The nurse is providing patient education for a patient who will be undergoing long-term therapy with procainamide (Procanbid). The nurse is discussing possible adverse effects and should include the possible development of
a. a lupuslike syndrome.
b. hypertension.
c. pulmonary fibrosis.
d. bronchospasm.
ANS: A
A lupuslike syndrome may occur with prolonged treatment; however, once the procainamide is discontinued, the symptoms resolve. The nurse should discuss the signs and symptoms of the lupuslike syndrome so that the patient can notify his health care provider, who will change his medication.
Hypertension, pulmonary fibrosis, and bronchospasm are not long-term effects of procainamide.
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