NSG 318 EXAM 3
QUESTIONS AND
ANSWERS RATED A+
What is the action of Digoxin - CORRECT ANSW-inhibits sodiumpotassium ATPase, promoting increased force of cardiac
contraction, cardiac out, and tissue perfusion; decreases
ventricular rate
What effects on the heart muscle does Digoxin influence? -
CORRECT ANSW-increases myocardial contractility; decreases
HR; decreases conduction and increases cardiac output
Digoxin therapeutic effects/ uses - CORRECT ANSW-treats heart
failure and atrial fibrillation
Therapeutic serum level for Digoxin - CORRECT ANSW-0.5-1
ng/mL
Important nursing implication the nurse should consider before
administering Digoxin? - CORRECT ANSW-DO NOT administer if
under 60 bpm
(Assess BP and HR before administration)
A patient is experiencing an overdose of Digoxin. What is the
most appropriate nursing intervention? - CORRECT ANSWadminister Digoxin Immune Fab
What is angina? - CORRECT ANSW-acute cardiac pain caused
by inadequate blood flow to the myocardium
-decreased blood flow= chest pain
What is the action of Nitroglycerin? - CORRECT ANSWdecreases myocardial demand for oxygen
What are the therapeutic effects/ uses of Nitroglycerin? -
CORRECT ANSW-controls angina
What is the action of Atenolol? - CORRECT ANSW-selectively
blocks beta 1 receptor sites; decreases sympathetic outflow to the
periphery; suppresses renin-angiotensin-aldosterone system
Which drugs are used to treat acute MI? - CORRECT ANSWAtenolol, Metoprolol and Nitroglycerin
What is the action of Diltiazem? - CORRECT ANSW-inhibits the
transport of calcium to the myocardial cells
which drugs contain the suffix -olol - CORRECT ANSW-beta
blockers
Which of the following statements shows correct patient
understanding of the drug Atenolol? - CORRECT ANSW-"I should
not stop taking Atenolol abruptly, and stop taking over the span of
1-2 weeks"
A patient is taking atenolol and complains to the nurse of
experiencing an erectile disfunction what is the best nursing
intervention? - CORRECT ANSW-Ask the HCP for a lower dose
-because erectile dysfunction is associated with dosage
The patient is experiencing bradycardia when taking Diltiazem.
What is the best nursing intervention? - CORRECT ANSWAdministering atropine
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