CH 30 Dysrhythmias Flashcards
Which adverse effect should the nurse monitor a client for that is prescribed an antidysrhythmic?
- Depression, irritability, fatigue, and nausea
- Anorexia, insomnia, confusion, and 2+ pitting peripheral edema
- Low-grade fever, diaphoresis, weakness, and dry mucous membranes
- Palpitations, chest pain, weakness, and fatigue
- Palpitations, chest pain, weakness, and fatigue
25) Which assessment findings indicate a client receiving verapamil (Calan) is experiencing adverse effects?
Select all that apply.
1. The client tells the nurse they have frequent headaches.
2. The client has 3+ edema in the ankles and feet.
3. The client states, “Everything I eat tastes like metal.”
4. The client states, “I got so dizzy yesterday that I had to lie down for a while.”
5. The client’s face is flushed.
- The client tells the nurse they have frequent headaches.
- The client has 3+ edema in the ankles and feet.
- The client states, “I got so dizzy yesterday that I had to lie down for a while.”
14) A client tells the nurse they are nervous about taking prescribed verapamil (Calan). Which response should the nurse provide the client?
1. “This prescription is safe, and most patients do very well with it.”
2. “This prescription increases your blood pressure, but we will be monitoring that.”
3. “This prescription has many side effects, but you should be okay.”
4. “This prescription is a potassium channel blocker and is considered safe.”
- “This prescription is safe, and most patients do very well with it.”
15) A client prescribed verapamil (Calan) asks the nurse if it is okay to take herbal supplements with the prescription. Which response should the nurse provide the client?
1. “Some herbal supplements may interact with your prescription.”
2. “Using herbal supplements may increase your blood pressure too much.”
3. “Herbal supplements are okay as long as you take calcium salts with them.”
4. “Most herbal supplements are okay, but you should avoid St. John’s wort.”
- “Some herbal supplements may interact with your prescription.”
22) Which antidysrhythmic agent also dilates coronary arteries and is frequently used to treat angina?
1. Verapamil (Calan)
2. Amiodarone (Cordarone)
3. Procainamide (Pronestyl)
4. Lidocaine (Xylocaine)
- Verapamil (Calan)
10) Which is the priority outcome for the client with type 1 diabetes mellitus prescribed propranolol (Inderal)?
1. The client will maintain blood glucose within normal limits.
2. The client will decrease the required number of calories/day.
3. The client will maintain adequate peripheral circulation.
4. The patient will perform activities of daily living.
- The client will maintain blood glucose within normal limits.
3) The client tells the nurse, “My healthcare provider says I have atrial fibrillation. Is this serious and how is it treated?” Which responses should the nurse provide the client?
Select all that apply.
1. “This condition is best treated with what we call antidysrhythmic drugs.”
2. “This is very common; your doctor will discuss the best treatment with you.”
3. “Depending on your symptoms, your healthcare provider may use an electrical shock.”
4. “This is quite serious; did your healthcare provider discuss a heart transplant?”
5. “It is very serious, even more serious than a ventricular dysrhythmia.”
- “This is very common; your doctor will discuss the best treatment with you.”
- “Depending on your symptoms, your healthcare provider may use an electrical shock.”
26) Which information should the nurse include in the education for a client is prescribed an additional once-daily amiodarone to control persistent atrial fibrillation?
Select all that apply.
1. “I will avoid drinking grapefruit juice.”
2. “I understand the effect of the prescription will last 4 to 8 weeks after I stop taking it.”
3. “I will monitor my blood pressure and report any significant changes.”
4. “I will avoid the use of St John’s wort.”
5. “I will follow a low sodium diet.”
- “I will avoid drinking grapefruit juice.”
- “I understand the effect of the prescription will last 4 to 8 weeks after I stop taking it.”
- “I will monitor my blood pressure and report any significant changes.”
- “I will avoid the use of St John’s wort.”
24) Which information should the nurse include in the education for a client prescribed an antidysrhythmic?
1. “Elevate your extremities if you notice any swelling.”
2. “Weigh yourself every other day.”
3. “Take the first dose of your prescription before bed.”
4. “Take your medication while you are lying down.”
- “Weigh yourself every other day.”
27) Which statement made by a client receiving amiodarone should the nurse be most concerned about?
1. “I have a cough that is getting worse.”
2. “I often feel tired throughout the day.”
3. “I have lost 5 pounds over the last 3 weeks.”
4. “I have a rash on my skin that will not go away.”
- “I have a cough that is getting worse.”
28) The nurse has provided education for a client who will self-administer a twice-daily antidysrhythmic prescription. Which statements made by the client indicate further teaching is needed?
Select all that apply.
1. “If I get the flu, I should stop taking the medication until my fever goes down.”
2. “I should take my doses as close to 12 hours apart as I can.”
3. “If I forget a dose of the prescription I should take two pills for the next dose.”
4. “If I can’t take the prescription for a couple of days because I am sick, I should call the clinic for advice.”
5. “I should get my prescription refilled before I am completely out of medicine.”
- “If I get the flu, I should stop taking the medication until my fever goes down.”
- “If I forget a dose of the prescription I should take two pills for the next dose.”
29) Which statements made by a client that has been receiving a prescription for an atrial dysrhythmia indicate the client requires further information?
Select all that apply.
1. “Since I can’t drink coffee anymore, I have started drinking diet cola in the mornings.”
2. “I have found that a glass of wine after work and one with dinner helps me to relax from my stressful job.”
3. “We have celebrated several birthdays since I saw you last. I love chocolate birthday cake.”
4. “I have really worked at stopping my smoking since I was last here.”
5. “My friends and I have found several restaurants in our area that offer good, low-fat meals.”
- “Since I can’t drink coffee anymore, I have started drinking diet cola in the mornings.”
- “I have found that a glass of wine after work and one with dinner helps me to relax from my stressful job.”
- “We have celebrated several birthdays since I saw you last. I love chocolate birthday cake.”
5) A client with a dysrhythmia asks the nurse why they cannot take a prescription instead of have cardioversion for treatment? Which response should the nurse provide the client?
1. “Antidysrhythmic prescriptions have many side effects; cardioversion is considered safer.”
2. “Special diets are necessary with antidysrhythmic prescriptions, and they are hard to follow.”
3. “Antidysrhythmic prescriptions don’t really work very well for most dysrhythmias.”
4. “There is a high risk of seizures when you take antidysrhythmic prescriptions.”
- “Antidysrhythmic prescriptions have many side effects; cardioversion is considered safer.”
1) The nurse is providing a client education about dysrhythmias. Which statement should the nurse include in the teaching?
1. “Dysrhythmias cause serious electrolyte imbalances; this results in heart block.”
2. “Dysrhythmias are the result of longstanding, uncontrolled hypertension.”
3. “Dysrhythmias interrupt the normal electrical pathways in the heart so it can’t beat properly.”
4. “Dysrhythmias alter the blood flow through the heart and cause it to stop beating.”
- “Dysrhythmias cause serious electrolyte imbalances; this results in heart block.”
4) The nurse has provided education about dysrhythmias for a group of clients. Which statement made by a client indicates an understanding of the information?
1. “The sodium, potassium, and magnesium levels must be okay for the heart to have an electrical impulse.”
2. “Potassium is the most important electrolyte when it comes to the electrical impulse in the heart.”
3. “The sodium, potassium, and calcium levels must be okay for the heart to have an electrical impulse.”
4. “Enhancing potassium and sodium is how our prescriptions will work to prevent dysrhythmias.”
- “The sodium, potassium, and calcium levels must be okay for the heart to have an electrical impulse.”
