A patient who has been taking medication for a month for an atrial dysrhythmia returns to the clinic for a checkup. Which statements indicate the nurse should plan extra time with the patient for additional teaching?
1. "Since I can't drink coffee anymore, I have started drinking diet cola in the mornings."
2. "I have found that a glass of wine after work and one with dinner helps me to relax from my stressful job."
3. "We have celebrated several birthdays since I saw you last. I love chocolate birthday cake."
4. "I have really worked at stopping my smoking since I was last here."
5. "My friends and I have found several restaurants in our area that offer good, low-fat meals."
Correct Answer: 1,2,3
Rationale 1: Unless the diet cola is decaffeinated, it should also be avoided.
Rationale 2: Alcohol should be limited when taking medications for atrial arrhythmias.
Rationale 3: Chocolate contains caffeine, which should be avoided when taking medications for atrial arrhythmias.
Rationale 4: Smoking cessation should be encouraged in patients taking medications for atrial dysrhythmia.
Rationale 5: Lowered fat intake is encouraged in patients taking medications for atrial arrhythmias.
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