Podcast
Questions and Answers
Which are expected clinical manifestations of hypomagnesemia? Select all that apply.
Which are expected clinical manifestations of hypomagnesemia? Select all that apply.
A patient is prescribed digoxin for supraventricular dysrhythmia. The nurse instructs the patient to avoid consuming bran. What is the reason behind this instruction?
A patient is prescribed digoxin for supraventricular dysrhythmia. The nurse instructs the patient to avoid consuming bran. What is the reason behind this instruction?
A patient has a serum digoxin level of 0.4 ng/mL. What can the nurse interpret from the scenario?
A patient has a serum digoxin level of 0.4 ng/mL. What can the nurse interpret from the scenario?
Which complication may be experienced by a patient who is prescribed lisinopril?
Which complication may be experienced by a patient who is prescribed lisinopril?
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Which condition is a cause of inadequate contractility leading to myocardial deficiency?
Which condition is a cause of inadequate contractility leading to myocardial deficiency?
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Which class of drugs is also known as inodilators?
Which class of drugs is also known as inodilators?
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Which medication will increase digoxin levels in the body by 50%?
Select all that apply. One, some, or all responses may be correct.
Which medication will increase digoxin levels in the body by 50%? Select all that apply. One, some, or all responses may be correct.
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Which effect is expected from beta-blocker therapy?
Which effect is expected from beta-blocker therapy?
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Which medication acts by blocking calcium channels?
Which medication acts by blocking calcium channels?
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Which statement is true about positive dromotropic medications?
Which statement is true about positive dromotropic medications?
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Which finding would the nurse expect to see in a patient who is prescribed milrinone?
Which finding would the nurse expect to see in a patient who is prescribed milrinone?
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The nurse is providing care to a patient who is prescribed both digoxin and verapamil. Which side effect would the nurse expect the patient to experience?
The nurse is providing care to a patient who is prescribed both digoxin and verapamil. Which side effect would the nurse expect the patient to experience?
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Which medication blocks angiotensin II receptors?
Which medication blocks angiotensin II receptors?
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The nurse is caring for a patient after a myocardial infarction. The nurse finds that the patient's heart rate has increased to 130 beats/min and the patient's weight has increased by 8.8 lb (4 kg) overnight. Which intravenous combination of drugs will the primary health care provider prescribe to the patient in this condition?
The nurse is caring for a patient after a myocardial infarction. The nurse finds that the patient's heart rate has increased to 130 beats/min and the patient's weight has increased by 8.8 lb (4 kg) overnight. Which intravenous combination of drugs will the primary health care provider prescribe to the patient in this condition?
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The nurse is teaching a patient about the safe administration of digoxin. Which statement by the patient indicates a need for additional teaching?
The nurse is teaching a patient about the safe administration of digoxin. Which statement by the patient indicates a need for additional teaching?
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A patient is prescribed digoxin to treat heart failure. Which biochemical parameter would be assessed to ensure safe drug administration?
A patient is prescribed digoxin to treat heart failure. Which biochemical parameter would be assessed to ensure safe drug administration?
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The nurse who is caring for a patient with a myocardial infarction informs the patient, "This drug will increase the contractions of your heart." Which drug has been prescribed to the patient?
The nurse who is caring for a patient with a myocardial infarction informs the patient, "This drug will increase the contractions of your heart." Which drug has been prescribed to the patient?
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Which assessment finding will alert the nurse to suspect digitalis toxicity?
Which assessment finding will alert the nurse to suspect digitalis toxicity?
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A patient's serum digoxin level is noted to be 0.4 ng/mL. Which action would the nurse take?
A patient's serum digoxin level is noted to be 0.4 ng/mL. Which action would the nurse take?
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A patient is being treated for short-term management of heart failure with milrinone. Which is the primary nursing action?
A patient is being treated for short-term management of heart failure with milrinone. Which is the primary nursing action?
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A patient who is receiving digoxin reports headache, dizziness, nausea, and blurred vision. After assessing the patient, the nurse finds that the patient's pulse rate is 48 beats/min. Which medication would the nurse expect the primary health care provider to prescribe?
A patient who is receiving digoxin reports headache, dizziness, nausea, and blurred vision. After assessing the patient, the nurse finds that the patient's pulse rate is 48 beats/min. Which medication would the nurse expect the primary health care provider to prescribe?
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The nurse is preparing to administer the first dose of valsartan/sacubitril for a patient with heart failure. Which finding would lead the nurse to withhold the dose and notify the health care provider?
