The nurse is instructing a client about quinidine, which has been prescribed for supraventricular tachycardia. What should the nurse include in this teaching?
1. Take an extra dose if a dose is missed.
2. Skip a dose if the heart rate is below 100.
3. Take the medication exactly as ordered.
4. Ignore symptoms like dizziness, as this is an expected side effect.
Answer: 3
1. The client is taught never to "make up" a lost dose. The physician should be notified if a dose is missed.
2. The client should be instructed on how to monitor the heart rate, but is not instructed to skip doses. The client should be instructed to notify the physician if the heart rate is irregular.
3. The client must take the medication exactly as ordered.
4. Dizziness is not an expected side effect of these medications, and could indicate that the dysrhythmia has returned.
You might also like to view...
Prior to immersing a patient in a cleansing bath in a Hubbard tank, the nurse should
A) administer an analgesic 20 to 30 minutes before procedure. B) administer antibiotics 20 to 30 minutes before procedure. C) complete ROM exercises. D) ambulate the patient.
A nurse has been asked to speak to a local women's group about preventing cystitis. Which of the following would the nurse include in the presentation?
A) Need to wear underwear made from synthetic material B) Importance of urinating every 4 to 6 hours while awake C) Suggestion to take tub baths instead of showers D) Need to urinate after engaging in sexual intercourse
A nurse regularly records the temperature and blood pressure of a client with a neurologic disorder. The nurse has not observed any change in the vital signs of the client for some days
However, on a particular day, the nurse observes a change in the vital signs of the client. Which of the following actions should the nurse take when a change in the vital signs is observed? A) Inform the physician immediately. B) Note the change and inform the physician at the next occurrence about the change. C) Provide measures to normalize vital signs. D) Assess the level of consciousness (LOC) and the pupil response of the client.
The client is in Buck's traction for a fractured femur. Which does the nurse implement to prevent muscle spasms of the affected leg?
1. Applies traction gradually, gently, and completely 2. Assesses the affected leg with the "five Ps" criterion 3. Eliminates potential pressure points from the traction 4. Ensures unobstructed countertraction to client's pelvis