Discharge orders for a client who suffered a myocardial infarction 5 days ago state, "Continue home medications." The client's medications include flecainide (Tambocor). How should the nurse proceed?
1. Include instructions for the client to rise slowly to an upright position.
2. Instruct the client to limit alcohol intake to very moderate amounts.
3. Contact the health care provider to verify whether the client is to restart the flecainide.
4. Instruct the client to carry a medic alert card at all times with instructions for flecainide.
Correct Answer: 3
Rationale 1: Instructions for taking flecainide should not be included until another action is taken.
Rationale 2: Instructions for taking flecainide should not be included until another action is taken.
Rationale 3: Flecainide is contraindicated in clients who have experienced a recent MI. The nurse should verify the order.
Rationale 4: Instructions for taking flecainide should not be included until another action is taken.
Global Rationale: Flecainide is contraindicated in clients who have experienced a recent MI. The nurse should verify the order. Instructions for taking flecainide should not be included until another action is taken.
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