Mastery EAQ Ch. 25

A  Bradycardia

B  Bronchospasm

C  Cardiac failure

D  Hypotension

A  Constipation

B  Nausea and vomiting

C  Bradycardia

D  Increased bleeding

A  40-year-old treated with lidocaine

B  68-year-old treated with procainamide

C  54-year-old treated with adenosine

D  34-year-old treated with amiodarone

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

C  Drawing up the medication in a heparin flush

D  Pushing IV over 30 seconds.

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

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

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

A  This is a possible adverse reaction to the medication.

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

C  The patient is developing an anaphylactic 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 medication to help the patient rest.

C  Notify the health care provider regarding this symptom.

D  Administer the cough syrup that has been prescribed.

A  Whole-grain cereal with milk

B  Cheeseburger with French fries

C  Bacon and eggs

D  Turkey and cheese sandwich

A  Quinidine

B  Amiodarone

C  Flecainide

D  Procainamide

A  Tachycardia

B  AV block

C  Decreased digoxin levels

D  Prolonged QT interval

A  Class Ic drug

B  Class Ib drug

C  Class II drug

D  Class Ia drug

A  Amiodarone

B  Atenolol

C  Sotalol

D  Diltiazem

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  Hyperthyroidism, Elevated liver enzymes, Hypertension, Dyspnea

B  Dyspnea, Photosensitivity, Hyperthyroidism, Elevated liver enzymes

C  Hypertension, Dyspnea, Photosensitivity, Hyperthyroidism

D  Photosensitivity, Hyperthyroidism, Elevated liver enzymes, Hypertension

A  Chocolate, More citrus fruits

B  Decaffeinated coffee, Eight glasses of water daily

C  Extra servings of dairy products, Chocolate

D  More citrus fruits, Extra servings of dairy products

A  Class Ic drug

B  Class II drug

C  Class IV 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  Amiodarone

D  Adenosine

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

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

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  Tinnitus, Diarrhea, Blurred vision

D  Diarrhea, Hypertension, Increased appetite

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

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

B  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

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

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

A  1.8 mL

B  2.0 mL

C  2.8 mL

D  3.2 mL

A  Respiratory rate

B  Allergy history

C  Temperature

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  Measuring blood pressure regularly

C  Monitoring for tachycardia

D  Assessing for signs of thrombophlebitis

A  Prodysrhythmic effect

B  Bronchospasm

C  Bradycardia

D  Anorexia

A  Systolic blood pressure 90 mm Hg

B  Increased cardiac output

C  Weight gain of 5 lb in 1 week

D  Palpated radial and pedal pulses

A  3.8 mL

B  2.2 mL

C  2.5 mL

D  1.5 mL

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

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

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

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

A  Agranulocytosis

B  Prolonged QT interval

C  Tachycardia

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

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

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

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

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

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

A  Amiodarone

B  Flecainide

C  Lidocaine

D  Quinidine

A  Verapamil

B  Adenosine

C  Sotalol

D  Flecainide

A  Adenosine

B  Sotalol

C  Diltiazem

D  Dofetilide

A  Liver cirrhosis

B  Tuberculosis

C  Epilepsy

D  Lung disease

A  Class II

B  Class III

C  Class Ia

D  Class IV

A  Sotalol

B  Droperidol

C  Haldoperidol

D  Terbutaline

A  Torsades de pointes

B  Altered blood glucose levels

C  Prodysrhythmic effect

D  Pulmonary toxicity

A  Class II

B  Class IV

C  Class III

D  Class Ic

A  Class II

B  Class I

C  Class IV

D  Class III

A  Grapefruit juice

B  Whole milk

C  Gluten

D  Poultry

A  Amiodarone

B  Lidocaine

C  Atenolol

D  Verapamil

A  SA node

B  Purkinje fibers

C  AV node

D  Bundle of His