Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions

Med Surg Exam 2 Pharmacology Unit 3 NCLEX Questions Leave the first rating Students also studied Terms in this set (120) Science MedicineNursing Save Med Surg Pharmacology Nurs 206-...62 terms eviedavisPreview PN Adult Medical Surgical Online Pr...90 terms NicJean13Preview 9th Edition Final Exam NCLEX Exami...45 terms Katie_Price16Preview Pharma 100 term dsg A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin?

• 0.1 to 1.5 ng/mL
• 0.5 to 2.0 ng/mL
• 1.0 to 2.5 ng/mL
• 2.0 to 4.0 ng/mL
• 0.5 to 2.0 ng/mL

The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxin level?

• It is in the high (elevated) range.
• It is in the low (decreased) range.
• It is within the normal range.
• It is in the low average range.
• It is in the high (elevated) range.

The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity?

• Pulse (heart) rate of 100 beats/min
• Pulse of 72 with an irregular rate
• Pulse greater than 60 beats/min and irregular rate
• Pulse below 60 beats/min and irregular rate
• Pulse below 60 beats/min and irregular rate

The client is also taking a diuretic that decreases her potassium level. The nurse expects that a low potassium level (hypokalemia) could have what effect on the digoxin?

• Increase the serum digoxin sensitivity level
• Decrease the serum digoxin sensitivity level
• Not have any effect on the serum digoxin sensitivity

level

• Cause a low average serum digoxin sensitivity level
• Increase the serum digoxin sensitivity level

When a client first takes a nitrate, the nurse expects which symptom that often occurs?

• Nausea and vomiting
• Headaches
• Stomach cramps
• Irregular pulse rate
• Headaches

The nurse acknowledges that beta blockers are as effective as antianginals because they do what?

• Increase oxygen to the systemic circulation.
• Maintain heart rate and blood pressure.
• Decrease heart rate and decrease myocardial

contractility.

• Decrease heart rate and increase myocardial

contractility.

• Decrease heart rate and decrease myocardial contractility.

The health care provider is planning to discontinue a client's beta blocker. What instruction should the nurse give the client regarding the beta blocker?

• The beta blocker should be abruptly stopped when

another cardiac drug is prescribed.

• The beta blocker should NOT be abruptly stopped; the

dose should be tapered down.

• The beta blocker dose should be maintained while

taking another antianginal drug.

• Half the beta blocker dose should be taken for the

next several weeks.

• The beta blocker should NOT be abruptly stopped; the dose should be tapered

down.The beta blocker acebutolol (Sectral) is prescribed for dysrhythmias. The nurse knows that what is the primary purpose of the drug?

• To increase the beta1 and beta2 receptors in the

cardiac tissues

• To increase the flow of oxygen to the cardiac tissues
• To block the beta1-adrenergic receptors in the cardiac

tissues

• To block the beta2-adrenergic receptors in the cardiac

tissues

• To block the beta1-adrenergic receptors in the cardiac tissues

A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan?

• "Apply the patch to a nonhairy area of the upper torso

or arm."

• "Apply the patch to the same site each day."
• "If you have a headache, remove the patch for 4 hours

and then reapply."

• "If you have chest pain, apply a second patch next to

the first patch."

• "Apply the patch to a nonhairy area of the upper torso or arm."

A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective?

• Blood pressure 120/80 mm Hg
• Heart rate 70 beats per minute
• ECG without evidence of ST changes
• Client stating that pain is 0 out of 10
• Client stating that pain is 0 out of 10

The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action?

• Blood pressure 110/90 mm Hg
• Flushing
• Headache
• Chest pain
• Chest pain

Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin?

• "If I get a headache, I should keep taking nitroglycerin

and use Tylenol for pain relief."

• "I should keep my nitroglycerin in a cool, dry place."
• "I should change positions slowly to avoid getting

dizzy."

• "I can take up to five tablets at 3-minute intervals for

chest pain if necessary."

• "I can take up to five tablets at 3-minute intervals for chest pain if necessary."

Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker?

• Client states that she has no chest pain.
• Client states that the swelling in her feet is reduced.
• Client states the she does not feel dizzy.
• Client states that she feels stronger.
• Client states that she has no chest pain.

What statement is the most important for the nurse to include in the teaching plan for a client who has started on a transdermal nitroglycerin patch?

• "This medication works faster than sublingual

nitroglycerin works."

• "This medication is the strongest of any nitroglycerin

preparation available."

• "This medication should be used only when you are

experiencing chest pain."

• "This medication will work for 24 hours and you will

need to change the patch daily."

• "This medication will work for 24 hours and you will need to change the patch

daily." What will the nurse instruct the client to do to prevent the development of tolerance to nitroglycerin?

• Apply the nitroglycerin patch every other day.
• Switch to sublingual nitroglycerin when the client's

systolic blood pressure elevates to more than 140 mm Hg.

• Apply the nitroglycerin patch for 14 hours and remove

it for 10 hours at night.

• Use the nitroglycerin patch for acute episodes of

angina only.

• Apply the nitroglycerin patch for 14 hours and remove it for 10 hours at night.

Before the nurse administers isosorbide mononitrate (Imdur), what is a priority nursing assessment?

• Assess serum electrolytes.
• Measure blood urea nitrogen and creatinine.
• Assess blood pressure.
• Monitor level of consciousness.
• Assess blood pressure.

The client asks the nurse how nitroglycerin should be stored while traveling. What is the nurse's best response?

• "You can protect it from heat by placing the bottle in

an ice chest."

• "It's best to keep it in its original container away from

heat and light."

• "You can put a few tablets in a resealable bag and

carry it in your pocket."

• "It's best to lock them in the glove compartment to

keep them away from heat and light."

• "It's best to keep it in its original container away from heat and light."