A nurse is providing teaching to a patient who is admitted to the hospital for initiation of treatment with amiodarone [Cordarone] for atrial fibrillation that has been refractory to other medications
Which statement by the patient indicates a need for further teaching? a. "I may have itching, malaise, and jaun-dice, but these symptoms will subside."
b. "I need to use sunblock to help keep my skin from turning bluish gray."
c. "I should not drink grapefruit juice while taking this medication."
d. "I should report shortness of breath and cough and stop taking the drug imme-diately."
A
Amiodarone has many toxic effects. Liver toxicity is rare but serious and should be reported and the drug discontinued. Dermatologic toxicity can occur, and sunblock helps protect the skin, which, with prolonged exposure to the sun, can turn bluish gray. Drinking grapefruit juice can increase amiodarone levels. Pulmonary toxicity is the greatest concern, and patients with pul-monary symptoms should report these to the provider.
You might also like to view...
An IVPB is infusing at 100 mL/h. The strength of the solution in the bag is 0.5 mg/mL. What is the dosage rate in mg/h?
1. 300 mg/h 2. 50 mg/h 3. 200 mg/h 4. 120 mg/h
A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?
A) After breakfast B) Before lunch C) Late afternoon D) Bedtime
If an individual's spouse is asked to make health care decisions for the spouse, which of these legal actions is being implemented?
a. durable power of attorney for health care b. Good Samaritan law c. health care surrogate law d. Patient Self-Determination Act
A client with severe and persistent mental illness who has just moved into a homeless shelter tells
the nurse that his "life just got out of control.". He stated that he could not depend on others, so he kept to himself. Then he added "I am like a leaf at the mercy of the wind.". The nurse adds the nursing diagnosis of powerlessness to his care plan. The outcome that should be identified as most relevant is a. hope. b. self-esteem. c. personal autonomy. d. anxiety self-control.