This topic contains a solution. Click here to go to the answer

Author Question: The nurse and a home health patient have established this expected outcome: The patient will be free ... (Read 68 times)

TFauchery

  • Hero Member
  • *****
  • Posts: 500
The nurse and a home health patient have established this expected outcome: The patient will be free from adverse effects of administration of diltiazem (Cardizem). Which finding indicates this outcome has not been met?
 
  1. The patient complains of headache at each visit by the nurse.
  2. The patient has 3+ edema in the ankles and feet.
  3. The patient says, Everything I eat tastes like metal.
  4. The patient says, I got so dizzy yesterday that I had to lie down for a while.
  5. The patient's face is flushed.

Question 2

A patient is prescribed an additional once-daily antidysrhythmic drug to control persistent atrial fibrillation. What instructions should the nurse provide for this patient?
 
  1. Take your first dose of this new medication before you go to bed tonight.
  2. Do not eat or drink anything for 2 hours after taking the new medication.
  3. Before you get out of bed in the morning, sit up on the side of the bed for a few minutes.
  4. Plan to return to the clinic to have your electrolytes checked in 2 weeks.
  5. Contact the clinic if you notice any loss of hair from your head.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

LP

  • Sr. Member
  • ****
  • Posts: 302
Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: Headache is a potential adverse effect of diltiazem.
Rationale 2: Edema of the ankles and feet is a potential adverse effect of diltiazem.
Rationale 3: Metallic taste is not an expected adverse effect of diltiazem.
Rationale 4: Dizziness is an expected adverse effect of diltiazem.
Rationale 5: Facial flushing is not an expected adverse effect of diltiazem.

Answer to Question 2

Correct Answer: 1,3,4
Rationale 1: The addition of a second medication makes the patient prone to hypotension. Taking the drug right before bedtime is a safety precaution.
Rationale 2: There is no reason to avoid oral intake for 2 hours after an antidysrhythmic medication.
Rationale 3: Orthostatic hypotension can be an adverse effect of antidysrhythmic medications, particularly when multiple drugs are taken. Sitting on the side of the bed before arising is a safety precaution.
Rationale 4: Electrolyte imbalance can occur secondary to drug therapy for dysrhythmia. Electrolyte levels should be monitored.
Rationale 5: Hair loss is not an expected adverse effect of antidysrhythmic medications.





 

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

For a complete list of videos, visit our video library