Mastery EAQ Ch. 25

A  Hypotension

B  Bradycardia

C  Bronchospasm

D  Cardiac failure

A  Constipation

B  Bradycardia

C  Nausea and vomiting

D  Increased bleeding

A  40-year-old treated with lidocaine

B  68-year-old treated with procainamide

C  34-year-old treated with amiodarone

D  54-year-old treated with adenosine

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  Intravenous (IV) tubing in a delivery pump

D  Drawing up the medication in a heparin flush

A  “Decrease your dose by half.”

B  “Stop the medication immediately.”

C  “Earplugs are helpful at night.”

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

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

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

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

B  This is a possible adverse reaction to the medication.

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

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

A  Administer medication to help the patient rest.

B  Document the findings in the patient’s chart.

C  Notify the health care provider regarding this symptom.

D  Administer the cough syrup that has been prescribed.

A  Turkey and cheese sandwich

B  Cheeseburger with French fries

C  Whole-grain cereal with milk

D  Bacon and eggs

A  Procainamide

B  Flecainide

C  Quinidine

D  Amiodarone

A  Prolonged QT interval

B  Decreased digoxin levels

C  AV block

D  Tachycardia

A  Class Ic drug

B  Class II drug

C  Class Ia drug

D  Class Ib drug

A  Atenolol

B  Amiodarone

C  Diltiazem

D  Sotalol

A  For many reasons, not just to control blood pressure

B  To help relax the blood vessels in the cardiovascular system

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

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

A  Prolonged P-R interval

B  Prolonged QRS interval

C  Prominent U wave

D  Prolonged Q-T interval

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  Decaffeinated coffee, Eight glasses of water daily

B  Extra servings of dairy products, Chocolate

C  Chocolate, More citrus fruits

D  More citrus fruits, Extra servings of dairy products

A  Class Ic drug

B  Class IV drug

C  Class II drug

D  Class III drug

A  Systolic blood pressure of 110 mm Hg

B  Cardiac monitor rate of 60 beats/min

C  Radial pulse of 110 beats/min

D  Apical pulse of 58 beats/min

A  Epinephrine

B  Lidocaine

C  Adenosine

D  Amiodarone

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

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

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

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

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 amiodarone will be reduced by 50%.

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

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

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

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

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

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

D  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

A  2.0 mL

B  2.8 mL

C  3.2 mL

D  1.8 mL

A  Allergy history

B  Temperature

C  Respiratory rate

D  Skin integrity

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

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

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

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

A  Monitoring for tachycardia

B  Measuring blood pressure regularly

C  Assessing for signs of thrombophlebitis

D  Asking the patient about any changes in vision

A  Prodysrhythmic effect

B  Anorexia

C  Bradycardia

D  Bronchospasm

A  Systolic blood pressure 90 mm Hg

B  Weight gain of 5 lb in 1 week

C  Palpated radial and pedal pulses

D  Increased cardiac output

A  2.5 mL

B  2.2 mL

C  1.5 mL

D  3.8 mL

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

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

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

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

A  Prolonged QT interval

B  Agranulocytosis

C  Tachycardia

D  Dyspnea

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

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

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

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

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

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

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

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

A  Amiodarone

B  Flecainide

C  Lidocaine

D  Quinidine

A  Sotalol

B  Verapamil

C  Adenosine

D  Flecainide

A  Sotalol

B  Dofetilide

C  Diltiazem

D  Adenosine

A  Lung disease

B  Tuberculosis

C  Epilepsy

D  Liver cirrhosis

A  Class III

B  Class II

C  Class Ia

D  Class IV

A  Sotalol

B  Droperidol

C  Haldoperidol

D  Terbutaline

A  Pulmonary toxicity

B  Torsades de pointes

C  Altered blood glucose levels

D  Prodysrhythmic effect

A  Class III

B  Class IV

C  Class II

D  Class Ic

A  Class II

B  Class IV

C  Class I

D  Class III

A  Whole milk

B  Gluten

C  Poultry

D  Grapefruit juice

A  Atenolol

B  Verapamil

C  Lidocaine

D  Amiodarone

A  Bundle of His

B  SA node

C  AV node

D  Purkinje fibers