Mastery EAQ Ch. 25

A  Hypotension

B  Cardiac failure

C  Bradycardia

D  Bronchospasm

A  Constipation

B  Increased bleeding

C  Nausea and vomiting

D  Bradycardia

A  34-year-old treated with amiodarone

B  40-year-old treated with lidocaine

C  54-year-old treated with adenosine

D  68-year-old treated with procainamide

A  Equivocal atrial and ventricular rates, Dizziness, Decreased blood pressure, Complaints of constipation

B  Dizziness, Decreased blood pressure, Complaints of constipation, Heart block evident on cardiac monitor

C  Complaints of constipation, Heart block evident on cardiac monitor, Equivocal atrial and ventricular rates, Dizziness

D  Decreased blood pressure, Complaints of constipation, Heart block evident on cardiac monitor, Equivocal atrial and ventricular rates

A  Pushing IV over 30 seconds.

B  Hanging the medication secondary to a free-hanging dextrose solution.

C  Drawing up the medication in a heparin flush

D  Intravenous (IV) tubing in a delivery pump

A  “Earplugs are helpful at night.”

B  “Stop the medication immediately.”

C  “I’ll talk to the prescriber right away.”

D  “Decrease your dose by half.”

A  Assess pain, Monitor cardiac output, Check blood pressure, Count ventricular rate

B  Check blood pressure, Count ventricular rate, Listen to breath sounds, Check for pupil constriction

C  Monitor cardiac output, Check for pupil constriction, Check blood pressure, Listen to breath sounds

D  Listen to breath sounds, Check for pupil constriction, Assess pain, Monitor cardiac output,

A  This is indicative of a toxic dosage of the medication.

B  The patient is developing an anaphylactic reaction to the medication.

C  This is indicative of an inadequate dosage of the medication.

D  This is a possible adverse reaction to the medication.

A  Notify the health care provider regarding this symptom.

B  Administer medication to help the patient rest.

C  Document the findings in the patient’s chart.

D  Administer the cough syrup that has been prescribed.

A  Cheeseburger with French fries

B  Turkey and cheese sandwich

C  Bacon and eggs

D  Whole-grain cereal with milk

A  Quinidine

B  Procainamide

C  Flecainide

D  Amiodarone

A  Prolonged QT interval

B  Decreased digoxin levels

C  Tachycardia

D  AV block

A  Class Ic drug

B  Class Ia drug

C  Class II drug

D  Class Ib drug

A  Sotalol

B  Diltiazem

C  Amiodarone

D  Atenolol

A  For many reasons, not just to control blood pressure

B  After a heart attack, to help decrease the chance for sudden cardiac death

C  After a heart attack, to help keep blood pressure under control

D  To help relax the blood vessels in the cardiovascular system

A  Prolonged Q-T interval

B  Prolonged P-R interval

C  Prolonged QRS interval

D  Prominent U wave

A  Hypertension, Dyspnea, Photosensitivity, Hyperthyroidism

B  Hyperthyroidism, Elevated liver enzymes, Hypertension, Dyspnea

C  Dyspnea, Photosensitivity, Hyperthyroidism, Elevated liver enzymes

D  Photosensitivity, Hyperthyroidism, Elevated liver enzymes, Hypertension

A  Chocolate, More citrus fruits

B  Extra servings of dairy products, Chocolate

C  Decaffeinated coffee, Eight glasses of water daily

D  More citrus fruits, Extra servings of dairy products

A  Class III drug

B  Class IV drug

C  Class II drug

D  Class Ic drug

A  Radial pulse of 110 beats/min

B  Apical pulse of 58 beats/min

C  Systolic blood pressure of 110 mm Hg

D  Cardiac monitor rate of 60 beats/min

A  Lidocaine

B  Epinephrine

C  Amiodarone

D  Adenosine

A  High-fiber diet, Photophobia and wearing sunglasses, Decreased fluid intake, Gastrointestinal (GI) upset

