A patient reports the following symptoms to the nurse: nausea, ...

[jhjkgdfhk]

A patient reports the following symptoms to the nurse: nausea, loss of appetite, blurred and double vision, green yellow halos, vomiting and feeling uneasy. What situation should the nurse suspect?
 
  1. digoxin toxicity
  2. lidocaine toxicity
  3. amiodarone toxicity
  4. procainamide toxicity

Question 2

A nurse is performing cardiopulmonary resuscitation (CPR) on a patient who is in cardiac arrest. An automatic external defibrillator (AED) is available. What activity will allow the nurse to assess the patient's cardiac rhythm?
 
  1. Apply adhesive patch electrodes to the chest and move away from the patient.
  2. Apply standard electrocardiographi c monitoring leads to the patient and observe the rhythm.
  3. Hold the defibrillator paddles directly against the patient's chest.
  4. Connect electrocardiographi c electrodes to a telephone monitoring device and wait until the rhythm is analyzed.

[vboyd24]

Answer to Question 1

Correct Answer: 1
Classic symptoms of digoxin toxicity include anorexia, nausea, vomiting, blurred or double vision, yellow green halos, and new-onset dysrhythmias. Lidocaine toxicity is manifested by changes in neurologic status; amiodarone toxicity is manifested by altered hepatic function, pulmonary fibrosis and photosensitivity; procainamide toxicity is manifested by flu-like symptoms, skin rash and signs of heart failure.

Answer to Question 2

Correct Answer: 1
The nurse applies adhesive patch electrodes to the patient's chest in the usual defibrillator positions, stops CPR, and orders everyone near the patient to move away and not touch the patient. The defibrillator analyzes the rhythm, which may take up to 30 seconds. The machine then indicates if defibrillation is indicated. Standard electrocardiographi c monitoring leads, defibrillator paddles, and telephone monitoring devices are not used with an AED.

[jhjkgdfhk]

Excellent

[T4T]

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