A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?
Lanoxin increases the heart rate
Lanoxin increases the force of cardiac contractions
Lanoxin order should be questioned in this diagnosis.
Lanoxin decreases the force of cardiac contractions
The Correct Answer is B
Rationale:
A. Lanoxin does not typically increase heart rate significantly.
B. Digoxin (Lanoxin) is a positive inotropic agent, meaning it increases the force of cardiac contractions.
C. Lanoxin is commonly used in the treatment of heart failure.
D. Lanoxin does not decrease the force of cardiac contractions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT) that is unresponsive to cardioversion.
B. Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and unstable ventricular tachycardia (VT).
C. Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It is given after defibrillation.
D. Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).
Correct Answer is A
Explanation
Rationale:
A. Sudden weakness of one arm and leg may indicate a stroke, which is a potential complication of atrial fibrillation.
B. An irregular heart rate without P waves is characteristic of atrial fibrillation and is expected.
C. Cloudy and odorous urine may indicate a urinary tract infection but is not the priority in this case.
D. An aPTT of 80 seconds is within the therapeutic range for heparin therapy.
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