Nokea
A client is prescribed a cardiotonic drug. The nurse would expect to administer which of the following in conjunction with this drug as part of the treatment for heart failure? Select all that apply.
- A. Loop diuretics
- B. Angiotensin-converting enzyme inhibitors (ACEIs)
- C. Thrazide diuretics
- D. Calcium channel blockers
- E. Beta blockers
Correct Answer: A,B,E
Rationale: Cardiotonic drugs are used in clients with persistent symptoms, with recurrent hospitalization, or as indicated in conjunction with ACEIs, loop diuretics, and beta blockers in clients with heart failure.
You may also like to solve these questions
After receiving a loading dose of milrinone (Primacor), the nurse would assess the client for which of the following as most likely? Select all that apply.
- A. Hypertension
- B. Angina
- C. Hyperkalemia
- D. Headache
- E. Insomnia
Correct Answer: B,D
Rationale: The adverse reactions most likely to occur after the administration of milrinone (Primacor) to a client are ventricular arrhythmias, hypotension, angina, chest pain, headache, and hypokalemia.
A nurse is preparing to administer a prescribed cardiotonic to a client. The nurse understands that the drug is being administered to achieve which of the following? Select all that apply.
- A. Improved myocardial contractility
- B. Increased myocardial efficiency
- C. Increased blood pressure
- D. Increased peripheral edema
- E. Improved profusion to all body tissues
Correct Answer: A,B,E
Rationale: Cardiotonics are drugs used to increase the efficiency and improve the contraction of the heart muscle, which leads to improved blood flow to all tissues of the body.
Before administering a cardiotonic drug to a client, which of the following would be most important for the nurse to assess? Select all that apply.
- A. Apical-radial pulse rate
- B. Respiratory rate
- C. Urinalysis
- D. Weight measurement
- E. Blood pressure
Correct Answer: A,B,D,E
Rationale: Preadministration physical assessment should include assessment of the apical-radial pulse rate, respiratory rate, weight, and blood pressure to establish a baseline for comparison. Assessing the client's urine is not required.
Which of the following is true with regard to oral administration of cardiotonic drugs? Select all that apply.
- A. Capsule doses are less absorbed.
- B. Alternating between oral dosage forms is avoided.
- C. Tablets can be crushed and mixed with food or fluids.
- D. Oral dosage forms can be administered without regard to meals.
- E. The recommended dosage of the capsules is 80% more than that of tablets.
Correct Answer: B,C,D
Rationale: Oral preparations can be given without regard to meals. Tablets can be crushed and mixed with food or fluids if the patient has difficulty swallowing. Do not alternate between the dosage forms (i.e., tablets and capsules); these dosages are not the same. Owing to better absorption, the recommended dosage of the capsules is 80% of the dosage for tablets and elixir.
A nurse checks the serum digoxin level of a client and finds it to be increased. Which of the following would the nurse identify as possibly associated with this increase?
- A. Colestipol (Colestid)
- B. Verapamil (Calan)
- C. Clarithromycin (Biaxin)
- D. Calcium carbonate (Maalox)
- E. Spironolactone (Aldactone)
Correct Answer: B,C,E
Rationale: Increased serum digoxin levels can occur with verapamil, clarithromycin, and spironolactone. Antacids, such as calcium carbonate, and colestipol cause a decrease in serum digoxin levels.