Back to AI Flashcard MakerNursing /NUR 256 (Medication Management) (Weeks 8-14) Lecture/Lab Part 3
A nurse or midwife is about to administer digoxin to a person whose apical pulse is 48 beats/min. She should a) Give the drug and notify the prescriber that the heart rate is low b) Retake the pulse in 15 minutes and give the drug if the pulse has not changed c) Retake the pulse in 1 hour and withhold the drug is the pulse is still less than 60 beats/min. d) Withhold the drug and notify the prescriber that the heart rate is below 60 beats/min
c) Retake the pulse in 1 hour and withhold the drug is the pulse is still less than 60 beats/min.
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Definition
A nurse or midwife is about to administer digoxin to a person whose apical pulse is 48 beats/min. She should a) Give the drug and notify the prescriber that the heart rate is low b) Retake the pulse in 15 minutes and give the drug if the pulse has not changed c) Retake the pulse in 1 hour and withhold the drug is the pulse is still less than 60 beats/min. d) Withhold the drug and notify the prescriber that the heart rate is below 60 beats/min
c) Retake the pulse in 1 hour and withhold the drug is the pulse is still less than 60 beats/min.
Antiarrhythmic drugs alter the action potential of the cardiac cells. Because they alter the action potential, antiarrhythmic drugs often: a) Cause heart failure b) Alter blood flow to the kidney c) Cause new arrhythmias d) Cause electrolyte disturbances
c) Cause new arrhythmias
A person who is receiving an antiarrhythmic drug needs: a) Constant cardiac monitoring until stabilised b) Frequent blood tests, including drug levels c) An antidepressant to deal with the psychological depression d) Dietary changes to prevent irritation of the heart muscle
a) Constant cardiac monitoring until stabilised
Medications that increase the force of myocardial contractions have what type of effect? a) Positive inotropic b) Negative inotropic c) Positive chronotropic d) Negative chronotropic
a) Positive inotropic
Digoxin is classified as a: a) Hypokalaemic b) Cardiac glycoside c) Coronary artery vasodilator d) Positive chronotropic
b) Cardiac glycoside
Atropine and hyoscine work by blocking a) Nicotinic receptors only b) Muscarinic and nicotinic receptors c) Muscarinic receptors only d) Adrenergic receptors to allow cholinergic receptors to dominate
c) Muscarinic receptors only
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| Term | Definition |
|---|---|
A nurse or midwife is about to administer digoxin to a person whose apical pulse is 48 beats/min. She should a) Give the drug and notify the prescriber that the heart rate is low b) Retake the pulse in 15 minutes and give the drug if the pulse has not changed c) Retake the pulse in 1 hour and withhold the drug is the pulse is still less than 60 beats/min. d) Withhold the drug and notify the prescriber that the heart rate is below 60 beats/min | c) Retake the pulse in 1 hour and withhold the drug is the pulse is still less than 60 beats/min. |
Antiarrhythmic drugs alter the action potential of the cardiac cells. Because they alter the action potential, antiarrhythmic drugs often: a) Cause heart failure b) Alter blood flow to the kidney c) Cause new arrhythmias d) Cause electrolyte disturbances | c) Cause new arrhythmias |
A person who is receiving an antiarrhythmic drug needs: a) Constant cardiac monitoring until stabilised b) Frequent blood tests, including drug levels c) An antidepressant to deal with the psychological depression d) Dietary changes to prevent irritation of the heart muscle | a) Constant cardiac monitoring until stabilised |
Medications that increase the force of myocardial contractions have what type of effect? a) Positive inotropic b) Negative inotropic c) Positive chronotropic d) Negative chronotropic | a) Positive inotropic |
Digoxin is classified as a: a) Hypokalaemic b) Cardiac glycoside c) Coronary artery vasodilator d) Positive chronotropic | b) Cardiac glycoside |
Atropine and hyoscine work by blocking a) Nicotinic receptors only b) Muscarinic and nicotinic receptors c) Muscarinic receptors only d) Adrenergic receptors to allow cholinergic receptors to dominate | c) Muscarinic receptors only |
A nurse or midwife would expect atropine to be used for which of the following? a) To depress salivation b) To dry up bronchial secretions c) To increase the heart rate d) To promote uterine contractions e) To treat myasthenia gravis f) To treat alzheimer’s disease | b) To dry up bronchial secretions | c) To increase the heart rate |
A health care provider prescribes adrenaline to a patient who was stung by several wasps 30 minutes ago. The nurse knows that the primary purpose of this medication for this client is to: a) Stop the systemic release of histamine produced by the mast cells b) Counteract the formation of antibodies in response to an invading organism c) Increase the number of white blood cells produced to fight the primary invader d) Increase a declining blood pressure and dilate constricting bronchi associated with anaphylaxis | a) Stop the systemic release of histamine produced by the mast cells |
The nurse is teaching a group of clients with cardiac conditions who are taking diuretic therapy. The nurse explains that individuals prescribed frusemide should: a) Avoid consuming large amounts of cabbage, cauliflower, and kale. b) Rise slowly from sitting or lying position c) Count their pulse for 1 full minute before taking the medication d) Restrict fluid intake to no more than 1000mL in a 24 hour period. | b) Rise slowly from sitting or lying position |
A person with severe glaucoma who is about to undergo eye surgery would benefit from a decrease in intraocular fluid. This is often best accomplished by giving the person a) A loop diuretic b) A thiazide diuretic c) A carbonic anhydrase inhibitor d) An osmotic diuretic | d) An osmotic diuretic |
Clients prescribed spironolactone are often at risk for electrolyte imbalance. The nurse assesses for this adverse effect because this drug may cause the body to: a) Retain potassium b) Release magnesium c) Excrete potassium d) Bind calcium | a) Retain potassium |
Routine Care of a person receiving a diuretic would include which of the following? a) Daily weighing b) Tight fluid restrictions c) Periodic electrolyte evaluations d) Monitoring of urinary output e) Regular intraocular pressure testing f) Teaching the person to report muscle cramping | a) Daily weighing b) Tight fluid restrictions c) Periodic electrolyte evaluations d) Monitoring of urinary output f) Teaching the person to report muscle cramping |
Combination oestrogens and progestins are commonly used as oral contraceptives. It is thought that this combination has its effect by: a) Acting to block the release of FSH and LH, preventing follicle development b) Directly suppressing the ovaries and preventing ovulation c) Keeping the endometrium constantly lush and blood filled d) Preventing menstruation, which prevents pregnancy | a) Acting to block the release of FSH and LH, preventing follicle development |
Oxytocin, a synthetic form of the hypothalamic hormone, is used to: a) Induce labour by stimulating uterine contraction b) Stimulate milk production in the lactating woman c) Increase fertility and the chance of conception d) Relax the gravid uterus to prevent preterm labour | a) Induce labour by stimulating uterine contraction |
Testosterone is approved for use in: a) Treatment of breast cancers b) Increasing muscle strength in athletes c) Oral contraceptives d) Increasing hair distribution in male pattern baldness | a) Treatment of breast cancers |