Mastery EAQ Ch. 25

A  Bronchospasm

B  Bradycardia

C  Cardiac failure

D  Hypotension

A  Constipation

B  Increased bleeding

C  Nausea and vomiting

D  Bradycardia

A  34-year-old treated with amiodarone

B  68-year-old treated with procainamide

C  40-year-old treated with lidocaine

D  54-year-old treated with adenosine

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

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

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  Intravenous (IV) tubing in a delivery pump

B  Pushing IV over 30 seconds.

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

D  Drawing up the medication in a heparin flush

A  “Stop the medication immediately.”

B  “Decrease your dose by half.”

C  “Earplugs are helpful at night.”

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

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

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

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 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  Administer the cough syrup that has been prescribed.

C  Administer medication to help the patient rest.

D  Notify the health care provider regarding this symptom.

A  Bacon and eggs

B  Turkey and cheese sandwich

C  Whole-grain cereal with milk

D  Cheeseburger with French fries

A  Amiodarone

B  Quinidine

C  Flecainide

D  Procainamide

A  AV block

B  Prolonged QT interval

C  Tachycardia

D  Decreased digoxin levels

A  Class Ia drug

B  Class Ic drug

C  Class II drug

D  Class Ib drug

A  Sotalol

B  Amiodarone

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  Prolonged Q-T interval

C  Prominent U wave

D  Prolonged QRS interval

A  Hyperthyroidism, Elevated liver enzymes, Hypertension, Dyspnea

B  Hypertension, Dyspnea, Photosensitivity, Hyperthyroidism

C  Dyspnea, Photosensitivity, Hyperthyroidism, Elevated liver enzymes

D  Photosensitivity, Hyperthyroidism, Elevated liver enzymes, Hypertension

A  Decaffeinated coffee, Eight glasses of water daily

B  More citrus fruits, Extra servings of dairy products

C  Chocolate, More citrus fruits

D  Extra servings of dairy products, Chocolate

A  Class Ic drug

B  Class IV drug

C  Class II drug

D  Class III drug

A  Cardiac monitor rate of 60 beats/min

B  Apical pulse of 58 beats/min

C  Systolic blood pressure of 110 mm Hg

D  Radial pulse of 110 beats/min

A  Amiodarone

B  Adenosine

C  Lidocaine

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

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

A  Hypertension, Blurred vision, Increased appetite

B  Tinnitus, Diarrhea, Blurred vision

C  Diarrhea, Hypertension, Increased appetite

D  Hypertension, Tinnitus, Increased appetite

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

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

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

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

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

B  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

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

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

A  2.8 mL

B  3.2 mL

C  1.8 mL

D  2.0 mL

A  Temperature

B  Respiratory rate

C  Skin integrity

D  Allergy history

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

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

A  Assessing for signs of thrombophlebitis

B  Asking the patient about any changes in vision

C  Measuring blood pressure regularly

D  Monitoring for tachycardia

A  Anorexia

B  Bronchospasm

C  Prodysrhythmic effect

D  Bradycardia

A  Palpated radial and pedal pulses

B  Weight gain of 5 lb in 1 week

C  Increased cardiac output

D  Systolic blood pressure 90 mm Hg

A  3.8 mL

B  2.2 mL

C  2.5 mL

D  1.5 mL

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

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

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  Tachycardia

B  Prolonged QT interval

C  Dyspnea

D  Agranulocytosis

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

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

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

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

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

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

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

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

A  Quinidine

B  Amiodarone

C  Lidocaine

D  Flecainide

A  Adenosine

B  Verapamil

C  Sotalol

D  Flecainide

A  Adenosine

B  Dofetilide

C  Sotalol

D  Diltiazem

A  Epilepsy

B  Liver cirrhosis

C  Tuberculosis

D  Lung disease

A  Class IV

B  Class III

C  Class II

D  Class Ia

A  Sotalol

B  Haldoperidol

C  Droperidol

D  Terbutaline

A  Torsades de pointes

B  Altered blood glucose levels

C  Prodysrhythmic effect

D  Pulmonary toxicity

A  Class II

B  Class Ic

C  Class IV

D  Class III

A  Class III

B  Class II

C  Class IV

D  Class I

A  Gluten

B  Grapefruit juice

C  Poultry

D  Whole milk

A  Lidocaine

B  Amiodarone

C  Verapamil

D  Atenolol

A  AV node

B  Purkinje fibers

C  Bundle of His

D  SA node