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?
Select one:
a. 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!
b. To stimulate the SA node and sympathetic fibers to increase the rate.
c. To dry oral and tracheobronchial secretions.
d. To reduce peristalsis and urinary bladder tone.
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.
Select one:
a. Count the apical pulse; if it is regular and above 60, administer the drug as
ordered.
b. Administer the medication and observe the client for further nausea.
c. 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 an
d. Hold the medication and count the apical pulse before the next dose is to be
given.
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?
Select one:
a. To decrease the intensity of your pain
b. To relax your muscles of your uterus
, VATI Pharmacological and Parenteral Therapies Quiz
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
c. To lower your blood pressure
d. To promote development of your baby’s lungs
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?
Select one:
a. Monitor blood glucose levels every 4 hours
b. Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which can occur when insulin is
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Obtain an arterial blood gas every 2 hours
A nurse is evaluating a client’s understanding of lithium. Which statement by the
client indicates a need for further education?
Select one:
a. “I should take the medication on an empty stomach.”
Lithium should be taken with meals or milk to decrease gastric upset.
b. “I will drink 8-12 glasses of water a day.”
c. “I will contact my provider if I develop diarrhea.”
d. “I should have my blood level drawn as directed.”
A nurse is caring for a client taking captopril. Which finding would require
immediate attention for this client?
Select one:
a. Sodium 133
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?
Select one:
a. 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!
b. To stimulate the SA node and sympathetic fibers to increase the rate.
c. To dry oral and tracheobronchial secretions.
d. To reduce peristalsis and urinary bladder tone.
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.
Select one:
a. Count the apical pulse; if it is regular and above 60, administer the drug as
ordered.
b. Administer the medication and observe the client for further nausea.
c. 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 an
d. Hold the medication and count the apical pulse before the next dose is to be
given.
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?
Select one:
a. To decrease the intensity of your pain
b. To relax your muscles of your uterus
, VATI Pharmacological and Parenteral Therapies Quiz
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
c. To lower your blood pressure
d. To promote development of your baby’s lungs
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?
Select one:
a. Monitor blood glucose levels every 4 hours
b. Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which can occur when insulin is
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Obtain an arterial blood gas every 2 hours
A nurse is evaluating a client’s understanding of lithium. Which statement by the
client indicates a need for further education?
Select one:
a. “I should take the medication on an empty stomach.”
Lithium should be taken with meals or milk to decrease gastric upset.
b. “I will drink 8-12 glasses of water a day.”
c. “I will contact my provider if I develop diarrhea.”
d. “I should have my blood level drawn as directed.”
A nurse is caring for a client taking captopril. Which finding would require
immediate attention for this client?
Select one:
a. Sodium 133
