question

Which drug will be administered to a patient being admitted with severe digoxin intoxication?

answer

Digoxin immune Fab [Digibind]

question

The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. The patient's current medications include digoxin and furosemide [Lasix]. The apical pulse rate is 100 beats/min. Which action will the nurse take?

answer

Administer the medication.

question

An older adult male patient with long term heart failure has presented for an office visit. The nurse obtains information that he has recently begun taking St. John's wort. What results with the use of this herbal supplement?

answer

Reduced therapeutic benefits of digoxin

question

The nurse is to administer digoxin to an 18 month old patient who weighs 16.5 lb. Guidelines for administration read as follows: 0.0075-0.010 mg/kg/day. Which is a safe medication dosage?

answer

0.074 mg

question

The nurse monitors a patient receiving digoxin closely for toxicity when which other medication is prescribed?

answer

Furosemide [Lasix]

question

Which is the initial manifestation of digoxin toxicity in children?

answer

Atrial dysrhythmia

question

Which agents stimulate the heart to increase the force of contractions, thereby increasing cardiac output?

answer

Inotropic

question

Which drug is used to obtain vasodilation in the treatment of chronic heart failure?

answer

ACE inhibitors

question

The nurse is providing teaching to a patient with heart failure who has been prescribed nifedipine, a calcium channel blocker. Which statement by the nurse is accurate?

answer

"This medication reduces the resistance your heart has to pump against."

question

Which instruction by the nurse will be included when teaching an adult patient about digoxin [Lanoxin] for management of heart failure?

answer

"Report nausea and vomiting to your health care provider."

question

Which nursing assessment is most important to determine fluid status for a patient with heart failure?

answer

Daily weights

question

A patient with altered cardiac function is being assessed by the nurse. When auscultating lung sounds, the nurse will assist this patient into a _____ position.

answer

Fowler's

question

The nurse transcribes a new order for a daily diuretic on a patient diagnosed with congestive heart failure. The nurse will schedule this medication:

answer

in the morning.

question

The nurse is assessing an emergency department patient who was recently discharged following a myocardial infarction (MI). Which symptom(s) would the nurse observe in this patient with left ventricular systolic failure?

answer

Diminished exercise tolerance Shortness of breath with activity

question

Before administering digoxin (Lanoxin), the nurse takes the adult patient's apical pulse for 1 full minute. What additional nursing consideration(s) will be taken before administration of the medication?

answer

Review of the digoxin blood level Review of serum electrolytes, liver, and kidney function studies Obtaining baseline patient assessment data, including lung sounds, vital signs, and weight

question

Which action(s) will the nurse take when caring for a patient with heart failure?

answer

Assess electrolyte levels. Report daily weight fluctuations. Maintain skin hygiene.

question

Which contributing factor(s) to heart failure is/are modifiable?

answer

Hypertension Addiction to smoking Exercise tolerance

question

A patient with heart failure has been prescribed nesiritide (Natrecor). Which statement(s) is/are true regarding this medication?

answer

Cardiac ventricles secrete this hormone in response to fluid overload. It suppresses aldosterone. It causes vasodilation.

question

Which statements about vasodilators is/are true?

answer

They reduce systemic vascular resistance. They reduce preload. They decrease pulmonary congestion. They increase tissue perfusion to muscles and organs.

question

The nurse is providing education to a patient with altered cardiac function. When instructing this patient the nurse will encourage:

answer

regular, mild exercise. good skin care. stress reduction.

question

What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic?

answer

Increased blood sugar levels

question

When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte?

answer

potassium

question

On admission, a patient with a history of cardiac insufficiency complains of shortness of breath. The nurse auscultates the lungs and notes bilateral crackles throughout both fields. In addition, there is bilateral +2 edema of the lower extremities. Which medication does the nurse anticipate that the health care provider will prescribe?

answer

Furosemide [Lasix]

question

Which medication is a potassium sparing diuretic?

answer

Spironolactone [Aldactone]

question

How soon will diuresis be expected to occur after the nurse has administered 20 mg of furosemide (Lasix) intravenously (IV) to a patient with heart failure?

answer

Within 10 minutes

question

Which foods will the nurse recommend for a patient taking loop diuretics?

answer

Potassium-rich foods such as raisins, figs, and bananas

question

Which condition warrants the use of acetazolamide [Diamox] as a diuretic?

answer

Increased intraocular pressure

question

The nurse would expect to assess which serum potassium level in a patient who has severe vomiting and diarrhea?

answer

Less than 3.5 mEq/L

question

Which medication, if administered with spironolactone (Aldactone), will alert the nurse to assess the patient for signs and symptoms of hyperkalemia?

answer

Captopril [Capoten]

question

The nurse has provided patient teaching about potassium sparing diuretic therapy. Which statement by the patient indicates a need for further teaching?

answer

"I will use a salt substitute because I limit my salt intake."

