Quiz : How Much Do You Know About Digoxin Therapy?

91 Questions | By Allie6603 | Updated: Sep 28, 2022 | Attempts: 1591

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

Questions and Answers

1.

An antidote for digitalis toxicity is
- A.
  
  Vitamin K
- B.
  
  Atropine
- C.
  
  Digibind
- D.
  
  Digitoxin
2.

When monitoring patients who are taking digoxin, the serum level should be
- A.
  
  0.1 to 0.5 ng/mL
- B.
  
  0.5 to 2.0 ng/mL
- C.
  
  2.0 to 5.0 ng/mL
- D.
  
  5.0 to 8.4 ng/mL
3.

Before giving oral digoxin, you find that the patients apical HR is 55 beats/min. You should
- A.
  
  give the dose
- B.
  
  Hold the dose
- C.
  
  Hold the dose and notify the physician
- D.
  
  Check the radial pulse
4.

Mr. Ferris also complains of constipation. He complains that if he were allowed to eat his high fiber bran as often as he used to, he wouldn't be constipated. What teaching should the nurse provide to Mr. Ferris?
- A.
  
  Foods high in fiber bind to digitalis and make it more effective
- B.
  
  Let me check with your PCP
- C.
  
  Food high in fiber bind to digitalis and make it less effective
- D.
  
  Have your wife bring you some and you can eat as much high fiber bran as you would like!
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?
- A.
  
  Administer more digoxin
- B.
  
  Withhold the dose and notify the PCP
- C.
  
  Nothing this is normal
6.

The antidysrhythmic drug lidocaine is used mainly for the treatment of
- A.
  
  Atrial fibrilation
- B.
  
  Bradycardia
- C.
  
  Complete heart block
- D.
  
  Ventricular dysrhythmias
7.

Cordarone (amiodarone) has possible adverse effects including all of the following EXCEPT:
- A.
  
  Pulmonary toxicity
- B.
  
  Hypothyroidism
- C.
  
  Urinary retention
- D.
  
  Visual halos
8.

What adverse side effects and signs of toxicity does NOT apply to the calcium channel blockers?
- A.
  
  Headache
- B.
  
  fatigue
- C.
  
  Dizziness
- D.
  
  Transient hypotension
- E.
  
  Backache
9.

The first sign of digitalis toxicity is
- A.
  
  Muscular weakness
- B.
  
  Headache
- C.
  
  Anorexia
- D.
  
  Nausea
10.

The purpose of antianginal drug therapy is to
- A.
  
  Increase blood flow to the peripheral arteries
- B.
  
  Vasodilate the heart muscle
- C.
  
  Vasoconstrict the heart muscle
- D.
  
  Decrease blood flow to the peripheral arteries
11.

What is a common side effect of nitroglycerin?
- A.
  
  Blurred vision
- B.
  
  Dizziness
- C.
  
  Headache
- D.
  
  Weakness
12.

Nitroglycerin is available in all the following forms EXCEPT
- A.
  
  Transdermal patch
- B.
  
  Intravenous bolus
- C.
  
  Sublingual spray
- D.
  
  Topical ointment
13.

What is the best way to prevent tolerance to nitrates when using the transdermal patch?
- A.
  
  Leave the old patch on for 2 hours when applying a new patch
- B.
  
  Apply a new patch every other day
- C.
  
  Leave the patch of for 24 hours once a week
- D.
  
  Remove the patch at night for 12 hours and then apply a new patch in the morning
14.

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?
- A.
  
  Call 911
- B.
  
  Drive to the ER NOW
- C.
  
  Nothing, it takes a while to work
- D.
  
  Wait 5 min and take 1 if still there wait 5 min and take 1 again...if still there call 911!
15.

Before administering a new nitroglycerin transdermal patch the nurse should
- A.
  
  Leave the old patch on
- B.
  
  Remove the old patch and clean the residue and then apply the new patch to a clean and hair free area
- C.
  
  Apply the patch over hair because it doesn't change the effectiveness of the drug
- D.
  
  Apply a new patch to the same spot
16.

When applying nitroglycerin topical ointment the nurse should ensure she wears
- A.
  
  A hat
- B.
  
  A dress
- C.
  
  leggings
- D.
  
  Gloves
17.

What herb is used to treat a variety of cardiovascular problems?
- A.
  
  Paprika
- B.
  
  Hawthorn
- C.
  
  Basil
18.

Common side effect of adrenergic drugs involving a sudden drop in blood pressure when patients change position is known as
- A.
  
  Orthopedic hypotension
- B.
  
  Orthostatic hypotension
- C.
  
  Orthostatic hypertension
- D.
  
  Dizziness
19.

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?
- A.
  
  Go ahead and stop it - your blood pressure is normal
- B.
  
  Stop taking the drug for a month and see how you do
- C.
  
  This drug should not be stopped suddendly and does not cure high blood pressure
- D.
  
  You can stop the drug is you exercise and avoid salty foods
20.

All of the following side effects may occur with the use of angiotensin converting enzyme (ACE) inhibitors except
- A.
  
  A dry, nonproductive cough
- B.
  
  fatigue
- C.
  
  Restlessness
- D.
  
  headaches
21.

The nurse should obtain baseline blood pressure reading for a patient starting an antihypertensive drug by
- A.
  
  Taking BP in both arms in the standing, sitting and lying positions
- B.
  
  Takin BP in one arm in one position
- C.
  
  You dont need a baseline
- D.
  
  Take BP on upper thigh
22.

Which antithrombolytic drug should not be combined with celery, chamomile, clove, dong guai, feverfew, garlic, ginger, ginkgo balboa, ginseng, green tea, onion, passion flower, red clover, St. Johns wart, and turmeric because it can cause a synergistic effect and increase the risk for bleeding?
- A.
  
  Vitamin K
- B.
  
  Heparin
- C.
  
  insulin
- D.
  
  Coumadin (warfarin)
23.

A laboratory test used to measure the effectiveness of heparin therapy
- A.
  
  PT/INR
- B.
  
  BPTT
- C.
  
  APTT
- D.
  
  PT
24.

A laboratory test used to measure the effectiveness of warfarin sodium therapy
- A.
  
  PT/INR
- B.
  
  APTT
- C.
  
  BPTT
- D.
  
  PT
25.

This substance reverses the effect of warfarin sodium
- A.
  
  Vitamin K
- B.
  
  Vitamin E
- C.
  
  Warafarinex
- D.
  
  Protamine sulfate