Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 28: Drugs Used to Treat Heart Failure
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | Amiodarone (Cordarone) |
| B. | Spironolactone (Aldactone) |
| C. | Digoxin immune Fab (Digibind) |
| D. | Digitalis glycoside |
ANS: C
| Feedback | |
| A | Amiodarone is an antidysrhythmic and would not treat digoxin intoxication. |
| B | Spironolactone is a diuretic and does not treat digoxin intoxication. |
| C | The antidote for digoxin intoxication is digoxin immune Fab (Digibind). |
| D | Giving more of the same type of drug does not treat drug intoxication. |
DIF: Cognitive Level: Comprehension REF: 444
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Administer the medication. |
| B. | Contact the pediatric cardiologist for further orders. |
| C. | Hold the digoxin. |
| D. | Request that another unit nurse assess the child. |
ANS: A
| Feedback | |
| A | A pulse rate of 100 beats/min in a child who is 3 years old is considered acceptable. Administration of the medication is appropriate. |
| B | There is no indication for contacting the cardiologist because this is within the expected range. |
| C | Holding a dose is not warranted because this is within the expected range. |
| D | Further assessment is not warranted because this is within the expected range. |
DIF: Cognitive Level: Application REF: 443
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Digoxin toxicity |
| B. | Altered potassium electrolyte balance |
| C. | Reduced therapeutic benefits of digoxin |
| D. | Enhanced digoxin effectiveness without producing toxicity |
ANS: C
| Feedback | |
| A | St. John’s wort has the opposite effect on digoxin. |
| B | St. John’s wort does not affect electrolytes. |
| C | St. John’s wort is a drug that may reduce therapeutic benefits of digoxin. |
| D | St. John’s wort has the opposite effect on digoxin. |
DIF: Cognitive Level: Application REF: 445
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | 0.05 mg |
| B. | 0.12 mg |
| C. | 0.074 mg |
| D. | 0.75 mg |
ANS: C
| Feedback | |
| A | 0.05 mg is too much. |
| B | 0.12 mg is too large. |
| C | 16.5 lb converts to 7.5 kg
7.5 kg ´ 0.0075 mg = 0.05625 7.5 kg ´ 0.010 mg = 0.075 mg 0.074 mg is the only answer within the safe dosage range. |
| D | 0.75 mg is too large. |
DIF: Cognitive Level: Application REF: 444
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
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