After completing the following case study, submit 2 NCLEX style questions related to the topics covered in the case study. (Students are expected to write their own questions. Refrain from using outside resources). Please provide a rationale for the correct answers to your questions.
Digoxin:
Your patient with newly diagnosed heart failure is prescribed digoxin. Your patient states that they have researched this medication online and have found some confusing information about inotropic and chronotropic effects. They ask you to explain this to them.
How would you describe these effects to them?
Which medications should be avoided while on digoxin?
Does a Low potassium level or a high potassium level cause digoxin toxicity? Why?
Propranolol:
Ms. Beta is prescribed propranolol to help treat her paroxysmal atrial tachycardia.
What education will you provide to Ms. Beta concerning this medication?
What are the adverse effects that she should be monitored for?
What are some conditions that would have you question the provider when an order for this medication is ordered?
1. Name a prototype, and describe the action, use, and adverse effects for each of the following Antidysrhythmic drug classes:
A. Class I sodium channel blockers
B. Beta-adrenergic blockers
C. Potassium channel blockers
D. Calcium channel blockers.
2. A 73-year-old female presents to the emergency department with nausea and confusion. The client normally takes digoxin, furosemide, and enalapril.
A. What will the nurse assess when caring for this patient? Include physical assessment and laboratory monitoring.
B. The patient’s digoxin level of 2.2 ng/mL. What does the nurse do with this information?
3. Susan Sanchez is a 54-year-old client with a history of diabetes mellitus, hypertension, smoking, and obesity. On a recent physical exam, her total cholesterol level was 350 mg/dL, her LDL was 210 mg/dL, and her HDL was 35 mg/dL. Her physician prescribes atorvastatin, along with lifestyle modifications.
A. Susan asks the nurse why the lifestyle modifications are necessary since she will be taking medication for her dyslipidemia. How should the nurse respond? Describe the necessary lifestyle modifications that the nurse will need to include in teaching Susan.
B. Discuss the potential adverse effects of the atorvastatin that has been prescribed for Susan?
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