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Pharm 2
Class I Antidysrhythmic Therapy (Sodium Channel Blockers)
| Question | Answer |
|---|---|
| The patient with which medical condition will most likely benefit from lidocaine administered intravenously? | Acute ventricular tachycardia |
| The nurse will monitor for which therapeutic effect while administering quinidine? | Decreased heart rate |
| Which time frame after administration of flecainide would the nurse expect the onset of action to occur? | 3 hours |
| Before administering quinidine, the nurse would assess the patient for which contraindication? | Complete heart block |
| Which symptom, if reported by a patient recently started on quinidine, would the nurse find most concerning? | Shortness of breath |
| A nurse is preparing quinidine to administer to a patient with ventricular dysrhythmia. Which dose of quinidine would cause the nurse to notify the health care provider before administering? | 100 mg every 4 hours |
| A patient with a ventricular dysrhythmia is to receive lidocaine. The health care provider prescribes a lidocaine bolus at 250 mg, which may be repeated in 5 minutes. This is to be followed by a maintenance lidocaine drip at 2 mg/minute for 24 hours. | -- |
| For which part of the prescription will the nurse require clarification? | Bolus dose of 250 mg |
| Before the administration of quinidine, the nurse will review the patient’s medication list for which other drugs that can prolong the QT interval? | -Fluoxetine -Ciprofloxacin -Flecainide -Ondansetron |
| A patient with ventricular tachycardia and a pulse is to receive lidocaine. Before administering lidocaine the nurse will assess for which contraindications to lidocaine? | -First-degree atrioventricular block -Second-degree Mobitz I atrioventricular block -Wolff-Parkinson-White (WPW) syndrome |
| While administering lidocaine, the nurse will monitor for which adverse drug effect? | seizure |
| A nurse administering flecainide to a patient with sustained ventricular tachycardia will monitor the patient for which adverse drug effect? | Angioedema |
| A patient who is prescribed quinidine, a Class I antidysrhythmic drug, tells the nurse that “long, hot baths are enjoyable at the end of a long work day.” Which teaching will the nurse provide to the patient regarding long, hot baths? | Long, hot baths should be avoided because quinidine can lower the blood pressure. |
Created by:
Lightnning54
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