Cardiac Glycosides And Diuretics

10 Questions | By Cbrancha | Last updated: Jan 4, 2013

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The following 10 point quiz is a brief assessment of this weeks content. The quiz follows NCLEX format and provides rationale for the correct response. You will have 30 minutes to complete the quiz. Refer to calendar for quiz date(s) availability. Refer to syllabus for point distribution.

Questions and Answers

1.

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?

Discuss
- A.
  
  High fiber cereals
- B.
  
  Canned fruits
- C.
  
  Spicy foods
- D.
  
  Cooked vegetables
2.

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

Discuss
- A.
  
  Palpate pedal pulses for quality and strength
- B.
  
  Monitor renal function lab values
- C.
  
  Auscultate the apical pulse for one full minute
- D.
  
  Assess serum potassium levels
3.

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.

Discuss
4.

Which of the following co-morbidities increase a patient's risk in developing digoxin toxicity?

Discuss
- A.
  
  Heart Failure
- B.
  
  Renal Failure
- C.
  
  Parkinson's disease
- D.
  
  Dementia
5.

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.

Discuss
6.

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:

Discuss
- A.
  
  Dose should be omitted only for that day.
- B.
  
  Client needs a dose of potassium before receiving digoxin.
- C.
  
  Dose should be withheld and the healthcare provider notified.
- D.
  
  Dose should be administered as ordered.
7.

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?

Discuss
- A.
  
  Vitamin C
- B.
  
  Warfarin
- C.
  
  Penicillins
- D.
  
  NSAID's
8.

When a patient is receiving diuretic therapy, which of the following would best reflect the patient's fluid volume?
- A.
  
  Blood pressure and pulse
- B.
  
  Serum potassium and sodium levels
- C.
  
  Intake, output, and daily weights
- D.
  
  Measurements of abdominal girth and calf circumference
9.

While preparing a patient for discharge, which of the following statements should the nurse include in instructions regarding his new prescription for furosemide (Lasix)?
- A.
  
  "Be sure to change your position slowly and rise slowly after sitting or lying to prevent dizziness and possible fainting."
- B.
  
  "Avoid foods high in potassium, such as bananas, oranges, fresh vegetables and dates."
- C.
  
  "If you experience weight gain such as 5 or more pounds a week, be sure to tell your physician during your next routine visit."
- D.
  
  "Keep a monthly journal or log of your weight."
10.

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?

Discuss
- A.
  
  Pupil response
- B.
  
  Pulse rate
- C.
  
  State of orientation
- D.
  
  Increased muscle rigidity

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