Cardiac Glycosides Nursing Implications

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Questions and Answers

Which class of patients with cardiac complications would be categorized as having severe limitations in physical activity?

  • Class III
  • Class I
  • Class II
  • Class IV (correct)

Which sign or symptom is NOT commonly associated with cardiac decompensation?

  • Orthopnea
  • Hypotension (correct)
  • Palpitations lasting several minutes associated with lightheadedness
  • Cyanosis of nail beds

What is the primary assessment finding in cardiac patients that indicates the most common complication they may face?

  • Tachycardia
  • Moist cough
  • Edema of varying degree (correct)
  • Dyspnea on exertion

What is the main purpose of an Electrocardiogram (ECG or EKG) in diagnosing cardiac issues?

<p>Detecting heart muscle damage (A)</p> Signup and view all the answers

What nursing implication should be considered when administering medications to cardiac patients with persistent split-second sounds on auscultation?

<p>Monitor for signs of drug toxicity (B)</p> Signup and view all the answers

Which sign should alert a nurse to the possibility of pulmonary hypertension in a cardiac patient?

<p>'Neck vein distention' (C)</p> Signup and view all the answers

What symptoms should a nurse monitor for when a patient is on cardiac glycosides therapy?

<p>Seeing halos around lights (D)</p> Signup and view all the answers

Which electrolyte should a nurse monitor when a patient is on digitalis therapy to prevent toxicity?

<p>Potassium (K) (A)</p> Signup and view all the answers

What is the recommended storage practice for nitroglycerine tablets to maintain their effectiveness?

<p>Protect them from sunlight and replace after 3 months of opening (A)</p> Signup and view all the answers

What potential side effect is commonly associated with loop diuretics like Furosemide (Lasix)?

<p>Hypokalemia (A)</p> Signup and view all the answers

What activity limitation should a cardiac patient follow when taking nitroglycerine for chest pain?

<p>Limit physical effort after taking nitroglycerine (A)</p> Signup and view all the answers

Which medication is considered the safest anticoagulant during pregnancy?

<p>Heparin (C)</p> Signup and view all the answers

What symptoms should a client report as signs of cardiac decompensation?

<p>Moist cough and cough with rales (D)</p> Signup and view all the answers

Which component should be included in the diet plan for a cardiac patient?

<p>Limiting weight gain (D)</p> Signup and view all the answers

What is recommended to decrease the workload of the heart in a cardiac patient?

<p>Instructing to lie down for 30 mins after each meal (D)</p> Signup and view all the answers

Which activity should be strictly prohibited for a client with Class III or IV cardiac limitations?

<p>Climbing stairs (D)</p> Signup and view all the answers

Which medication is commonly used for the treatment of cardiac dysrhythmias?

<p>Quinidine (A)</p> Signup and view all the answers

What type of supplementation is often provided to prevent anemia in cardiac patients?

<p>Iron supplementation (C)</p> Signup and view all the answers

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