Pharm IV Unit 3

How quickly should the nurse push adenosine and follow with 20 mL of saline? A) Less than 2 seconds B) Greater than 5 seconds C) Over 2 minutes D) Over 30 seconds

A) Less than 2 seconds

Hemoglobin Range (female)

12-16

Hemoglobin Range (male)

14-18

Hematocrit Range (female)

37%-47%

Glycosylated Hemoglobin Range

4%-6%

It is important to monitor which of the following while a patient is taking diltiazem? A) Renal function B) INR C) Potassium D) Hemoglobin

A) Renal function

Vasopressin

Antidiuretic Hormone

Amiodarone is used for ____________________ dysrhythmias.

Amiodarone is used for ventricular dysrhythmias.

Which nursing action is priority when a client with acute SVT is to be administered adenosine by the health care provider? SATA. A) Have injectable beta-blocker drugs at the bedside B) Give the drug slowly over 1-2 minutes C) Ensure that emergency equipment is at the bedside D) Follow the drug injections with a normal saline bolus E) Monitor the client for bradycardia, nausea, and vomiting F) Prepare for synchronized cardioversion after giving the adenosine

C, D, E

What is the action of vasopressin? A) Reabsorption of water in kidneys, constricts veins B) Dilates veins C) Purges excess water from body D) Smooth muscle relaxation

A) Reabsorption of water in kidneys, constricts veins

Which of the following dysrhythmias are considered "shockable"? A) V-tach B) Asystole C) Bradycardia D) Normal sinus rhythm

A) V-tach

Dobutamine is used for which of the following conditions? SATA. A) Hypovolemic shock B) Septic shock C) Cardiogenic shock D) Hypothermic shock

A, C

Diltiazem

Calcium Channel Blocker

Magnesium Sulfate

Neuromuscular Blockade

Norepinepherine

Vasopressor

Ventricular electrical impulses cause ________ QRS complexes.

Ventricular electrical impulses cause wide QRS complexes.

A patient is in the ED with new-onset rapid-rate atrial fibrillation. The nurse is about to add a continuous infusion of diltiazem at 5 mg/hr but must first give a bolus of 0.25 mg/kg over 2 minutes. The patient weighs 220 pounds. The medication comes in a vial of 25 mg/5mL. How many milligrams will the patient receive for the bolus dose and how many milliliters will the nurse draw up for this dose?

25 mg, 5 mL

Hematocrit Range (male)

42%-52%

WBC Range

5,000-11,000

Glucose Range

70-100

LDL Range

<130

Total Cholesterol Range

<200

HDL Range

>60

What is the ACLS adult dose for the vasodilator Adenosine? A) 6 mg, then 12 mg, repeat once B) 3 mg, then 6 mg, repeat once C) 2 mg, then 4 mg, repeat twice D) 1 mg, then 2 mg, repeat twice

A) 6 mg, then 12 mg, repeat once

A patient is experiencing atrial fibrillation. What medication does the nurse expect to administer? A) Diltiazem B) Adenosine C) Atropine D) Epinephrine

A) Diltiazem

It is important for the nurse to monitor which of the following while the patient is on dobutamine? A) Electrolytes B) Vision C) Skin D) Oral mucosa

A) Electrolytes

How often can the nurse administer atropine to a patient for bradycardia? A) Every 3-5 minutes, max 3 times B) Every 5-10 minutes, max 2 times C) Once only D) Every 10-15 minutes, max 2 times

A) Every 3-5 minutes, max 3 times

What effect does the nurse expect diltiazem, a class IV antiarrhythmic, to have on a client's cardiac conduction system? A) Slow the flow of calcium into the cell during depolarization to depress automaticity B) Stabilize membranes to decrease myocardial contractility C) Decrease heart rate and conduction velocity D) Lengthen the absolute refractory period and prolong repolarization

A) Slow the flow of calcium into the cell during depolarization to depress automaticity

Amiodarone

Antiarrhythmic

A patient is on IV Norepinephrine for treatment of septic shock. Which statement is false about this medication? A) "The nurse should titrate this medication to maintain a MAP of 65 mmHg or greater." B) "This medication causes vasodilation and decreases systemic vascular resistance." C) "It is used when fluid replacement is not successful." D) "It is considered a vasopressor."

B) "This medication causes vasodilation and decreases systemic vascular resistance."

What is the ACLS adult dose for epinephrine? A) 6mg, 12, mg repeat once B) 1 mg, every 3-5 minutes C) 5 mg, every 5-10 minutes D) 10 mg, every hour

B) 1 mg, every 3-5 minutes

A patient with a rapid, irregular heart rhythm is being treated in the emergency department with adenosine. During the administration of this drug, the nurse will be prepared to monitor the patient for which effect? A) Nausea and vomiting B) A brief period of asystole C) Muscle tetany D) Hypertension

B) A brief period of asystole

Which ACLS drug is used to treat supraventricular tachycardia (SVT)? A) Epinephernine B) Adenosine C) Atropine D) Amiodarone

B) Adenosine

The nurse administers adenosine for a patient experiencing supraventricular tachycardia. Once the medication is given, the patient does not get a heart rhythm back. What should be the next nursing action? A) Get the crash cart B) Begin chest compressions C) Administer epinephrine D) Administer a shock to the patient

