Author Question: Discharge orders for a client who suffered a myocardial infarction 5 days ago state, Continue home ... (Read 43 times)

TFauchery · **on:** Jul 23, 2018

Discharge orders for a client who suffered a myocardial infarction 5 days ago state, Continue home medications. The client's medications include flecainide (Tambocor). How should the nurse proceed?

1. Include instructions for the client to rise slowly to an upright position.
2. Instruct the client to limit alcohol intake to very moderate amounts.
3. Contact the health care provider to verify whether the client is to restart the flecainide.
4. Instruct the client to carry a medic alert card at all times with instructions for flecainide.

Question 2

A client who underwent cardioversion for atrial fibrillation is prescribed amiodarone (Cordarone). Which testing should the nurse ensure has been completed before the client starts this medication?

1. A hearing test
2. A fasting blood sugar
3. A pulmonary lung function test
4. A 24-hour urine test for creatinine

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Instructions for taking flecainide should not be included until another action is taken.
Rationale 2: Instructions for taking flecainide should not be included until another action is taken.
Rationale 3: Flecainide is contraindicated in clients who have experienced a recent MI. The nurse should verify the order.
Rationale 4: Instructions for taking flecainide should not be included until another action is taken.
Global Rationale: Flecainide is contraindicated in clients who have experienced a recent MI. The nurse should verify the order. Instructions for taking flecainide should not be included until another action is taken.

Answer to Question 2

Correct Answer: 3
Rationale 1: Amiodarone does not affect hearing.
Rationale 2: Amiodarone does not have a direct effect on blood sugar levels.
Rationale 3: The most serious side effect of amiodarone can occur in the lungs. Because pulmonary toxicity can be fatal, baseline and periodic assessment of lung function is essential.
Rationale 4: Amiodarone is excreted primarily through the liver. There is no reason to obtain a 24-hour urine test for creatinine.
Global Rationale: The most serious side effect of amiodarone can occur in the lungs. Because pulmonary toxicity can be fatal, baseline and periodic assessment of lung function is essential. Amiodarone does not affect hearing or have a direct effect on blood sugar levels. Amiodarone is excreted primarily through the liver. There is no reason to obtain a 24-hour urine test for creatinine.