A nurse evaluates prescriptions for a client with chronic atrial fibrillation. Which medication should the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?
a. Sotalol (Betapace)
b. Warfarin (Coumadin)
c. Atropine (Sal-Tropine)
d. Lidocaine (Xylocaine)
ANS: B
Atrial fibrillation puts clients at risk for developing emboli. Clients at risk for emboli are treated with anticoagulants, such as heparin, enoxaparin, or warfarin. Sotalol, atropine, and lidocaine are not appropriate for this complication.
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A patient is receiving a class II antiarrhythmic agent. Review the following drug actions, and choose the one that is applicable to this group of medications
a. They slow the rate of rise of the action potential of the cardiac cell. b. They shorten the duration of the action potential of the cardiac cell. c. They antagonize sympathetic nervous stimulation of cardiac beta receptors. d. They prolong the rise of the action potential and slow repolarization.
A nurse is caring for a client admitted preoperatively for a bilateral mastectomy. Which statement indicates that this client is still in the shock phase of adjustment to her diagnosis?
1. "I can't understand why this is happening to me." 2. "I am so happy that my daughter graduates from high school this year." 3. "I know that breast cancer is now part of my life." 4. "I can't believe that I need to lose both of my breasts."
On admission, the client weighs 165 lb (75 kg). The client reports that this is a weight loss from 180 lb (82 kg). What is this client's percent weight loss?
1. 4.5% 2. 6.25% 3. 8.3% 4. 10.0%
A client is diagnosed with an Axis IV psychiatric diagnosis. Which of the following describes this category of diagnoses?
A) Clinical psychiatric syndromes B) Personality disorders and mental retardation C) Psychosocial and environmental problems D) General medical conditions