PHARMACOLOGY MIDTERM EXAM

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1. A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results? Ac... tivated partial thromboplastin time of 60 seconds 2. A nurse provides discharge instructions to a postoperative client who is taking warfarin sodium (Coumadin). Which statement made by the client reflects the need for further teaching? "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated." 3. A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3 mEq/L and is complaining of anorexia. The health care provider prescribes determination of the serum digoxin level to rule out digoxin toxicity. The nurse checks the results, knowing that which value is the therapeutic serum level (range) for digoxin? 0.5 to 2 ng/mL 4. What is the most important for the nurse to teach the patient in taking Digoxin? Take the apical pulse before taking the medicine 5. A loading dose of Digoxin 0.5 mg PO is administered and followed by 0.25mg PO daily. The positive Inotropic and negative chronotropic effect is reflected by the sets of data: BP 130/80mmHg, HR 60beats/min, RR 22/min, increase in urine output 6. A nurse is caring for a client receiving heparin intravenous (IV) infusion. The nurse anticipates that which laboratory study will be prescribed to monitor the therapeutic effect of heparin? Activated partial thromboplastin time (APTT) 7. A client is diagnosed with an acute myocardial infarction and receiving tissue plasminogen activator, Alteplase. Which action is a priority nursing intervention? Monitor for signs of bleeding [Show More]

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