A patient who is prescribed propafenone (Rythmol) asks how the drug works. What is your best response?

a. "It slows the conduction of electrical impulses in your heart."
b. "It increases your heart rate and the blood flow to your tissues."
c. "It prevents your heart muscle from sensing electrical impulses."
d. "It keeps the conduction of electrical impulses completely normal."


ANS: A

Nursing

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The nurse is assigned to work with a child diagnosed with nephrotic syndrome

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Four weeks before the birth of her already large child, the physician has told the pregnant woman that if the baby gets bigger and his lungs are ready, the physician would like to perform a cesarean to deliver the baby

The woman asks the nurse what the downside is to having a cesarean rather than a vaginal delivery. What is an appropriate response by the nurse? A) "If the physician has recommended the procedure, it's likely that the benefits outweigh the risks." B) "The procedure isn't risky for the baby, but your healing takes longer and you'll have a scar." C) "As the baby passes through the birth canal some of the excess fluid is expelled from the lungs. If that doesn't happen there's a higher risk of respiratory distress." D) "Some women don't have any problem delivering large babies. You might want to get a second opinion."

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