Title WORKBOOK - PHARMA (SC) ✅

3 | Page 36. Which of the following is the priority for the nurse to assess before administering digoxin (Lanoxin)? A. Auscultate the apical pulse for 1 full minute B. Palpate the radial pulse for 60 seconds C. Monitor the renal function tests D. Assess the serum sodium 37. Upon finding a client in cardiac arrest, the nurse should administer which of the following drugs first? A. Atropine B. Epinephrine C. Lidocaine D. Atenolol (Tenormin) 38. After medication teaching on atenolol (Tenormin), which of the following statements by a client with diabetes mellitus demonstrates an understanding of the atenolol? A. “It may cause hyperglycemia.” B. “It may mask an early indication of hypoglycemia.” C. “It may increase the action of insulin.” D. “It may diminish the action of insulin.” 39. The nurse is caring for a client with hypertension. Which of the following drugs should the nurse administer? A. Mexiletine (Mexitil) B. Triamterene and hydrochlorothiazide (Dyazide) C. Digoxin (Lanoxin) D. Warfarin 40. Based on an understanding of nitroglycerin, the nurse administers it for which of the following reasons to a client with angina? A. Increase afterload B. Increase preload C. Constrict the arteries D. Dilate the veins 41. The nurse is caring for a client with atrial fibrillation who is being treated with a variety of drugs. The nurse administers which of the following drugs in combination with quinidine that may result in an increased level of the drug? A. Furosemide (Lasix) B. Digoxin (Lanoxin) C. Propranolol (Inderal) D. Triamterene and hydrochlorothiazide (Dyazide) 42. The nurse should administer amiodarone (Cordarone) to treat which of the following arrhythmias? A. Sinus bradycardia B. Bundle branch block C. Ventricular tachycardia D. Junctional rhythm 43. Which of the following is the priority nursing intervention for a client who is receiving adenosine (Adenocard) for supraventricular tachycardia (SVT)? A. Document the presence of peripheral pulses B. Monitor the pulse oximetry C. Assure a patent IV in the antecubital vein D. Prepare for emergency defibrillation 44. A client has been taking Viagra and is now experiencing angina. The physician has prescribed nitroglycerin p.r.n. for the angina. Which of the following should the nurse include in the discharge instructions? A. Viagra should not be used within 24 hours of taking nitroglycerin B. Nitroglycerin and Viagra should be taken at the same time C. Viagra is not effective when used in combination with nitroglycerin D. The effect of nitroglycerin is impaired by concurrent use with Viagra 45. Which of the following adverse reactions should the nurse assess in a 70-year-old adult who is receiving a continuous infusion of lidocaine? A. Hypertension B. Osteoarthritis C. Confusion D. Decreased visual acuity 46. Based on an understanding of beta blockers used for unstable angina, the nurse administers a beta blocker because of which of the following actions? A. To increase myocardial contractility B. To decrease heart rate C. To promote cardiovascular fluid shift D. Coronary artery vasodilation 47. Which of the following interventions should the nurse include in the plan of care for a client taking an ACE inhibitor? A. Monitor the blood pressure closely for 2 hours after the first dose B. Begin with a high dose and gradually decrease the dose C. Administer potassium supplements to the client D. Begin with daily dosing followed by dosing every other day 48. A client’s family member asks the nurse how to know if the client is improving while receiving furosemide (Lasix) for congestive heart failure. The nurse’s response should be based on the understanding that improvement in the client’s condition is characterized by A. diminishing oxygen needs. B. increased thirst. C. weight gain. D. intake greater than output. 49. A client with congestive heart disease returns to the clinic with muscle aching. The physician orders a potassium level, which shows hypokalemia. The drug regimen includes furosemide (Lasix) 80 mg b.i.d. In addition to treatment with a potassium supplement, the nurse administers which of the following prescribed drugs? A. Bumetanide (Bumex) B. Torsemide (Demadex) C. Spironolactone (Aldactone) D. Clonidine (Catapres) 50. The nurse is caring for a client on a heparin infusion when the client expresses concern over a progressively painful headache. Which of the following is the priority nursing action? A. Stop the heparin infusion B. Administer protamine C. Notify the physician D. Administer morphine