A client is prescribed an additional once-daily antidysrhythmic drug to control persistent atrial fibrillation. Which instructions should the nurse provide for this client?
Standard Text: Select all that apply.
1. "Take your first dose of this new medication before you go to bed tonight."
2. "Do not eat or drink anything for 2 hours after taking the new medication."
3. "Before you get out of bed in the morning, sit up on the side of the bed for a few minutes."
4. "Plan to return to the clinic to have your electrolytes checked in 2 weeks."
5. "Contact the clinic if you notice any loss of hair from your head."
Correct Answer: 1,3,4
Rationale 1: The addition of a second medication makes the client prone to hypotension. Taking the drug right before bedtime is a safety precaution.
Rationale 2: There is no reason to avoid oral intake for 2 hours after an antidysrhythmic medication.
Rationale 3: Orthostatic hypotension can be an adverse effect of antidysrhythmic medications, particularly when multiple drugs are taken. Sitting on the side of the bed before arising is a safety precaution.
Rationale 4: Electrolyte imbalance can occur secondary to drug therapy for dysrhythmia. Electrolyte levels should be monitored.
Rationale 5: Hair loss is not an expected adverse effect of antidysrhythmic medications.
Global Rationale: The addition of a second medication makes the client prone to hypotension. Taking the drug right before bedtime is a safety precaution. Orthostatic hypotension can be an adverse effect of antidysrhythmic medications, particularly when multiple drugs are taken. Sitting on the side of the bed before arising is a safety precaution. Electrolyte imbalance can occur secondary to drug therapy for dysrhythmia. Electrolyte levels should be monitored. There is no reason to avoid oral intake for 2 hours after an antidysrhythmic medication. Hair loss is not an expected adverse effect of antidysrhythmic medications.
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