The nurse is preparing to administer the first dose of valsartan/sacubitril for a patient with heart failure. Which finding would lead the nurse to withhold the dose and notify the health care provider?
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A patient with heart failure is prescribed hydralazine/isosorbide dinitrate. Which instruction would the nurse give the patient to minimize side effects?
A patient with heart failure is prescribed hydralazine/isosorbide dinitrate. Which instruction would the nurse give the patient to minimize side effects?
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Which does the nurse include in the plan of care related to administering milrinone to a patient with heart failure?
Which does the nurse include in the plan of care related to administering milrinone to a patient with heart failure?
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Which action taken by the patient indicates a need for further education regarding digoxin administration?
Which action taken by the patient indicates a need for further education regarding digoxin administration?
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A patient with heart failure taking digoxin reports nausea, vomiting, and visual changes. Which does the nurse include in the plan of care?
A patient with heart failure taking digoxin reports nausea, vomiting, and visual changes. Which does the nurse include in the plan of care?
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Which medication is used to treat supraventricular dysrhythmia?
Which medication is used to treat supraventricular dysrhythmia?
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A patient is diagnosed with congestive heart failure and is prescribed intravenous digoxin. What interventions will the nurse include when administering the drug to the patient? Select all that apply.
A patient is diagnosed with congestive heart failure and is prescribed intravenous digoxin. What interventions will the nurse include when administering the drug to the patient? Select all that apply.
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A patient who receives digoxin (Lanoxin) reports muscle weakness, lethargy, loss of appetite, and nausea. The electrocardiography (ECG) report shows a cardiac arrhythmia. What will the nurse interpret from the assessment?
A patient who receives digoxin (Lanoxin) reports muscle weakness, lethargy, loss of appetite, and nausea. The electrocardiography (ECG) report shows a cardiac arrhythmia. What will the nurse interpret from the assessment?
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The nurse suspects that an 80 year old patient is developing digoxin toxicity. For which symptoms will the nurse monitor? Select all that apply
The nurse suspects that an 80 year old patient is developing digoxin toxicity. For which symptoms will the nurse monitor? Select all that apply
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For which symptoms will the nurse monitor in a patient suspected of developing digoxin toxicity? Select all that apply
For which symptoms will the nurse monitor in a patient suspected of developing digoxin toxicity? Select all that apply
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A patient who has heart failure is prescribed digoxin. The patient also has hypothyroidism. What is the best nursing intervention to prevent digoxin toxicity?
A patient who has heart failure is prescribed digoxin. The patient also has hypothyroidism. What is the best nursing intervention to prevent digoxin toxicity?
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The nurse assesses a patient's pulse before administering digoxin and notes a rate that is slower than 50 beats/min. What is the priority intervention by the nurse?
The nurse assesses a patient's pulse before administering digoxin and notes a rate that is slower than 50 beats/min. What is the priority intervention by the nurse?
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While administering a milrinone infusion, the nurse observes that the patient has severe hypotension. Which interventions would the nurse take?
While administering a milrinone infusion, the nurse observes that the patient has severe hypotension. Which interventions would the nurse take?
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A patient with myocardial infarction is given intravenous milrinone. Which other intravenous medication in the patient's medication prescriptions should the nurse question?
A patient with myocardial infarction is given intravenous milrinone. Which other intravenous medication in the patient's medication prescriptions should the nurse question?
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A parent reports that a child has been experiencing shortness of breath and chest pains, the nurse suspects that the child has congestive heart failure (CHF). What signs may the nurse observe in the child that would support this suspicion? Select all that apply.
A parent reports that a child has been experiencing shortness of breath and chest pains, the nurse suspects that the child has congestive heart failure (CHF). What signs may the nurse observe in the child that would support this suspicion? Select all that apply.
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A patient develops syncope after receiving a drug for a heart failure. Which heart failure drug was administered to the patient?
A patient develops syncope after receiving a drug for a heart failure. Which heart failure drug was administered to the patient?
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A patient with digoxin toxicity is prescribed digoxin immune Fab. What is the correct nursing intervention when giving this medication?
A patient with digoxin toxicity is prescribed digoxin immune Fab. What is the correct nursing intervention when giving this medication?
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For what side effects should the nurse monitor after administering lisinopril to a patient? Select all that apply.
For what side effects should the nurse monitor after administering lisinopril to a patient? Select all that apply.
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A patient with acute heart failure is admitted to the emergency department of a hospital. The patient's medical reports indicate that the patient has asthma and takes telithromycin. Which prescription does the nurse need to obtain from the primary health care provider?
