VATI Pharmacological and Parenteral Therapies Quiz
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? - answersTo 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. - answersHold 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? - answersTo 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? - answersEnsure 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? - answers"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? - answersPotassium 5.8 A potassium of 5.8 is elevated- normal is 3.5-5. One effect of Capoten 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? - answersNotify 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? - answersThe client maintains an albumin level of 5.0 g/100mL. When clients are on TPN therapy, laboratory values such as electrolytes, CBC, BUN, and plasma glucose should be monitored closely. All laboratory values should be within normal range. Normal range for albumin is 4.5-5.0 g/100ml.
A client with Type 1 diabetes has the following values from the morning laboratory testing: fasting plasma glucose = 115 mg/dL and HgA1C = 7.5%. How would a nurse
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? - answersTo 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. - answersHold 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? - answersTo 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? - answersEnsure 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? - answers"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? - answersPotassium 5.8 A potassium of 5.8 is elevated- normal is 3.5-5. One effect of Capoten 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? - answersNotify 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? - answersThe client maintains an albumin level of 5.0 g/100mL. When clients are on TPN therapy, laboratory values such as electrolytes, CBC, BUN, and plasma glucose should be monitored closely. All laboratory values should be within normal range. Normal range for albumin is 4.5-5.0 g/100ml.
A client with Type 1 diabetes has the following values from the morning laboratory testing: fasting plasma glucose = 115 mg/dL and HgA1C = 7.5%. How would a nurse