B) Begin chest compressions

What should the nurse have readily available in the patient's room before administering adenosine? A) Foley catheter B) Crash cart C) Ventilator D) CPAP

B) Crash cart

A side effect the nurse should be aware of when administering dobutamine is what? A) Increase in potassium B) Decrease in potassium C) Increase in calcium D) Decrease in calcium

B) Decrease in potassium

What is a common side effect of atropine? A) Bradycardia B) Tachycardia C) Hyperglycemia D) Hypoglycemia

B) Tachycardia

What maneuver can help manage symptoms associated with supraventricular tachycardia? A) Trendelenberg B) Vasovagal C) Walking D) Holding pillow against the chest

B) Vasovagal

Which actions are priorities for the nurse to perform to prevent harm for a client with hypovolemic shock who is receiving an infusion of dobutamine? SATA. A) Assessing hourly urine output B) Assessing for chest pain throughout the infusion C) Covering the infusion bag to protect it from light D) Measuring BP at least every 15 minutes E) Ensuring the drug is infused only with LR F) Checking the infusion site every 30 minutes for extravasation

B, D, F

A patient is in the clinic for a follow-up visit. He has been taking amiodarone for almost 1 year, and today he tells the nurse, "I am noticing some blue color around my face, neck, and upper arms. Is that normal?" Which is the nurse's correct response? A) "This is an expected side effect and should go away soon." B) "This is a harmless effect. As long as the medication is working, we'll just monitor your skin." C) "This can happen with amiodarone. I will let your doctor know about it right away." D) "How much sun exposure have you had recently?"

C) "This can happen with amiodarone. I will let your doctor know about it right away."

A client who had an MI has runs of ventricular tachycardia. Which medication will the nurse prepare to administer? A) Digoxin B) Furosemide C) Amiodarone D) Norepinephrine

C) Amiodarone

Which of the following medications is given for symptomatic bradycardia? A) Adenosine B) Epinephrine C) Atropine E) Magnesium Sulfate

C) Atropine

Which medication is given for atrial dysrhythmias? A) Epinephrine B) Norepinephrine C) Diltiazem D) Amiodarone

C) Diltiazem

Which of the following medications is known for causing eczema in elderly patients? A) Norepinephrine B) Dobutamine C) Diltiazem D) Adenosine

C) Diltiazem

If a patient is taking diltiazem what should the nurse teach them to avoid? A) Red meat B) Aged cheese C) Grapefruit juice D) Lentils

C) Grapefruit juice

Norepinepherine is used to treat what condition(s)? A) Hypertension B) Cardiac tamponade C) Hypotension/cardiac arrest D) Blood sugar

C) Hypotension/cardiac arrest

What should the nurse monitor while the patient is on amiodarone? A) Skin B) Deep tendon reflexes C) Liver enzymes and thyroid D) Hematocrit

C) Liver enzymes and thyroid

Which drug does the nurse prepare to administer to a client diagnosed with the dysrhythmia torsades de pointes? A) Calcium chloride B) Epinephrine C) Magnesium sulfate D) Adenosine

C) Magnesium sulfate

In assessing a patient with amiodarone for 6 months, the nurse monitors for which potential adverse effect? A) Hyperglycemia B) Dysphagia C) Photophobia D) Urticaria

C) Photophobia

When the nurse administers dopamine via IV infusion, the nurse understands which factor is most important in calculating the dosage for a client? A) The client's urinary output B) The client's pre-shock BP C) The client's weight in Kg D) The client's mental status

C) The client's weight in Kg

A client is given amiodarone in the ED for a dysrhythmia. Which finding indicates the drug is having the desired effect? A) The ventricular rate is increasing B) The absent pulse is now palpable C) The number of premature ventricular contractions is decreasing D) The fine ventricular fibrillation changes to coarse ventricular fibrillation

C) The number of premature ventricular contractions is decreasing

Which medication is given for septic shock? A) Epinephrine B) Adenosine C) Vasopressin D) Amiodarone

C) Vasopressin

The physician orders a Dobutamine IV drip on a patient in cardiogenic shock. After starting the IV drip, the nurse would make it priority to monitor for? A) Rebound hypertension B) Ringing in the ears C) Worsening hypotension D) Severe headache

C) Worsening hypotension

Which medication is used for cardiogenic shock? SATA. A) Norepinephrine B) Adenosine C) Dopamine D) Dobutamine

C, D Memory Trick: Cardio-butamine & cardio-pamine

Which medications below are used in cardiogenic shock that provides a positive inotropic effect on the heart? SATA. A) Nitroglycerin B) Sodium Nitroprusside C) Dobutamine D) Norepinephrine E) Dopamine

C, E

Dobutamine

Cardiac Stimulant

Which of the following medications is known for its high toxicity? A) Epinephrine B) Adenosine C) Atropine D) Amiodarone

D) Amiodarone

Which medication is used for symptomatic bradycardia? A) Epinephrine B) Adenosine C) Amiodarone D) Atropine

D) Atropine

The nurse anticipates a prescription for which drug when the client with a pulminary embolism being managed with IV crystalloids remains hypotensive with a low cardiac output? A) Alteplase B) Warfarin C) Morphine D) Dobutamine

D) Dobutamine

Magnesium Sulfate can be given for which of the following dysrhythmias? A) Pulseless electrical activity B) Asystole C) Ventricular tachycardia D) Torsades de Pointes

D) Torsades de Pointes