Chapter 30 Dysrhythmias
A client has a tachydysrhythmia. Which dysrhythmia should the nurse recognize as belonging to this category?
Atrial fibrillation Atrial flutter Ventricular dysrhythmias
A client is exhibiting paroxysmal supraventricular tachycardia. Which class of antidysrhythmic medication should the nurse expect the healthcare provider to prescribe?
Calcium channel blocker
The nurse is caring for a client with a ventricular dysrhythmia. Which drug should the nurse anticipate being prescribed?
Diltiazem (Cardizem) Procainamide Verapamil (Calan)
The nurse is reviewing the electrocardiogram of a client with a myocardial infarction. Which waveform should the nurse use as a guide to the pharmacotherapy needed?
Elevated ST segments
The nurse notes increasing congestion in the lungs of a client taking an antidysrhythmic medication. Which class of antidysrhythmic drugs should the nurse recognize as having the adverse effect of pulmonary toxicity?
Potassium channel blockers
A client is on advanced cardiac life support for a dysrhythmia. Which should the nurse consider as the last drug of choice for this client?
Procainamide
An older client with a dysrhythmia asks why the first dose of an antidysrhythmic medication is being given at bedtime. Which reason should the nurse provide?
Risk of hypotension as a first-dose effect
A client is diagnosed with atrial fibrillation. For which health problem should the nurse recognize the client is at risk?
Stroke
The nurse is discussing antidysrhythmic medications with a colleague. Which drug should the nurse identify as a calcium channel blocker?
Verapamil (Calan) Diltiazem (Cardizem)
The nurse evaluates teaching provided to a client about the dosing of an antidysrhythmic medication. Which client statement should indicate teaching was successful?
"I will take the medication evenly spaced throughout the day." "I will call the healthcare provider if I am unable to take the medication for more than a day." "I will follow the directions on the prescription label."
