Exam 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics

A patient who takes digoxin to treat heart failure will begin taking a vasodilator.The patient asks the nurse why this new drug has been ordered.The nurse will explain that the vasodilator is used to

A patient has congestive heart failure and has been taking digoxin (Lanoxin)for 9 years.The patient is admitted with signs and symptoms of digoxin toxicity.Which signs and symptoms are associated with digoxin toxicity? (Select all that apply.)

A patient who uses transdermal nitroglycerin reports having headaches.The nurse will counsel the patient to perform which action?

A patient who has heart failure receives digoxin (Lanoxin)and an angiotension-converting enzyme (ACE)inhibitor.The patient will begin taking spironolactone (Aldactone).The patient asks why the new drug is necessary.The nurse will tell the patient that spironolactone will be given for which reason?

The nurse administers a dose of digoxin (Lanoxin)to a patient who has heart failure and returns to the room later to reassess the patient.Which finding indicates that the medication is effective?

The nurse is teaching a patient about sublingual nitroglycerin administration.What information will the nurse include when teaching this patient?

The nurse is preparing to administer digoxin to a patient who has heart failure.The patient reports nausea,vomiting,and a headache.The nurse notes a respiratory rate of 18 breaths per minute,a heart rate of 58 beats per minute,and a blood pressure of 120/78 mm Hg.What will the nurse do next?

A patient who has Wolff-Parkinson-White syndrome is given intravenous adenosine (Adenocard).The nurse will explain that the medication is effective because it

A patient who has stable angina pectoris is given nitroglycerin to use as needed.In addition to pharmacotherapy,the nurse will give the patient which instruction?

A patient is diagnosed with heart failure,and the prescriber has ordered digoxin.The patient asks what lifestyle changes will help in the management of this condition.The nurse will recommend which changes?

The nurse is caring for a patient who is taking digoxin to treat heart failure.The patient's electrocardiogram shows a ventricular dysrhythmia.The nurse will notify the provider and will anticipate an order for which medication?

The nurse performs a medication history and learns that the patient takes a thiazide diuretic and digoxin (Lanoxin).The nurse will question the patient to ensure that the patient is also taking which medication?

A patient who has been taking nitroglycerin for angina has developed variant angina,and the provider has added verapamil (Calan)to the patient's regimen.The nurse will explain that verapamil is given for which purpose?

A patient with chronic obstructive pulmonary disease (COPD)has increasing dyspnea and is being evaluated for heart failure (HF).Which test will be ordered to help differentiate between dyspnea due to lung dysfunction and dyspnea due to HF?

A patient who has begun taking nifedipine (Procardia)to treat variant angina has had a recurrent blood pressure of 90/60 mm Hg or less.The nurse will anticipate that the provider will

The nurse provides teaching for a patient who has a ventricular dysrhythmia who is prescribed acebutolol (Spectral)200 mg twice daily.Which statement by the patient indicates understanding of the teaching?

The nurse is preparing to administer digoxin to a patient who has a serum digoxin level of 2.5 ng/mL.The patient takes 0.25 mg of digoxin per day.What action will the nurse take?

A patient who has atrial fibrillation is taking digoxin.The nurse expects which medication to be given concurrently to treat this condition?

A patient asks the nurse why nitroglycerin is given sublingually.The nurse will explain that nitroglycerin is administered by this route for which reason?

The nurse is teaching a patient about the use of a transdermal nitroglycerin patch.Which statement by the patient indicates understanding of the teaching?