WorksheetsPharmacology Exam #3 Review
Total questions: 10
Worksheet time: 6mins
•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?
To stimulate the SA node and sympathetic fibers to increase the rate.
To accelerate the heart rate by interfering with vagal impulses.
To dry oral and tracheobronchial secretions.
To reduce peristalsis and urinary bladder tone.
A client is prescribed digoxin (Lanoxin) 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.
Hold the medication and count the apical pulse before the next dose is to be given.
Count the apical pulse; if it is regular and above 60, administer the drug as ordered.
Administer the medication and observe the client for further nausea.
Hold the drug and call the health care provider
A nurse is reviewing the morning laboratory results while preparing to administer a client their dose of digoxin (Lanoxin). Which result would the nurse need to report to the primary care provider?
Digoxin level of 0.5 ng/ml
Calcium level of 11mg/dl
Potassium level of 3.4 mEq/l
Sodium level of 133 mEq/l
A client has an order for an IV of 1000 ml of lactated ringers with 20 mEq of potassium/L to infuse at 40 ml/hr. The drip factor is 15 drops/ml. The nurse calculates the flow rate to be: ______ gtt/min.
9 drops/min
10 drops/min
11 drops/min
12 drops/min
A nurse is to administer Nitroglycerin to a client for the treatment of angina. Which of the following should the nurse first advise the client?
Dizziness may occur.
To sit or lie down.
A headache may occur.
To rise slowly
A client is prescribed digoxin (Lanoxin). Which of the following statements by the client indicates to the nurse the need for further teaching?
“I should eat bananas and drink orange juice when I am on this medication.”
“I will take my medication at the same time each day.”
“I will check my pulse every day before taking my medication.”
“If I see halos around lights there is no need to notify my provider.”
A client experiences postural hypotension during initial drug therapy with diltiazem (Cardizem). Which of the following would be most important for the nurse to recommend to this client?
Eat small, frequent meals during the day.
Rise slowly from a sitting or lying position.
Lie down for 30 minutes after taking the medication.
Drink additional oral fluids each day.
A client with a recent myocardial infarction is prescribed digoxin (Lanoxin). Which of the following findings indicate to the nurse that a therapeutic response to this medication has been attained?
. A decrease in pulmonary crackles.
A rise in central venous pressure.
A decrease in urinary output.
An increase in apical pulse rate.
A client is prescribed lisinopril (Zestril). Which of the following is most important for the nurse to assess before administering this medication to the client?
Serum electrolytes.
Body temperature.
c.
Peripheral edema.
Breath sounds
A client experiencing pain has been prescribed meperidine (Demerol) 30mg IM every three hours, PRN pain. The vial available is Demerol 75mg/1 mL. How much Demerol should the nurse administer?
0.5 ml
2.5 ml
1.4 ml
0.4 ml
