ATI cardiac dys. questions

You are caring for a client taking oral amiodarone for A. fib. Know the adverse effects what should the nurse alert the client to be aware of? A. cough B. blurred vision C. sore throat D. dizziness E. fever

A,B,D,E PULMONARY toxicity (s.o.b, chest pain, fever) and photophobia

A nurse is teaching a client who has a new prescription for quinidine. which of the following statements should the nurse include? A. monitor your pulse and report changes B. remain upright for 30 min after taking this med C. decrease dig levels D. urinary incont.

A. Sodium channel blockers can worsen dsyrthymias or cause new ones

A nurse is caring for a client newly prescribed propranolol to teat a tacydysrthymia. client should avid which otc med? A. antihistamines B. NSAIDS C. potassium supps D. vit c

B.

A nurse is caring for a client who has a new prescription for verapamil. the nurse should clarify the order if the client has a history of? A. MIGRAINE HA B. pancreatitis C. second degree av block D. angina

C.

You are caring for a client whose atrial dysthymia fails to respond to treatment. You anticipate the provider prescribing which off label drug that works on atrial refractory period? A. propranolol B. lidocaine C. flecainide D. amiodarone

C. flecainide sodium channel blocker treats vent dysrhythmias also off label use atrial dysrthymias that have failed other treatment

You are administering lidocaine 50mg iv bolus to a client in ventricular dysrhythmia. You monitor the client for which adverse reaction to lidocaine? A. metabolic alkalosis B. hypertension C. tachycardia D. paresthesia

D. High doses of lidocaine can cause numbness tingling and could lead to seizure activity

A nurse is caring for a client who is taking amiodarone for a fib. the nurse should instruct the client to avoid? A. grapefruit juice B. food high in potassium C. milk D. nsaids

a

A health professional should question the use of quinidine for a client taking digoxin because of which possible adverse reaction? A. liver toxicity B. quinidine toxicity C. digoxin toxicity D. cardiotoxicity

c. dioxin toxicity. quinidine can double dig levels

A nurse is caring for a client with a new prescription for verapamil for a fib. The nurse should instruct the client to avoid grapefruit juice while taking the medication because it can cause what adverse effect? A. tachycardia B. diarrhea C. dehydration D. hypotension

d. grapefruit juice increases the effects

A nurse should identify that which of the following drugs is used for short term treatment of cardiac dysrhythmias because the serious adverse effects associated with long term use? A. quinidine B. procainamide C. nitroglycerin D. verapamil

procainamide is a broad spectrum sodium channel blocker. not be used long term b/c cardio toxic and arterial embolism