Mastery EAQ Ch. 25

A  Cardiac failure

B  Bradycardia

C  Hypotension

D  Bronchospasm

A  Constipation

B  Bradycardia

C  Nausea and vomiting

D  Increased bleeding

A  54-year-old treated with adenosine

B  34-year-old treated with amiodarone

C  40-year-old treated with lidocaine

D  68-year-old treated with procainamide

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

B  Intravenous (IV) tubing in a delivery pump

C  Drawing up the medication in a heparin flush

D  Pushing IV over 30 seconds.

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

B  “Earplugs are helpful at night.”

C  “Stop the medication immediately.”

D  “Decrease your dose by half.”

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

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

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

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

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 a possible adverse reaction to the medication.

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

A  Document the findings in the patient’s chart.

B  Notify the health care provider regarding this symptom.

C  Administer medication to help the patient rest.

D  Administer the cough syrup that has been prescribed.

A  Whole-grain cereal with milk

B  Bacon and eggs

C  Cheeseburger with French fries

D  Turkey and cheese sandwich

A  Flecainide

B  Quinidine

C  Amiodarone

D  Procainamide

A  Prolonged QT interval

B  Decreased digoxin levels

C  Tachycardia

D  AV block

A  Class Ic drug

B  Class Ia drug

C  Class Ib drug

D  Class II drug

A  Amiodarone

B  Sotalol

C  Atenolol

D  Diltiazem

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

B  To help relax the blood vessels in the cardiovascular system

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

D  For many reasons, not just to control blood pressure

A  Prolonged QRS interval

B  Prominent U wave

C  Prolonged Q-T interval

D  Prolonged P-R interval

A  Photosensitivity, Hyperthyroidism, Elevated liver enzymes, Hypertension

B  Hyperthyroidism, Elevated liver enzymes, Hypertension, Dyspnea

C  Hypertension, Dyspnea, Photosensitivity, Hyperthyroidism

D  Dyspnea, Photosensitivity, Hyperthyroidism, Elevated liver enzymes

A  Decaffeinated coffee, Eight glasses of water daily

B  Chocolate, More citrus fruits

C  Extra servings of dairy products, Chocolate

D  More citrus fruits, Extra servings of dairy products

A  Class II drug

B  Class IV drug

C  Class III drug

D  Class Ic drug

A  Systolic blood pressure of 110 mm Hg

B  Radial pulse of 110 beats/min

C  Apical pulse of 58 beats/min

D  Cardiac monitor rate of 60 beats/min

A  Lidocaine

B  Amiodarone

C  Adenosine

D  Epinephrine

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

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

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

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

A  Hypertension, Tinnitus, Increased appetite

B  Hypertension, Blurred vision, Increased appetite

C  Diarrhea, Hypertension, Increased appetite

D  Tinnitus, Diarrhea, Blurred vision

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

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

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

D  The dose of amiodarone will be increased 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  2.8 mL

B  1.8 mL

C  3.2 mL

D  2.0 mL

A  Temperature

B  Respiratory rate

C  Allergy history

D  Skin integrity

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

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

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

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

A  Asking the patient about any changes in vision

B  Monitoring for tachycardia

C  Assessing for signs of thrombophlebitis

D  Measuring blood pressure regularly

A  Prodysrhythmic effect

B  Bradycardia

C  Bronchospasm

D  Anorexia

A  Increased cardiac output

B  Palpated radial and pedal pulses

C  Systolic blood pressure 90 mm Hg

D  Weight gain of 5 lb in 1 week

A  2.2 mL

B  1.5 mL

C  2.5 mL

D  3.8 mL

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

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

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

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

A  Agranulocytosis

B  Tachycardia

C  Prolonged QT interval

D  Dyspnea

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

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

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

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

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

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

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

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

A  Amiodarone

B  Quinidine

C  Flecainide

D  Lidocaine

A  Sotalol

B  Adenosine

C  Verapamil

D  Flecainide

A  Sotalol

B  Dofetilide

C  Diltiazem

D  Adenosine

A  Epilepsy

B  Tuberculosis

C  Lung disease

D  Liver cirrhosis

A  Class II

B  Class IV

C  Class Ia

D  Class III

A  Sotalol

B  Droperidol

C  Haldoperidol

D  Terbutaline

A  Prodysrhythmic effect

B  Torsades de pointes

C  Altered blood glucose levels

D  Pulmonary toxicity

A  Class II

B  Class Ic

C  Class III

D  Class IV

A  Class IV

B  Class II

C  Class I

D  Class III

A  Grapefruit juice

B  Whole milk

C  Gluten

D  Poultry

A  Amiodarone

B  Lidocaine

C  Atenolol

D  Verapamil

A  Bundle of His

B  SA node

C  AV node

D  Purkinje fibers