B  Decreased fluid intake, Gastrointestinal (GI) upset, Sunscreen use, High-fiber diet

C  Gastrointestinal (GI) upset, Sunscreen use, High-fiber diet, Photophobia and wearing sunglasses

D  Decreased fluid intake, Sunscreen use, High-fiber diet, Photophobia and wearing sunglasses

A  Hypertension, Blurred vision, Increased appetite

B  Hypertension, Tinnitus, Increased appetite

C  Diarrhea, Hypertension, Increased appetite

D  Tinnitus, Diarrhea, Blurred vision

A  The dose of digoxin will be reduced by 50%.

B  The dose of amiodarone will be increased by 50%.

C  The dose of amiodarone will be reduced by 50%.

D  The dose of digoxin will be increased by 50%.

A  Bilirubin levels, Respiratory rate, Echocardiogram, Complete blood count

B  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

C  Respiratory rate, Visual changes, Echocardiogram, Complete blood count

D  Complete blood count, Visual changes, Bilirubin levels, Echocardiogram

A  1.8 mL

B  3.2 mL

C  2.0 mL

D  2.8 mL

A  Temperature

B  Skin integrity

C  Allergy history

D  Respiratory rate

A  “Taking an antacid with this medication will relieve digestive problems.”

B  “Diphenhydramine can be taken with the medication if you develop a rash or breathing problems.”

C  “Take this medication with food to relieve an upset stomach.”

D  “Use over-the-counter steroid cream if a red, swollen rash occurs.”

A  Monitoring for tachycardia

B  Measuring blood pressure regularly

C  Asking the patient about any changes in vision

D  Assessing for signs of thrombophlebitis

A  Anorexia

B  Bradycardia

C  Bronchospasm

D  Prodysrhythmic effect

A  Weight gain of 5 lb in 1 week

B  Palpated radial and pedal pulses

C  Increased cardiac output

D  Systolic blood pressure 90 mm Hg

A  3.8 mL

B  2.5 mL

C  1.5 mL

D  2.2 mL

A  “It’s best to take the antidysrhythmic on an empty stomach if heartburn occurs.”

B  “An over-the-counter antacid is fine to take with your antidysrhythmic.”

C  “Take an antacid, if needed, 2 hours before or 2 hours after the antidysrhythmic.”

D  “You can take an antacid along with the antidysrhythmic 30 minutes before eating.”

A  Dyspnea

B  Agranulocytosis

C  Prolonged QT interval

D  Tachycardia

A  “You should not be exercising at all while taking this medication.”

B  “As we age, exercising is a challenge and fatigue is normal.”

C  “Feeling tired is normal when you exercise a lot.”

D  “You should report your fatigue to your health care provider.”

A  “Lightheadedness is expected. I should just change positions slowly.”

B  “I should always take this medicine on an empty stomach.”

C  “There are different salt forms that I can take interchangeably.”

D  “I should call my doctor immediately if my ears are ringing.”

A  Amiodarone

B  Flecainide

C  Quinidine

D  Lidocaine

A  Sotalol

B  Adenosine

C  Flecainide

D  Verapamil

A  Diltiazem

B  Sotalol

C  Dofetilide

D  Adenosine

A  Tuberculosis

B  Lung disease

C  Liver cirrhosis

D  Epilepsy

A  Class II

B  Class Ia

C  Class IV

D  Class III

A  Terbutaline

B  Haldoperidol

C  Droperidol

D  Sotalol

A  Torsades de pointes

B  Pulmonary toxicity

C  Altered blood glucose levels

D  Prodysrhythmic effect

A  Class IV

B  Class III

C  Class II

D  Class Ic

A  Class III

B  Class IV

C  Class I

D  Class II

A  Whole milk

B  Gluten

C  Poultry

D  Grapefruit juice

A  Lidocaine

B  Amiodarone

C  Verapamil

D  Atenolol

A  Bundle of His

B  AV node

C  Purkinje fibers

D  SA node