Quiz : How Much Do You Know About Digoxin Therapy?

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  • 1/91 Questions

    What should you warn your patient of after ear drops are instilled?

    • Nausea
    • Fullness in ears and dizziness
    • Diarrhea
    • Vomiting
Please wait...
About This Quiz

Digoxin therapy is used for many critical heart conditions. Do you know about it? With a fun quiz, let's see how much you know about digoxin therapy! All you have to do is answer a few simple questions! The practice of pharmacy takes a lot more work than you might think when you hand over your prescription. A lot of work goes into getting you the right drugs. Please make sure to read all the questions carefully before answering. All the questions are compulsory. Have fun and good luck!

Quiz : How Much Do You Know About Digoxin Therapy? - Quiz

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  • 2. 

    Before administering a new nitroglycerin transdermal patch the nurse should

    • Leave the old patch on

    • Remove the old patch and clean the residue and then apply the new patch to a clean and hair free area

    • Apply the patch over hair because it doesn't change the effectiveness of the drug

    • Apply a new patch to the same spot

    Correct Answer
    A. Remove the old patch and clean the residue and then apply the new patch to a clean and hair free area
    Explanation
    It is important for the nurse to remove the old patch and clean the residue before applying a new nitroglycerin transdermal patch. This ensures that the medication can be absorbed properly and that there are no interactions between the old and new patches. Applying the new patch to a clean and hair-free area also helps with proper adhesion and absorption of the medication.

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  • 3. 

    When applying nitroglycerin topical ointment the nurse should ensure she wears

    • A hat

    • A dress

    • leggings

    • Gloves

    Correct Answer
    A. Gloves
    Explanation
    When applying nitroglycerin topical ointment, it is important for the nurse to wear gloves. This is because nitroglycerin is a potent vasodilator that can be absorbed through the skin and cause systemic effects. Wearing gloves helps to protect the nurse's hands from direct contact with the medication, preventing absorption and potential side effects. Additionally, gloves also help to maintain hygiene and prevent the spread of infection.

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  • 4. 

    A patient is taking iron supplements, so to avoid constipation the nurse encourages the patient to drink 10 to 12 glasses of water a day and eat a high fiber diet and exercise.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    To avoid constipation, it is important for a patient taking iron supplements to drink an adequate amount of water, consume a high fiber diet, and engage in regular exercise. Water helps soften the stool and prevent dehydration, while fiber adds bulk to the stool and promotes regular bowel movements. Exercise also helps stimulate bowel activity. Therefore, it is true that the nurse should encourage the patient to follow these recommendations to prevent constipation while taking iron supplements.

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  • 5. 

    After 3 days of therapy your patient complains of feeling nauseated and has no appetite. She also wonders why the lights are so blurry and bright. Her radial pulse is 52 beats/min. When you check her lab work you note that he digoxin level from that mornin is 3.5 ng/mL. Should you give the dose?

    • Administer more digoxin

    • Withhold the dose and notify the PCP

    • Nothing this is normal

    Correct Answer
    A. Withhold the dose and notify the PCP
    Explanation
    The patient's symptoms of feeling nauseated, having no appetite, blurry and bright lights, along with a low radial pulse, could be indicative of digoxin toxicity. A digoxin level of 3.5 ng/mL is higher than the therapeutic range (0.5-2.0 ng/mL), suggesting an overdose. Therefore, withholding the dose and notifying the primary care physician (PCP) is the appropriate action to take in this situation.

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  • 6. 

    Would you cleanse your patients eye before administering an ophtalmic medication?

    • No, gross

    • Yes, you should remove any gunk or debris so that you get maximum absorption of the drug

    • Yes, thats really nasty to leave crap in an eye

    • No, just dont give it

    Correct Answer
    A. Yes, you should remove any gunk or debris so that you get maximum absorption of the drug
    Explanation
    It is important to cleanse the patient's eye before administering ophthalmic medication in order to remove any gunk or debris that may hinder the absorption of the drug. This ensures that the medication can effectively reach the targeted area and provide the intended therapeutic effects. Leaving debris in the eye can be unhygienic and may also interfere with the effectiveness of the medication. Therefore, it is necessary to cleanse the eye before administering ophthalmic medication.

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  • 7. 

