The nurse is teaching a group of nursing students about dofetilide [Tikosyn] to treat dysrhyth-mias. Which statement by a student indicates understanding of the teaching?
a. "Dofetilide is a first-line medication to treat atrial flutter or atrial fibrillation."
b. "Dofetilide carries a lower risk of causing torsades de pointes than other drugs."
c. "Dofetilide is used for patients with se-vere symptoms of atrial dysrhythmias."
d. "Dofetilide may be safely used as outpa-tient therapy to treat atrial fibrillation."
C
Dofetilide is used for patients with severe, highly symptomatic atrial dysrhythmias because of its higher than usual risk of torsades de pointes. It is used only when other medications have not been effective. It is used for hospitalized patients with close ECG monitoring.
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An older adult patient with a recent history of syncope has undergone an initial diagnostic workup that has failed to identify the cause of his fainting
As a result, continuous electrocardiographic (ECG) monitoring (Holter monitoring) has been ordered. When initiating this diagnostic testing, what patient education should the nurse provide? A) "Record your activities in your log so that they can be cross-referenced with your ECG readings." B) "As much as possible, try to remain lying down or sitting until your Holter monitoring has been completed." C) "Avoid exposing yourself to electrical devices and appliances while you're wearing your monitor." D) "You'll need to temporarily stop taking your normal medications while you're wearing your monitor."
A complication of immobility that affects the musculoskeletal system is
A) contractures. B) pressure sores. C) thrombus. D) infection.
What should the nurse take into consideration when planning nursing care for a client experiencing an acute episode of RA?
a. inflammation of the synovial membrane rarely occurs b. bony ankylosis of a joint is irreversible and causes immobility c. complete immobility is desired during the acute phase of inflammation d. redness and swelling of a joint signify irreversible damage has occurred.
The physician prescribes furosemide (Lasix) 40 mg IV push (IVP) now, methylprednisolone (Solu-Medrol)
75 mg IVP now, and ceftriaxone (Rocephin) 1 g IV piggyback after the furosemide (Lasix). Indicate the expected outcome for V.M. that is associated with each of the medications he is receiving.