question

Which patient assessment would alert the nurse to withhold a loop diuretic?

answer

Serum potassium of 2.6 mEq/L

question

A 37-year-old male presents at the emergency department reporting severe vomiting for the past 48 hours. When assessing skin turgor, the nurse will:

answer

gently pinch the skin together over the sternum.

question

The nurse is reviewing lab work received on a patient admitted with the diagnosis of dehydration. The nurse will notify the physician of which lab value?

answer

Serum sodium level: 115 mEq/L

question

A patient who has heart failure and difficulty breathing is being admitted. Which physical assessment(s) indicate(s) fluid volume excess?

answer

Rapid, bounding, irregular pulse rate 3+ pitting ankle edema Neck vein engorgement Shortness of breath

question

Which premedication assessment(s) would the nurse obtain prior to the initiation of bumetanide (Bumex)?

answer

Serum potassium Lung sounds Orientation level Blood pressure

question

Which are common signs and symptoms of dehydration?

answer

Furrowed tongue Decreased intake and output levels Mental confusion

question

Which nursing intervention(s) would be performed for a patient who is on diuretic therapy?

answer

Auscultation of lung sounds Assessment of skin turgor Positioning techniques Monitoring of intake and output

question

Which sign(s) and/or symptom(s) of dehydration may occur as a result of a diuretic?

answer

Skin remains peaked on turgor assessment Soft, sunken eyeballs

question

Which medical condition(s) may contribute to fluid volume excess?

answer

Hypertension Liver disease Pregnancy Use of corticosteroids

question

Individuals with which disorder(s) are particularly susceptible to the development of electrolyte disturbances during diuretic therapy?

answer

History of cardiac disease History of renal disease History of hormonal disorders History of psychiatric illness Massive trauma Serious burns

question

The nurse transcribes a new order for ethacrynic acid (Edecrin) on a patient with edema resulting from cirrhosis of the liver. Which currently prescribed medication(s) should the nurse report to the ordering health care provider?

answer

Digoxin Prednisone Tobramycin

question

What is the action of urinary antimicrobial agents?

answer

Have an antiseptic effect on the urine and the urinary tract

question

A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which drug would assist in relieving symptoms?

answer

Phenazopyridine hydrochloride (Pyridium)

question

A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the health care provider will order?

answer

Ciprofloxacin (Cipro)

question

How often is fosfomycin (Monurol) usually administered when used in the treatment of UTIs?

answer

In a one-time dose

question

After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?

answer

Urine will appear reddish orange.

question

A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?

answer

Decreases the urge to void

question

Which condition will neostigmine be used to treat?

answer

Postoperative or postdelivery urinary retention

question

Which organism causes most UTIs?

answer

Escherichia coli

question

What may become discolored by phenazopyridine (Pyridium) in addition to the urine?

answer

Sclera

question

The nurse is teaching a patient about the anticholinergic agent prescribed for urinary retention. Which statement by the patient indicates a need for further teaching?

answer

"I will limit my fluid intake."

question

The nurse is preparing to administer a single dose packet of fosfomycin to a patient diagnosed with a UTI. When preparing this medication, the nurse will:

answer

mix contents with 120 mL of water and administer by mouth.

question

When obtaining urine for analysis on a patient in the labor and birth unit, the nurse assesses the urine to appear frothy. The nurse interprets this as a sign of possible:

answer

preeclampsia (toxemia).

question

A patient has been taking an antimicrobial agent prescribed to treat a UTI for 2 days. She contacts the health care provider's office to report persistence of symptoms. In evaluating the medication effectiveness, which assessment(s) would be important?

answer

Complete emptying of the bladder Amount of pain with urination as well as frequency Amount of daily fluid intake and output GI symptom complaints Bleeding with urination

question

The nurse is assisting with postpartum care for a mother who has given birth to her fourth child. She reports a moderate amount of urinary incontinence since the birth of the third child and is concerned that this problem will worsen. Which instruction(s) may facilitate management of incontinence?

answer

Instruction of proper wiping techniques to prevent bacterial infection Education on bladder training and Kegel exercises Information on personal hygiene measures to prevent perianal breakdown Information of incontinence products and appliances Importance of establishing a regular toileting schedule

question

The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection?

answer

Foul odor pH of 8.2

question

Which intervention(s) will help stimulate urination when a patient is experiencing postoperative urinary retention?

answer

Administration of bethanechol chloride (Urecholine) Pouring warm water over the perineum

question

Fluoxetine, erythromycin, clarithromycin, ketoconazole, itraconazole, miconazole, vinblastine, ritonavir, and nefazodone may inhibit the metabolism of which drugs?

answer

tolterodine, darifenacin, and solifenacin

question

The nurse is caring for a patient taking Pyridium for the diagnosis of UTI. What should the nurse report to the health care provider?

answer

Yellow sclera Increased pain and burning

Chapter 28,29,42 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards