The nurse is caring for a patient who reports insomnia since starting the antiarrhythmic agent prescribed for him or her. What antiarrhythmic agent would the nurse expect this patient is taking?
A) Disopyramide (Norpace)
B) Amiodarone (Cordarone)
C) Procainamide (Pronestyl)
D) Propranolol (Inderal)
D
Feedback:
Class II antiarrhythmics can cause insomnia. The adverse effects associated with class II antiarrhythmics are related to the effects of blocking beta-receptors in the sympathetic nervous system. CNS effects include dizziness, insomnia, unusual dreams, and fatigue. Disopyramide and procainamide are class I agents and do not cause insomnia. Amiodarone is a class III drug and is not associated with insomnia.
You might also like to view...
A patient tells the nurse, "I am going to eat an all-fruit diet. Nothing is more healthful than fruit. Do you think this is a good idea?" How should the nurse respond?
Select all that apply. 1. "Fruit is natural and a good source of carbohydrates." 2. "Fruit is a good source of carbohydrates but a poor source of fats and protein." 3. "Fruit supplies many important vitamins but is a relatively poor source of minerals." 4. "Incorporating fruit with complete sources of protein and healthful fats provides complete nutrition." 5. "A fruit-based diet will reduce your risk of developing diabetes mellitus."
Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy?
a. Care for the surgical incision b. Medications used during surgery c. Deep breathing and coughing techniques d. Oral antibiotic therapy after discharge home
A client is taking oral contraceptives. The nurse instructs her to use another form of birth control when she takes which prescribed medications?
Standard Text: Select all that apply. 1. Ampicillin 2. Tetracycline 3. Warfarin 4. Insulin 5. Theophylline
A student nurse asks a nurse how atropine (Atropair) increases heart rate. What is the nurse's best response?
A. Blocking the beta receptors of the parasympathetic nervous system B. Directly stimulating the sympathetic nervous system C. Potentiating the effects of acetylcholine on nicotinic receptors D. Blocking the effects of acetylcholine by occupying muscarinic receptors