    Drugs that dilate the pupil

    • Miotics

    • Mydriatics

    • Hallucinogens

    • Narcotic Analgesics

    Correct Answer
    A. Mydriatics
    Explanation
    Mydriatics are drugs that dilate the pupil. These drugs are used to increase the size of the pupil, allowing more light to enter the eye. This can be helpful in certain medical procedures, such as eye examinations or surgeries, as it provides better visibility of the eye's internal structures. Mydriatics work by relaxing the muscles that control the size of the pupil, causing it to widen. They are commonly used in ophthalmology and optometry practices.

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  • 8. 

    Which of the following is NOT high in vitamin B12?

    • Organ meats

    • Eggs

    • Milk

    • Soda

    Correct Answer
    A. Soda
    Explanation
    Soda is not high in vitamin B12. Vitamin B12 is mainly found in animal-based foods such as organ meats, eggs, and milk. Soda, on the other hand, is a carbonated beverage that does not contain any significant amount of vitamin B12. Therefore, soda is the correct answer as it is not high in vitamin B12.

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  • 9. 

    Excessive intraocular pressure caused by elevated levels of aqueous humor is called

    • glaucoma

    • Conjunctiva

    • Cataract

    • Uvea

    Correct Answer
    A. glaucoma
    Explanation
    Glaucoma is a condition characterized by excessive intraocular pressure due to elevated levels of aqueous humor. Aqueous humor is a fluid that fills the front portion of the eye, and when it cannot drain properly, it builds up and causes pressure on the optic nerve. This increased pressure can lead to damage to the optic nerve and loss of vision if left untreated. Therefore, glaucoma is the correct answer as it accurately describes the condition caused by elevated levels of aqueous humor.

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  • 10. 

    The patient is confused as to why she has to be on both heparin and warfarin (Coumadin)at the same time when the PCP said he was switching her to Coumadin. Teach the patient why.

    • Because you can be on both at the same time

    • Because peak time for Coumadin is 7 days, so to maintain therapeutic antithrombolytic properties she must be on both

    • Because you have to stay on heparin forever

    • Because she is in really bad shape so she has to be on both

    Correct Answer
    A. Because peak time for Coumadin is 7 days, so to maintain therapeutic antithrombolytic properties she must be on both
    Explanation
    The patient needs to be on both heparin and warfarin (Coumadin) at the same time because the peak time for Coumadin is 7 days. This means that it takes 7 days for Coumadin to reach its full therapeutic antithrombolytic properties. Therefore, in order to maintain the desired effects and prevent blood clots, the patient needs to continue taking heparin while waiting for the Coumadin to reach its peak effectiveness.

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  • 11. 

    Gonadotropins may cause birth defects so women who are trying to become pregnant should talk to their PCP.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Gonadotropins are a type of medication that stimulate the ovaries to produce eggs. However, these medications have been associated with an increased risk of birth defects in babies. Therefore, it is important for women who are trying to become pregnant to discuss the potential risks and benefits of using gonadotropins with their primary care physician (PCP) before starting treatment. This conversation will help them make an informed decision and take necessary precautions to minimize the risk of birth defects.

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  • 12. 

    Corticosteroids administered to older adults should be closely monitored because their preexisting conditions such as CHF, HTN, osteoporosis, and arthritis may be worsened by the use of these agents

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Corticosteroids can have negative effects on older adults with preexisting conditions such as congestive heart failure (CHF), hypertension (HTN), osteoporosis, and arthritis. These medications can worsen these conditions, which is why it is important to closely monitor older adults when they are administered corticosteroids.

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  • 13. 

    After the patient receives the medication, the patient should remain lying on the unaffected side after the medication is instilled for approximately 5 minutes to facilitate the penetration of the drops into the ear canal. 

    • True

    • False

    Correct Answer
    A. True
    Explanation
    After receiving the medication, it is recommended for the patient to lie on the unaffected side for about 5 minutes. This position helps the drops to penetrate the ear canal effectively.

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  • 14. 

    Common side effect of adrenergic drugs involving a sudden drop in blood pressure when patients change position is known as 

    • Orthopedic hypotension

    • Orthostatic hypotension

    • Orthostatic hypertension

    • Dizziness

    Correct Answer
    A. Orthostatic hypotension
    Explanation
    Orthostatic hypotension refers to a sudden drop in blood pressure when patients change their position, such as standing up from a sitting or lying position. This is a common side effect of adrenergic drugs, which affect the sympathetic nervous system and can lead to a decrease in blood pressure. Symptoms of orthostatic hypotension may include dizziness, lightheadedness, and fainting.

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  • 15. 

    Ursula, an inpatient on your unit, is on anticoagulant therapy. you enter her room to find that she is restless and confused, what should you do?

    • Nothing these are normal effects

    • Call the PCP immediately

    • Give more of the anticoagulant

    • Its normal because she is old

    Correct Answer
    A. Call the PCP immediately
    Explanation
    If Ursula, an inpatient on the unit, is on anticoagulant therapy and is exhibiting restlessness and confusion, it is important to call the PCP (Primary Care Provider) immediately. These symptoms may indicate a potential complication or adverse reaction to the anticoagulant therapy, such as bleeding in the brain or an interaction with other medications. Promptly notifying the PCP will allow for a thorough evaluation and appropriate intervention to ensure Ursula's safety and well-being.

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  • 16. 

    Milk and antacids do not interfere with the absorption of iron and can be taken at the same time as the iron supplements.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because both milk and antacids can interfere with the absorption of iron. Milk contains calcium, which can bind to iron and inhibit its absorption. Antacids, on the other hand, can reduce the acidity in the stomach, which is necessary for iron absorption. Therefore, it is recommended to avoid taking milk and antacids at the same time as iron supplements to ensure optimal absorption of iron.

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  • 17. 

    Intermittent claudication is described as leg pain while walking or standing that is relieved by resting or sitting.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Intermittent claudication is a condition characterized by leg pain that occurs during physical activity such as walking or standing, and is relieved by resting or sitting. Therefore, the statement that intermittent claudication is described as leg pain while walking or standing that is relieved by resting or sitting is true.

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  • 18. 

    Adrenocorticotropic Hormone (ACTH) may mask signs of infection, including fungal or viral eye infections and may cause a decreased resistance and inability to identify the source of infection. They also may cause a disturbance in the psyche of the patient

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because Adrenocorticotropic Hormone (ACTH) can indeed mask signs of infection, including eye infections caused by fungi or viruses. It can also decrease the body's resistance to infections and make it difficult for the patient to identify the source of the infection. Additionally, ACTH can cause psychological disturbances in patients.

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  • 19. 

    Pletal (cilostazol) should be taken 30 minutes before or 2 hours after meals.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Pletal (cilostazol) should be taken 30 minutes before or 2 hours after meals because taking it with food can affect its absorption and effectiveness. By taking it on an empty stomach, the medication can be properly absorbed into the bloodstream and provide the desired therapeutic effects. Therefore, it is recommended to follow the instructions and take Pletal at the appropriate timing in relation to meals.

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  • 20. 

    Michael has been taking clonidine (Catapres) for 5 months and his blood pressure has been normal for 2 months. He tells you that he would like to stop taking the drug. What do you say?

    • Go ahead and stop it - your blood pressure is normal

    • Stop taking the drug for a month and see how you do

    • This drug should not be stopped suddendly and does not cure high blood pressure

    • You can stop the drug is you exercise and avoid salty foods

    Correct Answer
    A. This drug should not be stopped suddendly and does not cure high blood pressure
    Explanation
    Clonidine (Catapres) is a medication used to treat high blood pressure. It is important to inform the patient that abruptly stopping the medication can be dangerous and may cause a sudden increase in blood pressure. Additionally, clonidine does not cure high blood pressure, but rather helps to manage it. Therefore, the correct answer is that the drug should not be stopped suddenly and does not cure high blood pressure.

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  • 21. 

    After you give Mrs. Washington her heparin injection, she complains of pain and begins to rub the site. Is that a problem?

    • Yes, you should not rub the injection site of heparin before or after administration

    • Yes, she may get heparin and blood on her hand

    • No, its supposed to hurt, its an injection

    • No, she is dramatic

    Correct Answer
    A. Yes, you should not rub the injection site of heparin before or after administration
    Explanation
    Rubbing the injection site of heparin before or after administration can cause irritation and potential bleeding at the site. This can lead to complications such as bruising, hematoma, or infection. It is important to handle the injection site with care and avoid rubbing or touching it to ensure proper healing and minimize any potential risks.

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  • 22. 

    Which of the symptoms are signs of warfarin (Coumadin) overdose?

    • Blood in stool (melena)

    • Pinpoint sized red hemorrhage spots on skin (petechiae)

    • Excessive menstrual bleeding

    • Oozing from superficial injuries

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    All of the symptoms mentioned (blood in stool, pinpoint-sized red hemorrhage spots on the skin, excessive menstrual bleeding, and oozing from superficial injuries) are signs of warfarin (Coumadin) overdose. Warfarin is an anticoagulant medication that helps prevent blood clots. However, an overdose of warfarin can lead to excessive bleeding, both internally and externally, resulting in symptoms such as blood in stool, petechiae (tiny red spots on the skin), excessive menstrual bleeding, and oozing from superficial injuries. Therefore, all of the mentioned symptoms are signs of warfarin overdose.

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  • 23. 

    Which lipoprotein is often refered to as "good cholestrol"

    • Very low density lipoprotein (VLDL)`

    • Low-density lipoprotein (LDL)

    • High-density lipoprotien (HDL)

    • Triglycerides

    Correct Answer
    A. High-density lipoprotien (HDL)
    Explanation
    High-density lipoprotein (HDL) is often referred to as "good cholesterol" because it helps remove excess cholesterol from the bloodstream and carry it back to the liver for processing and elimination. High levels of HDL are associated with a lower risk of heart disease, while low levels of HDL are linked to an increased risk. Therefore, HDL is considered beneficial for cardiovascular health.

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  • 24. 

    Preparations that soften and help eliminate cerumen are known as

    • Antifungals

    • Wax emulsifiers

    • steriods

    • Local analgesics

    Correct Answer
    A. Wax emulsifiers
    Explanation
    Wax emulsifiers are preparations that soften and help eliminate cerumen. Cerumen, commonly known as earwax, can sometimes build up and cause discomfort or hearing problems. Wax emulsifiers are specifically designed to break down and remove this buildup of earwax, making it easier to clean the ears and alleviate any associated symptoms. They work by breaking up the wax and allowing it to be easily flushed out of the ear canal.

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  • 25. 

    Epoetin alfa (erythropoietin; EPO) is used to treat anemia.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Epoetin alfa, also known as erythropoietin or EPO, is a medication used to treat anemia. Anemia is a condition characterized by a decrease in the number of red blood cells or a decrease in the amount of hemoglobin in the blood, leading to a reduced ability of the blood to carry oxygen to the body's tissues. Epoetin alfa works by stimulating the production of red blood cells, thereby improving the symptoms of anemia. Therefore, the statement "Epoetin alfa is used to treat anemia" is true.

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  • 26. 

    Which of the following foods is NOT high in iron

    • Organ meat

    • cereals

    • Dried beans

    • Candy

    • Green leafy vegetables

    Correct Answer
    A. Candy
    Explanation
    Candy is not high in iron because it is typically made from sugar and does not contain significant amounts of iron. Iron-rich foods include organ meat, cereals, dried beans, and green leafy vegetables. These foods are known to be good sources of iron and can help increase iron levels in the body.

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  • 27. 

    If the otic solution is too hot or too cold it may cause dizziness.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    If the otic solution is too hot or too cold, it can affect the inner ear and disrupt the balance, leading to dizziness. Extreme temperatures can cause irritation and discomfort in the ear, which can trigger a feeling of dizziness. Therefore, it is important to ensure that the otic solution is at an appropriate temperature to avoid any adverse effects.

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  • 28. 

    You should only give an opthalmic preparation if it is clear.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    An ophthalmic preparation should only be given if it is clear because any particles or impurities in the solution can potentially cause irritation or damage to the eyes. Clear solutions indicate that the preparation is free from any visible contaminants, ensuring its safety and effectiveness when administered to the eyes. Therefore, it is important to visually inspect the solution before using it for ophthalmic purposes.

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  • 29. 

    Mr. Miller is taking atirvastatin (Lipitor) and calls the office to complain of some muscle pain that has persisted for 3 days. Is this a concern?

    • No, this is a common side effect

    • No, he probably just pulled it on his own

    • Yes, it may develop into a serious condition called rhabdomyolysis

    • Yes, he should stop therapy immediately

    Correct Answer
    A. Yes, it may develop into a serious condition called rhabdomyolysis
    Explanation
    Muscle pain is a known side effect of atorvastatin (Lipitor), however, if it persists for 3 days, it could be a sign of a more serious condition called rhabdomyolysis. Rhabdomyolysis is a rare but potentially life-threatening condition where muscle tissue breaks down and releases a protein called myoglobin into the bloodstream, which can cause kidney damage. Therefore, it is important for Mr. Miller to be concerned and seek medical attention.

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  • 30. 

    During a routine checkup, Mr. Harris is found to have an LDL of 230 (therapeutic level is below 130). He says " I'm a busy man! Just give me some pills. I've got a plane to catch". What should you educate the patient about?

    • Just have the PCP give him the pills

    • The pills alone will not lower LDL, it requires a lifestyle change

    • Tell him that you must have a low stres level for the antilipidedimic to work

    • You cannot travel while taking this type of medication

    Correct Answer
    A. The pills alone will not lower LDL, it requires a lifestyle change
    Explanation
    The correct answer is that the pills alone will not lower LDL, it requires a lifestyle change. This means that simply taking medication will not be enough to lower Mr. Harris's LDL levels. He needs to make changes in his lifestyle, such as adopting a healthier diet, exercising regularly, and managing stress levels, in order to effectively reduce his LDL levels.

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  • 31. 

    Mrs. Chin is undergoing digoxin therapy and begins to complain of headache and studies revel a dysrhythmia. What is happening with this patient?

    • Nothing these are normal effects of digoxin therapy

    • Digoxin toxicity

    • Digoxin is ineffective

    • Option 4

    Correct Answer
    A. Digoxin toxicity
    Explanation
    The patient is experiencing digoxin toxicity. Digoxin is a medication commonly used to treat heart conditions, but it can have toxic effects if the dosage is too high. Symptoms of digoxin toxicity can include headache and dysrhythmias, which align with the patient's complaints and test results.

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  • 32. 

    When monitoring patients who are taking digoxin, the serum level should be

    • 0.1 to 0.5 ng/mL

    • 0.5 to 2.0 ng/mL

    • 2.0 to 5.0 ng/mL

    • 5.0 to 8.4 ng/mL

    Correct Answer
    A. 0.5 to 2.0 ng/mL
  • 33. 

    APTT is the most common lab test for which therapy?

    • Heparin

    • Warfarin (Coumadin)

    • Inhalants

    • CNS Stimulants 4

    Correct Answer
    A. Heparin
    Explanation
    aPTT stands for activated partial thromboplastin time, which is a lab test used to monitor the effectiveness of heparin therapy. Heparin is a medication used to prevent blood clots. Therefore, the correct answer is heparin. Warfarin is another medication used for anticoagulation therapy, but it is monitored using a different lab test called the INR (international normalized ratio). Inhalants and CNS stimulants have no relevance to aPTT lab testing.

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  • 34. 

    An antidote for digitalis toxicity is

    • Vitamin K

    • Atropine

    • Digibind

    • Digitoxin

    Correct Answer
    A. Digibind
    Explanation
    Digibind is the correct answer because it is an antidote specifically used for digitalis toxicity. Digitalis toxicity occurs when there is an excess of digitalis, a medication commonly used to treat heart conditions, in the body. Digibind works by binding to the digitalis and preventing it from exerting its toxic effects. Vitamin K is not an antidote for digitalis toxicity, and atropine and digitoxin are not specifically used to treat digitalis toxicity.

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  • 35. 

    A patient who is experiencing an anginal attack has taken one nitroglycerin sublingual tablet and the pain is still there, what should he do next?

    • Call 911

    • Drive to the ER NOW

    • Nothing, it takes a while to work

    • Wait 5 min and take 1 if still there wait 5 min and take 1 again...if still there call 911!

    Correct Answer
    A. Wait 5 min and take 1 if still there wait 5 min and take 1 again...if still there call 911!
    Explanation
    If a patient is experiencing an anginal attack and has taken one nitroglycerin sublingual tablet but the pain is still present, the next step would be to wait for 5 minutes and take another tablet if the pain persists. If the pain still persists after taking the second tablet, it is recommended to call 911 for immediate medical assistance. This is because nitroglycerin tablets are used to relieve anginal symptoms by dilating the blood vessels and improving blood flow to the heart. If the pain persists despite taking the medication, it may indicate a more serious condition that requires emergency medical attention.

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  • 36. 

    This substance reverses the effect of warfarin sodium

    • Vitamin K

    • Vitamin E

    • Warafarinex

    • Protamine sulfate

    Correct Answer
    A. Vitamin K
    Explanation
    Vitamin K is the correct answer because it is known to reverse the effects of warfarin sodium, a commonly used anticoagulant medication. Warfarin works by inhibiting the action of vitamin K, which is necessary for the synthesis of clotting factors in the body. Therefore, if a patient on warfarin experiences excessive bleeding or needs to quickly reverse the anticoagulant effects, administering vitamin K can help restore normal clotting function. Vitamin E, protamine sulfate, and warfarinex are not known to reverse the effects of warfarin.

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  • 37. 

    This substance reverses the effects of heparin

    • Vitamin K

    • Vitamin R

    • Heparinex

    • Protamine sulfate

    Correct Answer
    A. Protamine sulfate
    Explanation
    Protamine sulfate is a substance that is used to reverse the effects of heparin, an anticoagulant medication. Heparin is commonly used to prevent blood clots, but in some cases, it may need to be reversed quickly, such as during surgery or in cases of overdose. Protamine sulfate works by binding to heparin and neutralizing its effects, allowing the blood to clot normally again. Vitamin K and vitamin R are not known to reverse the effects of heparin, and heparinex is not a recognized substance for this purpose. Therefore, protamine sulfate is the correct answer.

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  • 38. 

    Growth hormone can be given to children regardless of if their epiphyseal discs are closed or not.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    False. Growth hormone should not be given to children if their epiphyseal discs are closed. The epiphyseal discs are responsible for bone growth and once they are closed, the bones can no longer grow in length. Giving growth hormone to children with closed epiphyseal discs would not result in any further increase in height. Therefore, growth hormone is only effective in promoting growth in children whose epiphyseal discs are still open.

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  • 39. 

    The nurse should obtain baseline blood pressure reading for a patient starting an antihypertensive drug by

    • Taking BP in both arms in the standing, sitting and lying positions

    • Takin BP in one arm in one position

    • You dont need a baseline

    • Take BP on upper thigh

    Correct Answer
    A. Taking BP in both arms in the standing, sitting and lying positions
    Explanation
    When starting an antihypertensive drug, obtaining baseline blood pressure readings is important to establish a reference point for future comparisons. Taking blood pressure in both arms and in different positions (standing, sitting, and lying) helps to identify any discrepancies or variations in blood pressure measurements. This information is crucial for accurate monitoring and adjustment of the antihypertensive treatment.

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  • 40. 

    A laboratory test used to measure the effectiveness of warfarin sodium therapy

    • PT/INR

    • APTT

    • BPTT

    • PT

    Correct Answer
    A. PT/INR
    Explanation
    PT/INR is the correct answer because it is a laboratory test that is commonly used to measure the effectiveness of warfarin sodium therapy. Warfarin is an anticoagulant medication that is used to prevent blood clots, and PT/INR measures the clotting ability of the blood. It stands for Prothrombin Time/International Normalized Ratio, and it provides information about how long it takes for the blood to clot. By monitoring the PT/INR levels, healthcare professionals can adjust the warfarin dosage to ensure that the patient is receiving the appropriate therapy.

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  • 41. 

    Pletal (cilostazol) should be taken with grapefruit juice

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Pletal (cilostazol) should not be taken with grapefruit juice. Grapefruit juice can increase the levels of cilostazol in the body, leading to an increased risk of side effects. It is recommended to avoid consuming grapefruit or grapefruit juice while taking Pletal.

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  • 42. 

    Drugs that constrict the pupil are

    • Miotics

    • Mydriatics

    • Narcotic Analgesics

    • CNS Stimulants

    Correct Answer
    A. Miotics
    Explanation
    Miotics are drugs that constrict the pupil. This means that they cause the pupil to become smaller in size. This constriction of the pupil can be beneficial in certain medical conditions, such as glaucoma, where reducing the size of the pupil helps to decrease intraocular pressure. Miotics work by stimulating the muscles in the iris to contract, resulting in the constriction of the pupil. Therefore, miotics are the correct answer to the question.

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  • 43. 

    A warm temp on the extremities indicates a venous problem

    • True

    • False

    Correct Answer
    A. True
    Explanation
    A warm temperature on the extremities can indicate a venous problem because venous insufficiency, which occurs when the veins have difficulty returning blood to the heart, can cause blood to pool in the extremities. This pooling can lead to increased warmth in those areas. Additionally, inflammation and increased blood flow in the veins due to venous insufficiency can also contribute to the feeling of warmth in the extremities. Therefore, a warm temperature on the extremities can be a sign of venous insufficiency.

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  • 44. 

    While administering Mr. Ferris with oral digoxin, you note increased urinary output, decreased dyspnea and fatigue. What do these findings indicate?

    • Digoxin toxicity

    • Digoxin allergy

    • Therapeutic effects of digoxin

    • Adverse reactions to digoxin

    Correct Answer
    A. Therapeutic effects of digoxin
    Explanation
    The increased urinary output, decreased dyspnea, and fatigue indicate the therapeutic effects of digoxin. Digoxin is a medication commonly used to treat heart failure and certain heart rhythm problems. It helps to improve the pumping ability of the heart, leading to increased urine production and a decrease in symptoms such as dyspnea and fatigue. These positive changes suggest that the medication is working effectively in Mr. Ferris's case.

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  • 45. 

    When teaching the patient who will be taking warfarin sodium (Coumadin) at home, what should the patient be told regarding OTC drug use?

    • Chose NSAIDs over aspirin as needed for pain relief

    • aspirin and other NSAIDs may result in increased anticoagulant effect

    • Vitamin E therapy is recommended to improve the effect of Coumadin

    • Mineral oil is the laxative of choice while taking anticoagulants

    Correct Answer
    A. aspirin and other NSAIDs may result in increased anticoagulant effect
    Explanation
    Patients taking warfarin sodium (Coumadin) should be informed that using aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) may increase the anticoagulant effect of the medication. This is because NSAIDs can interfere with the blood's ability to clot, which can lead to an increased risk of bleeding. Therefore, it is important for patients to avoid or limit the use of NSAIDs while taking warfarin to prevent potential complications.

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  • 46. 

    The antidysrhythmic drug lidocaine is used mainly for the treatment of 

    • Atrial fibrilation

    • Bradycardia

    • Complete heart block

    • Ventricular dysrhythmias

    Correct Answer
    A. Ventricular dysrhythmias
    Explanation
    Lidocaine is primarily used for the treatment of ventricular dysrhythmias. Ventricular dysrhythmias refer to abnormal heart rhythms that originate in the ventricles, the lower chambers of the heart. Lidocaine works by blocking sodium channels in the ventricular cells, which helps to stabilize the electrical activity of the heart and restore a normal rhythm. This drug is not typically used for atrial fibrillation, bradycardia, or complete heart block, as these conditions involve different mechanisms and require different treatment approaches.

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  • 47. 

    When instilling an otic preparation in an adult hold the ear

    • Down and back

    • Up and back

    • Out

    • Push the ear in

    Correct Answer
    A. Up and back
    Explanation
    When instilling an otic preparation in an adult, it is important to hold the ear up and back. This position helps to straighten the ear canal, allowing for easier administration of the medication. Holding the ear up and back also helps to ensure that the medication reaches the desired area in the ear and does not leak out. This technique is commonly used in otic preparations to ensure effective delivery of the medication and promote optimal therapeutic outcomes.

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  • 48. 

    Which agent has antiplatelet properties?

    • Aspirin

    • Enoxaparin

    • Heparin

    • Urokinase

    Correct Answer
    A. Aspirin
    Explanation
    Aspirin is the correct answer because it has antiplatelet properties. It inhibits the aggregation of platelets, preventing blood clot formation. Aspirin achieves this by irreversibly inhibiting the enzyme cyclooxygenase, which is responsible for the production of thromboxane A2, a potent platelet aggregator. By inhibiting thromboxane A2 production, aspirin reduces platelet activation and aggregation, making it an effective antiplatelet agent. Enoxaparin, heparin, and urokinase are not antiplatelet agents; they are anticoagulants that work by different mechanisms to prevent blood clotting.

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  • 49. 

    The presence of which condition is a contraindication to the use of antilipidemic therapy?

    • Liver disease

    • Renal disease

    • Coronary artery disease

    • Diabetes mellitus

    Correct Answer
    A. Liver disease
    Explanation
    Liver disease is a contraindication to the use of antilipidemic therapy because the liver plays a crucial role in metabolizing and eliminating drugs from the body. In cases of liver disease, the liver's ability to perform these functions is compromised, leading to potential drug toxicity or further liver damage. Therefore, it is not advisable to use antilipidemic therapy in individuals with liver disease.

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Quiz Review Timeline (Updated): Mar 26, 2024 +

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  • Current Version
  • Mar 26, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 11, 2009
    Quiz Created by
    Allie6603

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