A client admitted to a health care facility with cardiac ...

[2125004343]

A client admitted to a health care facility with cardiac arrhythmia is prescribed propranolol. Which of the following would the nurse closely monitor as part of the ongoing assessment during the therapy?
 
  A) Pulse rate
  B) Tendon reflexes
  C) Hydration
  D) Visual acuity

Question 2

A nurse is caring for a client receiving an oral antiarrhythmic drug. Which apical pulse rate would lead the nurse to withhold the drug and notify the health care provider immediately?
 
  A) 58 beats/min
  B) 68 beats/min
  C) 78 beats/min
  D) 88 beats/min

[patma1981]

Answer to Question 1

Ans: A
Feedback:
During antiarrhythmic drug therapy, the nurse should closely monitor the client's pulse rate. A change in the pulse rate and rhythm will help the nurse assess a response to drug therapy, the development of signs of heart failure, the development of a new cardiac arrhythmia, or worsening of the arrhythmia being treated. It is not necessary to monitor the tendon reflexes, hydration, or visual acuity when administering an antiarrhythmic drug to the client.

Answer to Question 2

Ans: A
Feedback:
The nurse should withhold the drug and report to the primary health care provider whenever the client's pulse rate falls below 60 beats/min or rises to more than 120 beats/min. Pulse rates of 68 beats/min, 78 beats/min, and 88 beats/min fall within the normal range.

[2125004343]

Thanks

[patma1981]

Welcome