Antidysrhythmics- Pharmacology- Evolve
Which statement by a patient demonstrates correct understanding of the nurse's teaching about quinidine?
"I should call my provider immediately if my ears are ringing."
A patient has been started on oral quinidine 324 mg every 6 hours. The patient calls the clinic and tells the nurse that he has had a lot of ringing in his ears. What is the nurse's best response?
"Notify the prescriber."
The healthcare provider prescribes procainamide. The patient asks the nurse about how to manage the possible side effects of this medication. What is the nurse's best response?
"Take this medication with food to relieve an upset stomach."
Which drug is a class III antidysrhythmic?
Amiodarone
Which patient may be prescribed beta blockers with the least concerns for complications?
A patient with atrial fibrillation
A patient develops supraventricular tachycardia (SVT) and is hypotensive. Which medication should the nurse anticipate will be prescribed?
Adenosine [Adenocard]
Which drug administered by the nurse typically produces asystole before converting tachycardia to a sinus rhythm?
Adenosine [Adenocard]
When observing a new staff nurse preparing to administer diltiazem [Cardizem], the charge nurse should approve which action?
Administering the drug via an infusion pump.
A patient visiting the clinic has been taking amiodarone for several months. The nurse observes a bluish discoloration in the patient's skin. Which action should the nurse perform first?
Apply a pulse oximeter to check oxygen levels
Which instruction should be included in the discharge teaching for a patient with atrial fibrillation? Select all that apply.
Atrial fibrillation may cause rapid ventricular rates. Atrial fibrillation is the most common dysrhythmia. There is a high risk of stroke with atrial dysrhythmia.
Which is the most appropriate outcome for a patient who has been prescribed an antidysrhythmic medication?
Cardiac output increased
The nurse is caring for a patient who has been experiencing atrial fibrillation that has been resistant to drug therapy. The nurse would anticipate that the patient will now be placed on which class drug?
Class III
The nurse is caring for a patient prescribed quinidine for a supraventricular dysrhythmia. Which is a common adverse effect of this drug?
Diarrhea
The nurse has administered quinidine parenterally and should carefully monitor the patient for which adverse effects? Select all that apply.
Diarrhea Tinnitus Blurred Vision
The nurse is planning care for a patient at risk for dysrhythmias. The nurse understands that the Cardiac Arrhythmia Suppression Trial (CAST) confirmed which finding?
Dysrhythmias should be treated only when they are symptomatically significant.
When administering Adenosine [Adenocard], what is the nurse's most important action?
Ensure patency and placement of the IV catheter
An intravenous (IV) bolus of lidocaine is prescribed for the patient experiencing ventricular dysrhythmias. Which available lidocaine medication should the nurse use to prepare this bolus?
Lidocaine vial of clear solution
Which effect will beta blockers have on the conduction system in the heart? Select all that apply
Reduced contractility in the atria and ventricles Slowed conduction in the atrioventricular (AV) node Reduction of automaticity in the sinoatrial (SA) node
Which is a risk for a patient who has developed atrial flutter?
Stroke
The nurse is caring for a patient receiving dronedarone [Multaq] for treatment of atrial fibrillation. Which electrocardiogram (ECG) change indicates an adverse effect of this medication?
The QT-interval measurement changes from 400 msec to 520 msec.
Which statement by a patient demonstrates the need for further teaching regarding atrial fibrillation?
This condition is always reversible
The nurse should teach a patient with intractable atrial fibrillation about which characteristic of amiodarone [Cordarone]?
This drug has some severe toxicities
The nurse is caring for a patient who is being treated with amiodarone [Cordarone]. After 6 weeks on the medication, lab work is drawn on the patient and shows evidence of hypothyroidism developing. How should the nurse interpret this information?
This is an expected adverse reaction to the medication.
