A patient who is prescribed oral quinidine (Quinaglute) for a tachydysrhythmia is on a cardiac monitor, which shows lengthening PR intervals. What is your best action?
a. Perform a 12-lead electrocardiogram (ECG).
b. Send a serum potassium level to the laboratory.
c. Document this as an expected action of the drug.
d. Notify the prescriber immediately.
ANS: D
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The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood
What nursing action is most appropriate to institute initially? a. Notify the physician. b. Place the child in Trendelenburg position. c. Apply a new bandage with more pressure. d. Apply direct pressure above the catheterization site.
Which service would be covered under Medicare Part A?
a. Blood draw to assess PT/INR b. Physical therapy visit c. Stay in skilled nursing facility d. Transportation by an ambulance
A client of Asian descent, who is 1 day postsurgery, has not requested pain medication for 8 hr and denies pain. The nurse performs an in-depth pain assessment because knowledge of the client's culture leads the nurse to suspect that the client views pain in what way?
A. As an imbalance of body forces B. As a sign of illness C. As unpleasant and something to be controlled D. As something to be minimized
A difference between dofetilide and ibutilide is that:
A. dofetilide is administered orally, whereas ibutilide is administered intravenously. B. dofetilide acts by blocking sodium channels, whereas ibutilide acts by blocking potassium channels. C. dofetilide is indicated for the treatment of atrial flutters, whereas ibutilide is indicated for the treatment of atrial fibrillation. D. dofetilide is a Class 2 antiarrhythmic drug, whereas ibutilide is a Class 4 antiarrhythmic drug.