Sotalol rather than amiodarone was chosen as the first antidysrhythmic agent used for Mr Thomas. What reasons might have prompted this decision?
What will be an ideal response?
Suggested response: Of primary importance is that beta-blockers reduce mortality in the post infarc tion population. Therefore, an antidysrhythmic with beta-blocker effects pushes the antidysrhythmic decision towards sotalol. Amiodarone is a superior antidysrhythmic to sotalol but the risk of serious side effects over a possible lifetime of treatment in a young man becomes important. Finally, Mr T worked outdoors and for longer hours in summer. His recreations were also outdoors and the risk of photosensitivity and dermal changes from amiodarone were thus very relevant to him.
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vThe client asks the nurse to leave her sleeping pill at the bedside because she wants to read for a few more minutes before going to sleep. The most appropriate action for the nurse to take would be to:
a. leave the pill as requested. b. tell the client to call the nurse when she is ready for her medication. c. tell the client she can take it now or not at all as this is when it is ordered. d. leave the pill as requested and check back in half an hour to be sure the client took the medication.
A client shows the nurse a bottle of lotion that she purchased since it claimed to cure arthritis. Which of the following should the nurse respond to this client?
a. How long does it take to cure arthritis? b. I need to purchase this for myself. c. It would be wise to question anything that claims to cure arthritis. d. I will see if your doctor can order it for you.
The perinatal nurse is aware that if a respiratory rate of 68 breaths per minute is noted in the newborn, the appropriate nursing actions would include:
Select all answers that apply. A) withholding the feeding. B) continuing assessment of the infant's respiratory rate and color. C) notifying the physician of additional signs or symptoms of respiratory distress. D) documenting the infant's chest measurement.
After teaching a woman with pelvic organ prolapse about dietary and lifestyle measures, which of the following statements would indicate the need for additional teaching?
A) "If I wear a girdle, it will help support the muscles in the area." B) "I should take up jogging to make sure I exercise enough." C) "I will try to drink at least 64 oz of fluid each day." D) "I need to increase the amount of fiber I eat every day."