A patient with acute heart failure is admitted to the emergency department of a hospital. The patient's medical reports indicate that the patient has asthma and takes telithromycin. Which prescription does the nurse need to obtain from the primary health care provider?
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A patient who is taking digoxin for congestive heart failure (CHF) has severe vomiting. The nurse prepares ginseng tea for the patient to relieve vomiting. What symptom may occur as a result of this nursing action?
A patient who is taking digoxin for congestive heart failure (CHF) has severe vomiting. The nurse prepares ginseng tea for the patient to relieve vomiting. What symptom may occur as a result of this nursing action?
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The nurse reviews a patient's laboratory values, including a digoxin level of 10 ng/mL and serum potassium value of 6.2. Which drug does the nurse ask the primary health care provider to prescribe?
The nurse reviews a patient's laboratory values, including a digoxin level of 10 ng/mL and serum potassium value of 6.2. Which drug does the nurse ask the primary health care provider to prescribe?
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A patient with congestive heart failure is prescribed furosemide and milrinone by the primary health care provider. The nurse administers them simultaneously through the same intravenous line. What is a possible consequence of this nursing action?
A patient with congestive heart failure is prescribed furosemide and milrinone by the primary health care provider. The nurse administers them simultaneously through the same intravenous line. What is a possible consequence of this nursing action?
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While reviewing the medical record of a patient who is receiving digoxin therapy, the nurse notes that the patient has atrial tachycardia and impaired renal function. Arrange the order of the nursing interventions for this patient.
While reviewing the medical record of a patient who is receiving digoxin therapy, the nurse notes that the patient has atrial tachycardia and impaired renal function. Arrange the order of the nursing interventions for this patient.
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A patient who is prescribed digoxin reports eating licorice to treat inflammation. Why should the nurse advise the patient to stop eating licorice?
A patient who is prescribed digoxin reports eating licorice to treat inflammation. Why should the nurse advise the patient to stop eating licorice?
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A patient experiencing acute decompensated heart failure is prescribed nesiritide by the primary health care provider. Which other drug prescription should the nurse question?
A patient experiencing acute decompensated heart failure is prescribed nesiritide by the primary health care provider. Which other drug prescription should the nurse question?
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The nurse prepares to administer digoxin to a patient who has heart failure. The nurse should evaluate the serum potassium level if the patient is taking which other drug?
The nurse prepares to administer digoxin to a patient who has heart failure. The nurse should evaluate the serum potassium level if the patient is taking which other drug?
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A patient has dilated cardiomyopathy with clinical indications of heart failure. Which medication would the nurse expect to administer to assist the patient's heart to compensate for this disorder? SATA
A patient has dilated cardiomyopathy with clinical indications of heart failure. Which medication would the nurse expect to administer to assist the patient's heart to compensate for this disorder? SATA
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A patient is taking 0.25 mg of digoxin and 40 mg of furosemide daily. When the nurse enters the room, the patient reports seeing yellow halos around the lights. What is the nurse's first action?
A patient is taking 0.25 mg of digoxin and 40 mg of furosemide daily. When the nurse enters the room, the patient reports seeing yellow halos around the lights. What is the nurse's first action?
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A child admitted to the hospital with significant growth retardation and severe heart failure is found to have a ventricular septal defect. Which is the best treatment approach for the child?
A child admitted to the hospital with significant growth retardation and severe heart failure is found to have a ventricular septal defect. Which is the best treatment approach for the child?
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A patient is prescribed milrinone (Primacor) for the treatment of heart failure. After checking the patient's history, the nurse finds that the patient is taking an antacid. The nurse instructs the patient to avoid taking the antacid 2 hours before or after administering milrinone (Primacor). Which problem will be prevented by following this instruction?
A patient is prescribed milrinone (Primacor) for the treatment of heart failure. After checking the patient's history, the nurse finds that the patient is taking an antacid. The nurse instructs the patient to avoid taking the antacid 2 hours before or after administering milrinone (Primacor). Which problem will be prevented by following this instruction?
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A patient with acute heart failure is prescribed a phosphodiesterase inhibitor drug. Which actions of the drug are beneficial for patients with heart failure? Select all that apply.
A patient with acute heart failure is prescribed a phosphodiesterase inhibitor drug. Which actions of the drug are beneficial for patients with heart failure? Select all that apply.
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What adverse cardiac effect is likely to occur in a patient receiving intravenous milrinone?
What adverse cardiac effect is likely to occur in a patient receiving intravenous milrinone?
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