Mastery EAQ Ch. 25

A  Bronchospasm

B  Cardiac failure

C  Hypotension

D  Bradycardia

A  Nausea and vomiting

B  Increased bleeding

C  Bradycardia

D  Constipation

A  68-year-old treated with procainamide

B  34-year-old treated with amiodarone

C  54-year-old treated with adenosine

D  40-year-old treated with lidocaine

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

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

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

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

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

B  Drawing up the medication in a heparin flush

C  Pushing IV over 30 seconds.

D  Intravenous (IV) tubing in a delivery pump

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  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  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  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  Turkey and cheese sandwich

B  Cheeseburger with French fries

C  Bacon and eggs

D  Whole-grain cereal with milk

A  Quinidine

B  Procainamide

C  Flecainide

D  Amiodarone

A  AV block

B  Tachycardia

C  Prolonged QT interval

D  Decreased digoxin levels

A  Class Ic drug

B  Class II drug

C  Class Ia drug

D  Class Ib drug

A  Sotalol

B  Atenolol

C  Amiodarone

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  To help relax the blood vessels in the cardiovascular system

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

A  Prolonged P-R interval

B  Prominent U wave

C  Prolonged QRS interval

D  Prolonged Q-T 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  More citrus fruits, Extra servings of dairy products

C  Chocolate, More citrus fruits

D  Extra servings of dairy products, Chocolate

A  Class III drug

B  Class II drug

C  Class IV drug

D  Class Ic drug

A  Apical pulse of 58 beats/min

B  Systolic blood pressure of 110 mm Hg

C  Radial pulse of 110 beats/min

D  Cardiac monitor rate of 60 beats/min

A  Amiodarone

B  Lidocaine

C  Adenosine

D  Epinephrine

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

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

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

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

A  Tinnitus, Diarrhea, Blurred vision

B  Hypertension, Tinnitus, Increased appetite

C  Diarrhea, Hypertension, Increased appetite

D  Hypertension, Blurred vision, Increased appetite

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

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

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

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

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

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

C  Visual changes, Bilirubin levels, Respiratory rate, Echocardiogram

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

A  3.2 mL

B  2.8 mL

C  2.0 mL

D  1.8 mL

A  Allergy history

B  Temperature

C  Skin integrity

D  Respiratory rate

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

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

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

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

A  Assessing for signs of thrombophlebitis

B  Measuring blood pressure regularly

C  Asking the patient about any changes in vision

D  Monitoring for tachycardia

A  Bradycardia

B  Prodysrhythmic effect

C  Bronchospasm

D  Anorexia

A  Increased cardiac output

B  Weight gain of 5 lb in 1 week

C  Systolic blood pressure 90 mm Hg

D  Palpated radial and pedal pulses

A  3.8 mL

B  2.5 mL

C  2.2 mL

D  1.5 mL

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

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

A  Agranulocytosis

B  Tachycardia

C  Dyspnea

D  Prolonged QT interval

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

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

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

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

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  Flecainide

D  Lidocaine

A  Verapamil

B  Sotalol

C  Flecainide

D  Adenosine

A  Sotalol

B  Adenosine

C  Diltiazem

D  Dofetilide

A  Liver cirrhosis

B  Epilepsy

C  Lung disease

D  Tuberculosis

A  Class III

B  Class Ia

C  Class IV

D  Class II

A  Droperidol

B  Sotalol

C  Haldoperidol

D  Terbutaline

A  Pulmonary toxicity

B  Torsades de pointes

C  Prodysrhythmic effect

D  Altered blood glucose levels

A  Class IV

B  Class III

C  Class Ic

D  Class II

A  Class II

B  Class III

C  Class IV

D  Class I

A  Poultry

B  Gluten

C  Grapefruit juice

D  Whole milk

A  Verapamil

B  Atenolol

C  Amiodarone

D  Lidocaine

A  SA node

B  AV node

C  Purkinje fibers

D  Bundle of His