EAQ Ch. 24 Heart Failure Drugs
For which side effects would the nurse monitor after administering lisinopril to a patient?
- Dry cough - Hyperkalemia
Which are expected clinical manifestations of hypomagnesemia? Select all that apply.
- Twitching - Hyperactive reflexes
A patient has serum digoxin level 0.4 mg/mL. Which description of this digoxin level is correct?
Below the therapeutic level
A patient is prescribed digoxin for supraventricular dysrhythmia. The nurse instructs the patient to avoid consuming bran. Which reason is behind this instruction?
Bran decreases digoxin absorption.
A patient with heart failure and hypothyroidism is prescribed digoxin. Which nursing intervention will prevent digoxin toxicity?
Calculate the digoxin dose with correct decimal placement.
Which effect is expected from beta blocker therapy?
Decreased sympathetic stimulation of the heart
Which medication is used to treat supraventricular dysrhythmia?
Digoxin
A patient who is receiving digoxin reports headache, dizziness, nausea, and blurred vision. After assessing the patient, the nurse finds that the patient's pulse rate is 48 beats/min. Which medication would the nurse expect the primary health care provider to prescribe?
Digoxin immune Fab
Which assessment finding will alert the nurse to suspect digitalis toxicity?
Loss of appetite with slight byradycardia
A patient with heart failure taking digoxin reports nausea, vomiting, and visual changes. Which does the nurse include in the plan of care?
Obtain digoxin level.
A child admitted to the hospital with significant growth retardation and severe heart failure is found to have a ventricular septal defect. Which treatment approach will be used for this patient?
Septal repair surgery
A patient is prescribed digoxin to treat heart failure. Which biochemical parameter would be assessed to ensure safe drug administration?
Serum potassium concentration
Which complication may be experienced by a patient who is prescribed lisinopril?
hyperkalemia
A patient with heart failure is prescribed hydralazine/isosorbide dinitrate. Which instruction would the nurse give the patient to minimize side effects?
"Change position carefully while taking the medication."
The nurse is teaching a patient about the safe administration of digoxin. Which statement by the patient indicates a need for additional teaching?
"I should take the medication 5 hours before going to bed."
A patient is prescribed milrinone for the treatment of heart failure. After checking the patient's history, the nurse finds that the patient is taking an antacid. The nurse instructs the patient to avoid taking the antacid 2 hours before or after administration milrinone. Which problem will be prevented by following this instruction?
Alterations in milrinone absorpotion
A patient is undergoing standard heart failure therapy that does not include a diuretic. The patient's weight has increased by 2 lb (0.9 kg) since yesterday. Which action does the nurse implement FIRST?
Ask the patient about the food eaten in the past 24 hours
A patient is taking 0.25 mg of digoxin and 40 mg of furosemide daily. When the nurse enters the room, the patient reports seeing yellow halos around the lights. Which action would the nurse take FIRST?
Assess the patient for symptom of digoxin toxicity
Patient taking digoxin who then begin taking licorice can have which adverse outcomes?
Cardiac toxicity
Which drug would reduce the therapeutic effect of digoxin if it is taken concurrently?
Cholestyramine
The nurse is preparing to administer the first dose of valsartan/sacubitril for a patient with heart failure. Which finding would lead the nurse to withhold the dose and notify the health care provider?
Current prescription for lisinopril
The nurse who is caring for a patient with a myocardial infarction informs the patient, "This drug will increase the contractions of your heart." Which drug has been prescribed to the patient?
Digoxin
The nurse reviews a patient's laboratory values, including a digoxin level of 10 mg/mL and serum potassium value of 6.2. Which drug does the nurse ask the primary health care provider to prescribe?
Digoxin immune Fab
The nurse prepares to administer digoxin to a patient who has heart failure. The nurse would elevate the serum potassium level if the patient is taking which other drug?
Furosemide
The nurse is teaching a group of nursing students about cardiac glycosides. Which condition indicates an excess dose of cardiac glycosides?
Halo vision
A patient who receives digoxin therapy states, "I missed one dose of the drug." The nurse learns that the patient hasn't taken the drug for the past 12 hours. Which action would the nurse take?
Immediately inform the primary health care provider.
The nurse is providing care to a patient who is prescribed both digoxin and verapamil. Which side effect would the nurse expect the patient to experience?
Increased serum levels of digoxin
Which does the nurse include in the plan of care related to administering milrinone to a patient with heart failure?
Initiate telemetry monitoring
The nurse is caring for a patient after a myocardial infarction. The nurse finds that the patient's heart rate has increased to 130 beats/min and the patient's weight has increased by 8.8 lb (4kg) overnight. Which intravenous combination of drugs will the primary health care provider prescribe to the patient in this condition?
Lisinopril and furosemide
A patient is being treated for short-term management of heart failure with milrinone. Which is the PRIMARY nursing action?
Monitor blood pressure continuously
Digoxin administration produces which therapeutic effects on the heart?
Positive inotropic, negative chronotropic, and negative dromotropic
