Author Question: A client has been prescribed an antiarrhythmic. Which of the following points should the nurse ... (Read 33 times)

fagboi · **on:** Jul 23, 2018

A client has been prescribed an antiarrhythmic. Which of the following points should the nurse include in the client teaching plan?

A) Decrease the dose if adverse effects occur.
B) Chew the tablets well before swallowing.
C) Take frequent sips of water or chew gum.
D) Take the drug only on an empty stomach.

Question 2

A nurse is caring for a client who is prescribed mexiletine for the treatment of a cardiac arrhythmia. Which adverse reaction would lead the nurse to identify a nursing diagnosis of Risk for Infection?

A) Lightheadedness
B) Dry mouth
C) Agranulocytosis
D) Nausea

aprice35067 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
The nurse should instruct the client to take frequent sips of water or chew gum to avoid dryness of the mouth. The nurse should instruct the client not to stop the medication or change the dose and schedule without consulting the health care provider. The tablets should not be chewed or crushed. They should be swallowed whole. Taking the drug on an empty stomach may cause gastric upset. The drug should be taken with food.

Answer to Question 2

Ans: C
Feedback:
A nursing diagnosis of Risk for Infection related to the adverse reaction of the drug may be made in the case of agranulocytosis. Lightheadedness would lead to a nursing diagnosis of Risk for Injury related to the adverse effect of the drug. Dry mouth leads to a nursing diagnosis of Impaired Oral Mucous Membranes related to the adverse effect of the drug. Nausea does not indicate the implementation of the nursing diagnosis of Risk for Infection.