Mastery EAQ Ch. 25

A  Bronchospasm

B  Bradycardia

C  Hypotension

D  Cardiac failure

A  Bradycardia

B  Nausea and vomiting

C  Constipation

D  Increased bleeding

A  54-year-old treated with adenosine

B  68-year-old treated with procainamide

C  40-year-old treated with lidocaine

D  34-year-old treated with amiodarone

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

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

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

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

A  Drawing up the medication in a heparin flush

B  Pushing IV over 30 seconds.

C  Intravenous (IV) tubing in a delivery pump

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

A  “Decrease your dose by half.”

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

C  “Earplugs are helpful at night.”

D  “Stop the medication immediately.”

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

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

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

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

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

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

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

D  This is a possible adverse reaction to the medication.

A  Administer the cough syrup that has been prescribed.

B  Document the findings in the patient’s chart.

C  Administer medication to help the patient rest.

D  Notify the health care provider regarding this symptom.

A  Cheeseburger with French fries

B  Bacon and eggs

C  Turkey and cheese sandwich

D  Whole-grain cereal with milk

A  Amiodarone

B  Flecainide

C  Procainamide

D  Quinidine

A  AV block

B  Tachycardia

C  Prolonged QT interval

D  Decreased digoxin levels

A  Class II drug

B  Class Ic drug

C  Class Ia drug

D  Class Ib drug

A  Amiodarone

B  Atenolol

C  Diltiazem

D  Sotalol

A  To help relax the blood vessels in the cardiovascular system

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  For many reasons, not just to control blood pressure

A  Prolonged Q-T interval

B  Prolonged P-R interval

C  Prominent U wave

D  Prolonged QRS interval

A  Dyspnea, Photosensitivity, Hyperthyroidism, Elevated liver enzymes

B  Hypertension, Dyspnea, Photosensitivity, Hyperthyroidism

C  Photosensitivity, Hyperthyroidism, Elevated liver enzymes, Hypertension

D  Hyperthyroidism, Elevated liver enzymes, Hypertension, Dyspnea

A  Decaffeinated coffee, Eight glasses of water daily

B  More citrus fruits, Extra servings of dairy products

C  Extra servings of dairy products, Chocolate

D  Chocolate, More citrus fruits

A  Class Ic drug

B  Class IV drug

C  Class III drug

D  Class II drug

A  Systolic blood pressure of 110 mm Hg

B  Cardiac monitor rate of 60 beats/min

C  Apical pulse of 58 beats/min

D  Radial pulse of 110 beats/min

A  Lidocaine

B  Amiodarone

C  Adenosine

D  Epinephrine

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

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

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

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

A  Tinnitus, Diarrhea, Blurred vision

B  Diarrhea, Hypertension, Increased appetite

C  Hypertension, Blurred vision, Increased appetite

D  Hypertension, Tinnitus, Increased appetite

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

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

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

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

A  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

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

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

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

A  1.8 mL

B  3.2 mL

C  2.0 mL

D  2.8 mL

A  Allergy history

B  Temperature

C  Skin integrity

D  Respiratory rate

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

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

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

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

A  Assessing for signs of thrombophlebitis

B  Asking the patient about any changes in vision

C  Monitoring for tachycardia

D  Measuring blood pressure regularly

A  Bronchospasm

B  Prodysrhythmic effect

C  Anorexia

D  Bradycardia

A  Weight gain of 5 lb in 1 week

B  Palpated radial and pedal pulses

C  Systolic blood pressure 90 mm Hg

D  Increased cardiac output

A  3.8 mL

B  2.5 mL

C  2.2 mL

D  1.5 mL

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

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

A  Dyspnea

B  Tachycardia

C  Prolonged QT interval

D  Agranulocytosis

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

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

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

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

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

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

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

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

A  Lidocaine

B  Flecainide

C  Amiodarone

D  Quinidine

A  Adenosine

B  Sotalol

C  Flecainide

D  Verapamil

A  Sotalol

B  Dofetilide

C  Adenosine

D  Diltiazem

A  Liver cirrhosis

B  Lung disease

C  Tuberculosis

D  Epilepsy

A  Class Ia

B  Class III

C  Class II

D  Class IV

A  Droperidol

B  Sotalol

C  Terbutaline

D  Haldoperidol

A  Altered blood glucose levels

B  Prodysrhythmic effect

C  Torsades de pointes

D  Pulmonary toxicity

A  Class IV

B  Class II

C  Class Ic

D  Class III

A  Class I

B  Class II

C  Class III

D  Class IV

A  Grapefruit juice

B  Whole milk

C  Gluten

D  Poultry

A  Verapamil

B  Lidocaine

C  Amiodarone

D  Atenolol

A  AV node

B  Bundle of His

C  Purkinje fibers

D  SA node