Progressive Care Nursing PCCN Exam Prep - Question List

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1. A client with a left-sided heart failure is prescribed with digoxin (Lanoxin) and furosemide (Lasix). Which of the following signs and symptoms alerts the nurse for a possible occurrence of digoxin toxicity?
  1. A positive Trousseau's sign
  2. Leg cramps
  3. Diarrhea
  4. Muscle twitching
2. A 40-year-old pregnant woman presented to surgical OPD with short history of pain in the right hypochondrium radiating to the back. She also complains of nausea and vomiting associated with this episode of pain. What is the likely diagnosis?
  1. Acute cholecystitis
  2. Acute pancreatitis
  3. Peritonitis
  4. Gastritis
3. What is the definitive treatment of Cholecystitis due to Cholelithiasis?
  1. Laproscopic or open cholecystectomy
  2. Use of antibiotics
  3. Use of anti-spasmodic
  4. Use of analgesics
4. A patient, with a known case of ischemic heart disease, presented to the cardiac OPD with complaints of being breathless and irritable, even at rest, and not being able to carry out daily life activities. What class of heart failure is patient suffering from?
  1. Class 1
  2. Class 2
  3. Class 3
  4. Class 4
5. A patient presented with hypertensive urgency. What is the best method of decreasing the blood pressure of the patient in this condition?
  1. Immediate decreasing of blood
  2. Waiting for ECG changes to come
  3. Decreasing the blood pressure within a few hours
  4. Decreasing the blood pressure within a few days

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