Pharmacy Test 4

20 Questions | By Jclarewilliams | Updated: Mar 20, 2022 | Attempts: 165

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Antacids
antiemesis
antihypertensives
antidysrhythmias
antiangina

Questions and Answers

1.

As part of treatment for early heart failure, a patient is started on an angiotensin-converting enzyme (ACE) inhibitor. The nurse will monitor the patient's lab work for which potential effect?
- A.
  
  Agranulocytosis
- B.
  
  Proteinuria
- C.
  
  Hyperkalemia
- D.
  
  Hypoglycemia
Correct Answer
C. Hyperkalemia
2.

Before giving oral digoxin, the nurse discovers that the patient's radial pulse is 52 beats/min. What will be the nurse's next action?
- A.
  
  Give the dose
- B.
  
  Delay the dose until later
- C.
  
  Hold the dose and notify the physician
- D.
  
  Check the apical pulse for 1 minute
Correct Answer
D. Check the apical pulse for 1 minute
3.

Which statement regarding digoxin therapy and potassium levels is correct?
- A.
  
  Low potassium levels increase the chance of digoxin toxicity
- B.
  
  High potassium levels increase the chance of digoxin toxicity
- C.
  
  Digoxin reduces the excretion of potassium in the kidneys
- D.
  
  Digoxin promotes the excretion of potassium in the kidneys
Correct Answer
A. Low potassium levels increase the chance of digoxin toxicity
4.

When infusing inamrinone, the nurse should keep in mind which statement?
- A.
  
  The med should be mixed in saline before administration
- B.
  
  The true color of intravenous inamrinone is clear yellow
- C.
  
  The drug may cause reddish discoloration of the extremeties
- D.
  
  Hypertension is the primary effect seen with excessive doses
Correct Answer
B. The true color of intravenous inamrinone is clear yellow
5.

What is 250 mcg expressed in mg?

Correct Answer
0.25mg

Explanation
don't forget that when a value is LESS than 1, ALWAYS put the zero before the decimal point, and always label your answer. :)

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4
6.

When evaluating the medication list of a patient who will be starting therapy with an H2 receptor antagonist, the nurse is aware that which drug may interact with it?
- A.
  
  Codeine
- B.
  
  Penicillin
- C.
  
  Ketoconazole
- D.
  
  Acetaminophen
Correct Answer
C. Ketoconazole
7.

When administering sucralfate, which action by the nurse is most correct?
- A.
  
  Giving the drug with meals
- B.
  
  Giving the drug on an empty stomach
- C.
  
  Instructing the pt to restrict fluids
- D.
  
  Waiting 30 minutes before administering other drugs
Correct Answer
B. Giving the drug on an empty stomach
8.

A pt with a hx of renal problems is asking for advice about which antacid he should use. what should the nurse recommend?
- A.
  
  Antacids should not be used by pts who have renal problems
- B.
  
  The pt should choose antacids that are aluminum based
- C.
  
  The pt should choose antacids that are calcium based
- D.
  
  The pt should choose antacids that are magnesium based
Correct Answer
B. The pt should choose antacids that are aluminum based
9.

A pt who is taking oral tetracycline complains of heartburn and requests an antacid. the nurse should
- A.
  
  Give the tetracycline, but delay the antacid for 1-2 hours
- B.
  
  Give the antacid, but delay the tetracycline for at least 4 hours
- C.
  
  Administer both meds together
- D.
  
  Explain that the antacid cannot be given while the pt is taking the tetracycline
Correct Answer
A. Give the tetracycline, but delay the antacid for 1-2 hours
10.

When the nurse is administering a PPI (proton pump inhibitor), which actions by the nurse are most correct? (select all that apply)
- A.
  
  Giving the PPI on an empty stomach
- B.
  
  Giving the PPI with meals
- C.
  
  Making sure the pt does not crush or chew the capsules
- D.
  
  Instructing the pt to open the capsule and chew the contents for best absorption
- E.
  
  Administering the PPI only when the pt complains of heartburn
Correct Answer(s)
A. Giving the PPI on an empty stomach
C. Making sure the pt does not crush or chew the capsules
11.

Which is an expected outcome associated with the administration of digoxin?
- A.
  
  Increased heart rate
- B.
  
  Decreased heart rate
- C.
  
  Decreased urinary output
- D.
  
  Increased blood pressure
Correct Answer
B. Decreased heart rate
12.

The patient has a serum digoxin level drawn and it comes back 0.4 ng/mL. The nurse recognizes that this is
- A.
  
  Below therapeutic level
- B.
  
  A therapeutic level
- C.
  
  Above the therapeutic level
- D.
  
  A toxic level
Correct Answer
A. Below therapeutic level
13.

A patient is taking digoxin 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the patient states, “There are nice yellow halos around the lights.” Which action will the nurse take?
- A.
  
  Evaluate the pt for other symptoms of digoxin toxicity
- B.
  
  Withold the furosemide
- C.
  
