Mastery EAQ Ch. 25

A  Bronchospasm

B  Bradycardia

C  Hypotension

D  Cardiac failure

A  Nausea and vomiting

B  Constipation

C  Bradycardia

D  Increased bleeding

A  34-year-old treated with amiodarone

B  54-year-old treated with adenosine

C  40-year-old treated with lidocaine

D  68-year-old treated with procainamide

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

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

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

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

A  Intravenous (IV) tubing in a delivery pump

B  Pushing IV over 30 seconds.

C  Drawing up the medication in a heparin flush

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

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

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

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

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

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

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

C  This is a possible adverse reaction to the medication.

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

A  Notify the health care provider regarding this symptom.

B  Administer medication to help the patient rest.

C  Administer the cough syrup that has been prescribed.

D  Document the findings in the patient’s chart.

A  Cheeseburger with French fries

B  Turkey and cheese sandwich

C  Whole-grain cereal with milk

D  Bacon and eggs

A  Procainamide

B  Amiodarone

C  Flecainide

D  Quinidine

A  Prolonged QT interval

B  AV block

C  Tachycardia

D  Decreased digoxin levels

A  Class II drug

B  Class Ic drug

C  Class Ia drug

D  Class Ib drug

A  Amiodarone

B  Sotalol

C  Atenolol

D  Diltiazem

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

B  For many reasons, not just to control blood pressure

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 P-R interval

B  Prominent U wave

C  Prolonged Q-T interval

D  Prolonged QRS interval

A  Dyspnea, Photosensitivity, Hyperthyroidism, Elevated liver enzymes

B  Hyperthyroidism, Elevated liver enzymes, Hypertension, Dyspnea

C  Photosensitivity, Hyperthyroidism, Elevated liver enzymes, Hypertension

D  Hypertension, Dyspnea, Photosensitivity, Hyperthyroidism

A  Extra servings of dairy products, Chocolate

B  Chocolate, More citrus fruits

C  More citrus fruits, Extra servings of dairy products

D  Decaffeinated coffee, Eight glasses of water daily

A  Class Ic drug

B  Class III drug

C  Class II drug

D  Class IV drug

A  Apical pulse of 58 beats/min

B  Systolic blood pressure of 110 mm Hg

C  Cardiac monitor rate of 60 beats/min

D  Radial pulse of 110 beats/min

A  Adenosine

B  Lidocaine

C  Amiodarone

D  Epinephrine

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

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

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

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

A  Diarrhea, Hypertension, Increased appetite

B  Tinnitus, Diarrhea, Blurred vision

C  Hypertension, Blurred vision, Increased appetite

D  Hypertension, Tinnitus, Increased appetite

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

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

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

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

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

B  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

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

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

A  3.2 mL

B  2.0 mL

C  1.8 mL

D  2.8 mL

A  Skin integrity

B  Temperature

C  Allergy history

D  Respiratory rate

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

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

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

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

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  Bradycardia

B  Bronchospasm

C  Prodysrhythmic effect

D  Anorexia

A  Weight gain of 5 lb in 1 week

B  Increased cardiac output

C  Palpated radial and pedal pulses

D  Systolic blood pressure 90 mm Hg

A  1.5 mL

B  2.2 mL

C  2.5 mL

D  3.8 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  Prolonged QT interval

C  Tachycardia

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

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

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

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

A  Quinidine

B  Amiodarone

C  Lidocaine

D  Flecainide

A  Flecainide

B  Verapamil

C  Adenosine

D  Sotalol

A  Sotalol

B  Dofetilide

C  Adenosine

D  Diltiazem

A  Epilepsy

B  Lung disease

C  Tuberculosis

D  Liver cirrhosis

A  Class Ia

B  Class IV

C  Class III

D  Class II

A  Terbutaline

B  Droperidol

C  Sotalol

D  Haldoperidol

A  Prodysrhythmic effect

B  Altered blood glucose levels

C  Pulmonary toxicity

D  Torsades de pointes

A  Class Ic

B  Class III

C  Class IV

D  Class II

A  Class I

B  Class II

C  Class III

D  Class IV

A  Grapefruit juice

B  Whole milk

C  Poultry

D  Gluten

A  Verapamil

B  Amiodarone

C  Lidocaine

D  Atenolol

A  Bundle of His

B  SA node

C  AV node

D  Purkinje fibers