The client has just been started on disopyramide (Norpace). The client asks why they are getting so many ECGs. Which is the nurse's best response?
1. The prescriber believes these are necessary.
2. The medication can cause new dysrhythmias to occur.
3. Insurance companies are suggesting this helps with treatment.
4. I will call the prescriber for clarification.
2
Rationale 1:The prescriber is aware of the potential of new dysrhythmias or worsen existing ones and that is why the client is having repeated ECG.
Rationale 2:Sodium channel blockers have the potential to cause new dysrhythmias or worsen existing ones. Frequent ECGs should be obtained to identify them.
Rationale 3:Insurance companies do not suggest treatment plans.
Rationale 4:Calling the prescriber for clarification is incorrect.
Global Rationale: All the sodium channel blockers have the potential to cause new dysrhythmias or worsen existing ones; thus, frequent ECGs should be obtained.
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