ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 24 : Heart Failure Drugs Questions
Question 1 of 5
While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that the drug has a negative chronotropic effect. How would this drug effect be evident in the patient?
Correct Answer: B
Rationale: A negative chronotropic effect results in a decreased heart rate, which is one effect of cardiac glycosides. The other options are incorrect.
Question 2 of 5
A patient has been taking digoxin at home but took an accidental overdose and has developed toxicity. The patient has been admitted to the telemetry unit, where the physician has ordered digoxin immune Fab. The patient asks the nurse why the medication is ordered. What is the nurse's best response?
Correct Answer: D
Rationale: Digoxin immune Fab (Digifab) is the antidote for a severe digoxin overdose and is given to reverse the life-threatening cardiotoxic effects. The other options are incorrect.
Question 3 of 5
A patient has been placed on a milrinone infusion as part of the therapy for end-stage heart failure. What adverse effect of this drug will the nurse watch for when assessing this patient during the infusion?
Correct Answer: D
Rationale: The primary adverse effects seen with milrinone are cardiac dysrhythmias, mainly ventricular. It may also cause hypotension, hypokalemia, and other effects, but not nausea and vomiting.
Question 4 of 5
A patient has a digoxin level of 1.1 ng/mL. Which interpretation by the nurse is correct?
Correct Answer: B
Rationale: The normal therapeutic drug level of digoxin is between 0.5 and 2 ng/mL. The other options are incorrect.
Question 5 of 5
The nurse is reviewing discharge teaching for a patient who will be taking digoxin therapy. The nurse will teach the patient to avoid which foods when taking the digoxin?
Correct Answer: D
Rationale: Bran, in large amounts, may decrease the absorption of oral digitalis drugs. The other foods do not affect digoxin levels.