Pharm Ch. 30

Multiple Choice

A client is admitted to the emergency department with severe heart failure. Milrinone is administered IV. For what adverse effect should the nurse assess?

• Hypertension

• Bradycardia

• Dysrhythmias

• Lethargy

Multiple Choice

The nurse is caring for a client who has been prescribed furosemide. What assessment should the nurse perform on a daily basis?

• Body Weight

• Arterial Blood Gas

• Magnesium Level

• Pupillary Response

Multiple Choice

For which client will the nurse in the cardiac care unit anticipate the use of milrinone?

• a client admitted with a sudden and severe exacerbation of heart failure

• a client with chronic left-sided heart failure

• a client being monitored following NSTEMI

• a client who is being prepped for cardiac catheterization

Multiple Choice

A client, prescribed digoxin for the treatment of heart failure, has noticed fatigue, heart rate that is very slow, and an intolerance for cold. After assessing the client's blood pressure at 88/50 mm Hg and pulse rate of 44 beats/minute, the nurse instructs the client not to take the digoxin. What condition may the client be suffering from that would contraindicate the administration of digoxin?

• Hypothyroidism

• Myocardial infarction

• Cerebrovascular accident

• Intermittent claudication

Multiple Choice

A client with a history of heart failure is being treated with digoxin. The nurse knows that this medication increases the force of contractions of the heart. What effect improves the contractility of the heart?

• Positive chronotropic effect

• Decreased heart rate. Positive inotropic effect

• Negative inotropic effect

• Negative dromotropic effect