Cardiac Glycosides And Diuretics

When a patient is receiving diuretic therapy, which of the following would best reflect the patient's fluid volume?

• Blood pressure and pulse

• Serum potassium and sodium levels

• Intake, output, and daily weights

• Measurements of abdominal girth and calf circumference

Which of the following is the priority intervention for the nurse prior to administering digoxin (lanoxin)?

• Palpate pedal pulses for quality and strength

• Monitor renal function lab values

• Auscultate the apical pulse for one full minute

• Assess serum potassium levels

The nurse is scheduled to administer a dose of digoxin (Lanoxin) to an adult client with atrial fibrillation.  The client has a potassium level of 4.6 mEq/L.  The nurse interprets that the:

• Dose should be omitted only for that day.

• Client needs a dose of potassium before receiving digoxin.

• Dose should be withheld and the healthcare provider notified.

• Dose should be administered as ordered.

While preparing a patient for discharge, which of the following statements should the nurse include in instructions regarding his new prescription for furosemide (Lasix)?

• "Be sure to change your position slowly and rise slowly after sitting or lying to prevent dizziness and possible fainting."

• "Avoid foods high in potassium, such as bananas, oranges, fresh vegetables and dates."

• "If you experience weight gain such as 5 or more pounds a week, be sure to tell your physician during your next routine visit."

• "Keep a monthly journal or log of your weight."

While assisting a patient in getting out of bed, what objective indicator (other than a manometer) can the nurse use to detect early postural hypotension?

• Pupil response

• Pulse rate

• State of orientation

• Increased muscle rigidity

A patient is started on digoxin therapy.  The nurse will teach the patient to avoid taking which of the following food items concurrently with their daily dose?

• High fiber cereals

• Canned fruits

• Spicy foods

• Cooked vegetables

The nurse is reviewing the medication that have been ordered for a patient for whom a loop diuretic has been newly prescribed.  The loop diuretic may have a possible interaction with which of the following?

• Vitamin C

• Warfarin

• Penicillins

• NSAID's

Number the nursing actions below in order of priority for the step-by-step management of digoxin toxicity.  Use all actions listed below. __1__Administer potassium supplements for hypokalemia if indicated, as ordered__2__Begin continuous ECG monitoring for cardiac dysrhythmias__3__Administer digoxin antidote (digoxin immune Fab, digibind), if indicated, as ordered__4__Discontinue administration of the drug__5__Determine serum electrolytes and serum digoxin levelsMVCR classmates:  This quiz format does not allow for 'ordering' so type the numbers of the nursing actions in order of priority.

As a part of the nursing process, the nurse will evaluate for therapeutic effects of digoxin therapy for the treatment of heart failure.  Desired outcomes would include:CHECK ALL THAT APPLY:_____Apical heart rate greater than or equal to 100 beats/minute_____Increased urinary output_____Diminished peripheral pulses_____Decreased dyspnea and pulmonary crackles_____Improved activity toleranceMVCR CLASSMATES: This quiz format does not allow for 'check all that apply' so I prepared the question as an essay question so just type the options that apply in the box.