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WorksheetsPharm 2
Total questions: 12
Worksheet time: 17mins
A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mL. What medication do you anticipate the physician to order for this patient?
Naloxone
Digibind
Angiotensin receptor neprilysin inhibitor (ARNI)
No medication needed, continue with Digoxin
A patient with a recent diagnosis of heart failure has been prescribed furosemide (Lasix) in an effort to physiologically do what for the patient?
Reduce preload
Increase contractility
Decrease afterload
Decrease cardiac output
After having an myocardial infarction, the nurse notes the patient has jugular distension, gained weight, developed peripheral edema and has a heart rate of 108/minute. What should the nurse suspect is happening?
Left-sided heart failure
Right-sided heart failure
Congestive heart failure
Left-sided to right-sided heart failure
What is the formula for finding cardiac output (CO)?
CO = Stroke volume/Heart rate
CO = Ejection fraction/ Heart rate
CO = Stroke volume x Heart rate
CO = Ejection fraction x Heart rate
Which of the following medications inhibit the degradation of atrial and brain natriuretic peptide by inhibiting the enzyme neprilysin that works mainly by reducing blood volume?
Digoxin
Sacubitril/Valsartan
Milrinone
Dobutamine
Which among the following is the right sequence of flow of electric impulse in the conduction system of the heart?
SA node - AV node - Purkinje fibers - Bundle of His
AV node - SA node - Purkinje fibers - Bundle of His
SA node - AV node - Bundle of His - Purkinje fibers
AV node - SA node - Bundle of HIs - Purkinje fibers
Which among the following is the expected pharmacological action of cardiac glycosides like digoxin?
Positive inotropic effect and positive chronotropic effect
Positive inotropic effect and negative chronotropic effect
Negative inotropic effect and negative chronotropic effect
Negative inotropic effect and positive chronotropic effect
All of the following must be considered when administering digoxin , EXCEPT
Administer with caution to elderly or clients with renal insufficiency.
Instruct client to eat high potassium foods.
Monitor for digitalis toxicity.
Risk of digitalis toxicity increases if client is hyperkalemic.
The nurse is administering an intravenous infusion of a phosphodiesterase inhibitor to a patient who has heart failure. The nurse will evaluate the patient for which therapeutic effect, EXCEPT
Positive inotropic effect
Vasodilatation
Decrease heart rate
Positive chronotropic effects
Ventricular systole means
Ventricular contraction
Ventricular relaxation
Ventricular dysrhythmia
Ventricular preload and afterload
A client is receiving digoxin daily. The nurse suspects digoxin toxicity after noting which signs and symptoms? Select all that apply.
Visual disturbances
Nausea and vomiting
Apical pulse rate of 63 beats per minute
Serum digoxin level of 2.3 ng/mL (2.93 nmol/L)
Serum potassium level of 3.9 mEq/L (3.9 mmol/L)
A primary health care provider (PHCP) writes a prescription for digoxin, 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to do which?
Count the radial and carotid pulses every morning.
Check the blood pressure every morning and evening.
Stop taking the medication if the pulse is higher than 100 beats per minute.
Withhold the medication and call the PHCP if the pulse is less than 60 beats per minute.
