A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Flumazenil

Acetylcysteine

Naloxone

Fab antibody fragments

Answer and Explanation

The Correct Answer is D

A) Flumazenil: Flumazenil is an antidote used to reverse the effects of benzodiazepines, which are central nervous system depressants. It is not effective in treating digoxin toxicity, as it does not interact with the cardiac glycoside effects of digoxin.

B) Acetylcysteine: Acetylcysteine is primarily used as an antidote for acetaminophen overdose and to help manage mucus in respiratory conditions. It has no effect on digoxin toxicity and would not be appropriate for treating this condition.

C) Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose. Like flumazenil and acetylcysteine, naloxone is not effective in addressing digoxin toxicity and does not counteract the effects of cardiac glycosides.

D) Fab antibody fragments: Fab antibody fragments, also known as Digoxin-specific antibody fragments (Digibind or DigiFab), are the appropriate treatment for severe digoxin toxicity. These fragments bind to digoxin, neutralizing its effects and allowing the body to eliminate it safely. This is the most effective and specific treatment for life-threatening digoxin toxicity.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A) Bounding pulse:
A bounding pulse is a common sign of fluid volume excess. It indicates increased blood volume and pressure in the circulatory system, often associated with conditions such as heart failure or renal issues.

B) Urine-specific gravity greater than 1.030:
A urine-specific gravity greater than 1.030 typically indicates dehydration or concentrated urine rather than fluid volume excess. In cases of fluid volume excess, the urine-specific gravity is usually lower due to diluted urine.

C) Pitting edema:
Pitting edema, where pressure applied to the skin leaves a temporary indentation, is a clear sign of fluid volume excess. It indicates that excess fluid has accumulated in the tissues, commonly observed in conditions like heart failure or kidney dysfunction.

D) Swelling at the IV site:
Swelling at the IV site can indicate localized issues such as infiltration or phlebitis rather than generalized fluid volume excess. It is not typically a direct indicator of fluid overload.

E) Crackles upon auscultation:
Crackles (rales) heard upon auscultation of the lungs are a sign of fluid in the alveoli, which can be associated with fluid volume excess. This finding suggests that excess fluid is impacting pulmonary function, often seen in heart failure or severe fluid overload.

A. Duloxetine B. Furosemide C. Telmisartan D. Atorvastatin E. Clopidogrel

Correct Answer is ["A","B","C"]

Explanation

A) Duloxetine: Duloxetine, an SNRI (Serotonin-Norepinephrine Reuptake Inhibitor), is commonly used for depression and chronic pain. It can cause orthostatic hypotension, especially in older adults, due to its effects on norepinephrine, which can lead to blood pressure fluctuations upon standing.

B) Furosemide: Furosemide is a loop diuretic that increases urine output, leading to a decrease in blood volume. This reduction in blood volume can result in orthostatic hypotension, particularly when the client changes positions quickly, such as moving from lying down to standing.

C) Telmisartan: Telisartan is an angiotensin II receptor blocker (ARB) used to treat hypertension. It can cause vasodilation and a reduction in blood pressure, which may lead to orthostatic hypotension, especially in older adults who are more sensitive to blood pressure changes.

D) Atorvastatin: Atorvastatin, a statin used to lower cholesterol, does not typically cause orthostatic hypotension. Its primary action is on lipid levels rather than blood pressure, making it less likely to contribute to this condition.

E) Clopidogrel: Clopidogrel is an antiplatelet medication that reduces the risk of blood clots. It does not generally affect blood pressure or cause orthostatic hypotension, as its mechanism of action is related to inhibiting platelet aggregation rather than influencing vascular tone or fluid balance.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect?

A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

A nurse is teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking. The nurse should identify that the client has manifestations of which of the following complications?

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which of the following responses should the nurse make?

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?