  Administer the medication as ordered
- D.
  
  Document the findings and reassess in 1 hour
Correct Answer
A. Evaluate the pt for other symptoms of digoxin toxicity
14.

The patient weighs 44 lb and is to be digitalized. The digitalizing dose is to be 0.03 mg/kg in three divided doses. How much will the nurse administer per dose?
- A.
  
  0.2mg
- B.
  
  0.3mg
- C.
  
  0.4mg
- D.
  
  0.6mg
Correct Answer
A. 0.2mg
15.

Which are therapeutic effects of digoxin?
- A.
  
  Positive inotropic, negative chronotropic, and negative dromotropic
- B.
  
  Positive inotropic, positive chronotropic, and negative dromotropic
- C.
  
  Negative inotropic, negative chronotropic, and negatie dromotropic
- D.
  
  Positive inotropic, negative chronotropic, and positive dromotropic
Correct Answer
A. Positive inotropic, negative chronotropic, and negative dromotropic
16.

Which effect(s) would alert the nurse to suspect early digitalis toxicity?
- A.
  
  N/v
- B.
  
  Tachycardia
- C.
  
  Diarrhea
- D.
  
  Visual changes
Correct Answer
A. N/v
17.

Phosphodiesterase inhibitors have an added advantage in treating heart failure because they cause a positive inotropic effect and
- A.
  
  Vasoconstriction
- B.
  
  Vasodilation
- C.
  
  Platelet inhibition
- D.
  
  Bronchodilation
Correct Answer
B. Vasodilation
18.

The nurse reviews a patient’s laboratory values and finds a digoxin level of 10 and a serum potassium level of 6.2. The nurse would notify the health care provider and anticipate administering
- A.
  
  K+ aliquots
- B.
  
  Atropine
- C.
  
  Epinephrine
- D.
  
  Digoxin immune FAB
Correct Answer
D. Digoxin immune FAB
19.

Assessment of a patient receiving a positive inotropic drug would include reviewing which values?
- A.
  
  Lung sounds
- B.
  
  Daily weights
- C.
  
  Apical pulse
- D.
  
  Serum electrolytes
Correct Answer(s)
A. Lung sounds
B. Daily weights
C. Apical pulse
D. Serum electrolytes

Explanation
All of these assessments are appropriate for patients receiving an inotropic drug. Lung sounds and daily weights are appropriate assessments related to the treatment of heart failure with inotropic drugs. The apical pulse and serum electrolytes are important assessments related to potential adverse reactions (bradycardia, toxicity with hypokalemia).

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20.

When teaching a patient regarding the administration of digoxin, the nurse instructs the pt not to take this medication with which food?
- A.
  
  Bananas
- B.
  
  Wheat bran
- C.
  
  French toast
- D.
  
  Scrambled eggs
Correct Answer
B. Wheat bran

Explanation
large amts of bran taken with dig will decrease and negatively impact the drugs absorption

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Current Version
Mar 20, 2022

Quiz Edited by
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Feb 21, 2011

Quiz Created by
Jclarewilliams

Pharmacy Test 4

As part of treatment for early heart failure, a patient is started on an angiotensin-converting enzyme (ACE) inhibitor. The nurse will monitor the patient's lab work for which potential effect?

Before giving oral digoxin, the nurse discovers that the patient's radial pulse is 52 beats/min. What will be the nurse's next action?

Which statement regarding digoxin therapy and potassium levels is correct?

When infusing inamrinone, the nurse should keep in mind which statement?

What is 250 mcg expressed in mg?

When evaluating the medication list of a patient who will be starting therapy with an H2 receptor antagonist, the nurse is aware that which drug may interact with it?

When administering sucralfate, which action by the nurse is most correct?

A pt with a hx of renal problems is asking for advice about which antacid he should use. what should the nurse recommend?

A pt who is taking oral tetracycline complains of heartburn and requests an antacid. the nurse should

When the nurse is administering a PPI (proton pump inhibitor), which actions by the nurse are most correct? (select all that apply)

Which is an expected outcome associated with the administration of digoxin?

The patient has a serum digoxin level drawn and it comes back 0.4 ng/mL. The nurse recognizes that this is

A patient is taking digoxin 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the patient states, “There are nice yellow halos around the lights.” Which action will the nurse take?

The patient weighs 44 lb and is to be digitalized. The digitalizing dose is to be 0.03 mg/kg in three divided doses. How much will the nurse administer per dose?

Which are therapeutic effects of digoxin?

Which effect(s) would alert the nurse to suspect early digitalis toxicity?

Phosphodiesterase inhibitors have an added advantage in treating heart failure because they cause a positive inotropic effect and

The nurse reviews a patient’s laboratory values and finds a digoxin level of 10 and a serum potassium level of 6.2. The nurse would notify the health care provider and anticipate administering

Assessment of a patient receiving a positive inotropic drug would include reviewing which values?

When teaching a patient regarding the administration of digoxin, the nurse instructs the pt not to take this medication with which food?