NSG 318 EXAM 3 QUESTIONS AND ANSWERS RATED A+

NSG 318 EXAM 3 QUESTIONS AND ANSWERS RATED A+ What is the action of Digoxin - CORRECT ANSW-inhibits sodiumpotassium ATPase, promoting increased force of cardiac contraction, cardiac out, and tissue perfusion; decreases ventricular rate What effects on the heart muscle does Digoxin influence? - CORRECT ANSW-increases myocardial contractility; decreases HR; decreases conduction and increases cardiac output Digoxin therapeutic effects/ uses - CORRECT ANSW-treats heart failure and atrial fibrillation Therapeutic serum level for Digoxin - CORRECT ANSW-0.5-1 ng/mL Important nursing implication the nurse should consider before administering Digoxin? - CORRECT ANSW-DO NOT administer if under 60 bpm (Assess BP and HR before administration) A patient is experiencing an overdose of Digoxin. What is the most appropriate nursing intervention? - CORRECT ANSWadminister Digoxin Immune Fab What is angina? - CORRECT ANSW-acute cardiac pain caused by inadequate blood flow to the myocardium -decreased blood flow= chest pain What is the action of Nitroglycerin? - CORRECT ANSWdecreases myocardial demand for oxygen What are the therapeutic effects/ uses of Nitroglycerin? - CORRECT ANSW-controls angina What is the action of Atenolol? - CORRECT ANSW-selectively blocks beta 1 receptor sites; decreases sympathetic outflow to the periphery; suppresses renin-angiotensin-aldosterone system Which drugs are used to treat acute MI? - CORRECT ANSWAtenolol, Metoprolol and Nitroglycerin What is the action of Diltiazem? - CORRECT ANSW-inhibits the transport of calcium to the myocardial cells which drugs contain the suffix -olol - CORRECT ANSW-beta blockers Which of the following statements shows correct patient understanding of the drug Atenolol? - CORRECT ANSW-"I should not stop taking Atenolol abruptly, and stop taking over the span of 1-2 weeks" A patient is taking atenolol and complains to the nurse of experiencing an erectile disfunction what is the best nursing intervention? - CORRECT ANSW-Ask the HCP for a lower dose -because erectile dysfunction is associated with dosage The patient is experiencing bradycardia when taking Diltiazem. What is the best nursing intervention? - CORRECT ANSWAdministering atropine