiple Choice Chapter: 37 Learning Objective: 8 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential