ATI Clinical Ticket WK 5 +

A nurse is assessing a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse recognize as a therapeutic effect? *Increased pulse *Increased urine output *Decreased blood pressure *Decreased dysrhythmias

Answer: Increased Urine Output

A charge nurse is teaching a group of nurses about agonists and antagonists. The nurse should include in the teaching that which of the following agonist medications binds to receptors and causes activation that affects the cardiovascular system? *methyldopa *morphine *clonidine *guanabenz

Answer: Morphine (The nurse should include that morphine is an agonist that activates the receptors that affect the CNS and relieve the client's pain.)

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication? * "I can walk a mile a day." * "I've had a backache for several days." * "I am urinating more frequently." * "I feel nauseated and have no appetite."

Answer: "I feel nauseated and have no appetite." (Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digitalis toxicity.)

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity? *Anorexia *Ataxia *Photosensitivity *Jaundice

Answer: Anorexia (vomiting, confusion, headache, and vision changes are also manifestations of digoxin toxicity)

A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate? *Withholding the medication if the heart rate is above 100/min *Instructing the client to eat foods that are low in potassium *Measuring apical pulse rate for 30 seconds before administration *Evaluating the client for nausea, vomiting, and anorexia

Answer: Evaluating the client for nausea, vomiting, and anorexia. (Loss of appetite, nausea, vomiting, and blurred or yellow vision may be signs of digoxin toxicity.)

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? *Cardiac output is reduced *Systolic blood pressure is increased *Apical heart rate is increased *Urine output is reduced

Answer: Systolic blood pressure is increased

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? *Fab antibody fragments *Hydrocodone *Generic Zocor *Lisinopril

Answer: Fab antibody fragments (Fab antibody fragments, also called digoxin immune Fab, bind to digoxin and block its action. The nurse should prepare to administer this antidote IV to clients who have severe digoxin toxicity.)

A nurse is caring for a client who has atrial fibrillation and receives Digoxin daily. Before administering this medication, which of the following actions should the nurse take? *Offer the client a light snack. *Measure the client's blood pressure. *Measure the client's apical pulse. *Weigh the client

Answer: Measure the clients apical pulse. (Digoxin decreases the heart rate, so the nurse should count the apical pulse for at least1 min before administering. The nurse should hold the medication and notify the provider if the client's heart rate is below 60/min or if a change in heart rhythm is detected.)

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following lab results is the priority for the nurse to review prior to administering this medication? *Hemoglobin *Creatinine *Potassium *Blood urea nitrogen

Answer: Potassium (Digoxin is a cardiac glycoside medication used to improve myocardial contractility, increasing stroke volume and cardiac output in a client who has HF. During therapy, the nurse should closely monitor the client's potassium level as hypokalemia increases the risk of digitalis toxicity and cardiac arrhythmias.)

A nurse is caring for client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tab. The client's current vital signs are: blood pressure 144/96, heart rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take? *Administer digoxin 0.125 mg. *Administer digoxin 0.25 mg. *Withhold the digoxin dose for elevated blood pressure. *Withhold the digoxin dose for decreased pulse rate.

Answer: Withhold the digoxin dose for decreased pulse rate. (The nurse should withhold the prescribed dose of digoxin as the client's heart rate is less than 60/min, and notify provider.)