Deck 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics

Question 1

The client is being treated with Lanoxin and is also self-medicating with antacids. The nurse expects the combination of these medications to result in _____ digoxin.

A) anaphylactic reaction to the
B) increased absorption of
C) decreased absorption of
D) toxicity of the

Answer 1

decreased absorption of

Question 2

A client was prescribed a transdermal nitroglycerin patch, 5 mg/24 hr. What is an important point of instruction for the client?

A) Leave the old patch on when applying the new patch.
B) Change to a new site when applying the new nitroglycerin patch.
C) Apply the nitroglycerin patch only to the chest area.
D) The patch medication area may be touched while applying it.

Answer 2

Change to a new site when applying the new nitroglycerin patch.

Question 3

Which symptom would cause the nurse to suspect that the client is experiencing digitalis toxicity?

A) Abdominal cramping
B) Bradycardia
C) Polyuria
D) Hearing disturbances

Answer 3

Bradycardia

Question 4

A nurse is caring for a client with congestive heart failure. The client is ordered to receive nesiritide (Natrecor). The nurse evaluates the effectiveness of this medication by noting which desired effect?

A) Vasoconstriction
B) Oliguria
C) Decreased diuresis
D) Decreased shortness of breath

Question 5

A client is ordered to take inamrinone lactate (Inocor) for treatment of acute heart failure. The nurse anticipates that this drug will be administered intravenously for no longer than _____ hours.

A) 12
B) 24
C) 36
D) 72

Question 6

The client is being treated with digoxin. She tells the nurse that she frequently self-medicates her depression with St. John's wort. What is the nurse's highest priority instruction to the client?

A) Take the St. John's wort; it will have no effect on the digoxin.
B) Do not take St. John's wort; it will cause a toxic reaction to the digoxin.
C) Do not take St. John's wort; it decreases the effectiveness of the digoxin.
D) Take the St. John's wort; it will enhance the effect of the digoxin.

Question 7

The nurse notes that the client is ordered to receive flecainide (Tambocor) and tocainide (Tonocard). The nurse anticipates that the client has been diagnosed with:

A) life-threatening ventricular dysrhythmias.
B) third-degree heart block.
C) bundle branch block.
D) asystole.

Question 8

A client is ordered to receive digoxin (Lanoxin). Based on its half-life of 36 hours, the nurse will anticipate administering the maintenance dose:

A) once a day.
B) twice a day.
C) three times a day.
D) once a week.

Question 9

The client has been ordered to be treated with Sectral. The nurse anticipates that the client will experience an increase in which laboratory value?

A) Calcium
B) Potassium
C) Magnesium
D) Glucose

Question 10

The client has been ordered to be treated with Sectral. She is also being treated with a diuretic. The nurse anticipates that the interaction of the two drugs will result in a(n) _____ effect of the _____.

A) increased; Sectral
B) increased; diuretic
C) decreased; Sectral
D) decreased; diuretic

Question 11

The client is being treated with Lanoxin. He is also being treated with quinidine. The nurse anticipates that the combination of the two drugs will result in a(n) _____ level.

A) increased quinidine
B) decreased digoxin
C) increased digoxin
D) decreased quinidine

Question 12

The client is being treated with Nitro-stat. She is also being treated with heparin. The nurse anticipates that the combination of the two medications will result in a(n) _____ effect of the _____.

A) increased; Nitro-stat
B) increased; heparin
C) decreased; Nitro-stat
D) decreased; heparin

Question 13

A client is demonstrating signs and symptoms of digoxin toxicity. The nurse anticipates that the client will be treated with:

A) vitamin K.
B) digoxin immune Fab (Digibind).
C) inamrinone lactate (Inocor).
D) naloxone (Narcan).

Question 14

The nurse is preparing a dose of Lanoxin for a pediatric client. The nurse recognizes that the pediatric medication takes which form?

A) Elixir
B) Tablet
C) Lozenge
D) Infusion

Question 15

Nifedipine (Procardia), the most potent calcium blocker, promotes vasodilation of the coronary and peripheral vessels. While the client is taking the drug, the nurse's highest priority intervention is to monitor for:

A) elevated blood pressure.
B) decreased blood pressure.
C) pulse rate less than 70 beats/minute.
D) pulse rate greater than 120 beats/minute.

Question 16

The client is being treated with Lanoxin and complains to the nurse of experiencing blurred vision. The highest priority nursing intervention is to recognize that this:

A) is an expected side effect of the medication; notify the physician.
B) is indicative of an anaphylactic reaction to the medication.
C) is an adverse reaction to the medication; notify the physician.
D) indicates an error in mixing the medication; notify the pharmacist.

Question 17

The nurse instructs a client taking digoxin (Lanoxin) for treatment of congestive heart failure (CHF) to eat:

A) cabbage.
B) lima beans.
C) potatoes.
D) yogurt.

Question 18

A nurse is preparing to administer nitroglycerin (NTG) via the sublingual route. The nurse knows that nitroglycerin tablets are administered sublingually to:

A) avoid the bitter taste.
B) prevent nausea and vomiting.
C) absorb readily into the circulation.
D) undergo first-pass metabolism.

Question 19

A client is ordered to receive a nitrate to relieve stable angina. What is(are) a common side effect(s) to anticipate in a client receiving this medication?

A) Nausea and vomiting
B) Increased blood pressure
C) Pruritus and skin rash
D) Pounding headache

Question 20

A client experiences premature ventricular contractions. The nurse prepares to administer lidocaine (Xylocaine), with the knowledge that it is administered intravenously to correct:

A) bradycardia.
B) atrial dysrhythmias.
C) ventricular dysrhythmias.
D) heart block.