N7 Pharmacology Positive Inotropic Agents

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Lilley: Pharmacology and the Nursing Process, 4th Edition

Multiple Choice Review Questions Chapter 21

1.           

An expected outcome associated with the administration of digoxin is:

A.            Increased heart rate

B.            Decreased heart rate

C.            Decreased urinary output

D.            Decreased blood pressure

2.           

The patient has a serum digoxin level drawn and it comes back 0.4 ng/mL. The nurse recognizes that this is:

A.            Below the therapeutic level

B.            A therapeutic level

C.            Above the therapeutic level

D.            A toxic level

3.           

A patient is taking digoxin 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the patient states, “There are nice yellow halos around the lights.” An appropriate nursing action at this point would be to:

A.            Evaluate the patient for other symptoms of digoxin toxicity

B.            Withhold the furosemide

C.            Administer the medication as ordered

D.            Document the findings and reassess in 1 hour

4.           

The patient weighs 44 lb and is to be digitalized. The digitalizing dose is to be 0.03 mg/kg in three divided doses. How much will the nurse administer per dose?

A.            0.2 mg

B.            0.3 mg

C.            0.4 mg

D.            0.6 mg

5.           

The therapeutic effects of digoxin include:

A.            Positive inotropic, negative chronotropic, and negative dromotropic

B.            Positive inotropic, positive chronotropic, and negative dromotropic

C.            Negative inotropic, negative chronotropic, and negative dromotropic

D.            Positive inotropic, negative chronotropic, and positive dromotropic

6.           

Which of the following would alert the nurse to suspect early digitalis toxicity?

A.            Loss of appetite with slight bradycardia

B.            Heart rate <40>

C.            Tachycardia and diarrhea

D.            Confusion and visual changes

7.           

Phosphodiesterase inhibitors have an added advantage in treating heart failure because they cause a positive inotropic effect and:

A.            Vasoconstriction

B.            Vasodilation

C.            Platelet inhibition

D.            Bronchodilation

8.           

The nurse reviews a patient’s laboratory values and finds a digoxin level of 10 and a serum potassium level of 6.2. The nurse would notify the health care provider and anticipate administering:

A.            K+ aliquots

B.            Atropine

C.            Epinephrine

D.            Digoxin immune FAB

9.           

Assessment of a patient receiving a positive inotropic agent would include which of the following? (Choose all that apply)

A.            Lung sounds

B.            Daily weights

C.            Apical pulse

D.            Serum electrolytes

10.           

Which of the following drugs is used for short-term management of severe heart failure?

A.            Milrinone (Primacor)

B.            Atropine

C.            Digoxin immune FAB

D.            Propranolol (Inderal)