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NCLEX Practice Pharm 48: Drugs for
Heart Failure Latest Update Graded A+
The nurse monitors the patient receiving an ACE inhibitor for which adverse effect?
A) Rebound hypertension
B) Diminished pulses
C) Hyperglycemia
D) Hyperkalemia ✔✔D. Hyperkalemia
The nurse recognizes that digoxin (Lanoxin) is administered to a patient to improve which cardiac function?
A) Increased heart rate
B) Decreased heart rate
C) Increased cardiac contractility
D) Decreased cardiac contractility ✔✔C. Increased cardiac contractility
The nurse understands that dobutamine is preferred over dopamine in the treatment of heart failure because dobutamine does not do what?
A) Increase cardiac contractility
B) Decrease cardiac conduction
C) Increase vascular resistance
D) Decrease urinary output ✔✔C. Increased vascular resistance
A patient is receiving digoxin (Lanoxin) for the treatment of heart failure. The nurse recognizes which therapeutic effect(s) of this treatment? (Select all that apply.)
A) Increased cardiac output
B) Increased heart rate
C) Decreased blood volume
D) Decreased cardiac contractility
E) Arteriole vasodilation
F) Peripheral vasoconstriction ✔✔A. Increased cardiac output, C. Decreased blood volume, E.
Arteriole vasodilation
The nurse recognizes what as the most adverse effect of digoxin?
A) Hypokalemia
B) Dysrhythmias
C) Hyperglycemia
B) Spironolactone (Aldactone)
C) Furosemide (Lasix)
D) Triamterene (Dyrenium) ✔✔C. Furosemide (Lasix)
In preparing to administer digoxin (Lanoxin) to a patient with heart failure, which finding would cause the nurse to withhold the medication?
A) Pulse 52
B) Increased thirst
C) Blood pressure 142/
D) Urine output of 250 mL over the last 8 hours ✔✔A. Pulse 52
