« previous next »

Author Question: A patient who is prescribed oral quinidine (Quinaglute) for a tachydysrhythmia is on a cardiac ... (Read 24 times)

jasdeep_brar

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A patient who is prescribed oral quinidine (Quinaglute) for a tachydysrhythmia is on a cardiac monitor, which shows lengthening PR intervals. What is the nurse's best action?
 
  a. Perform a 12-lead electrocardiogram (ECG).
  b. Send a serum potassium level to the laboratory.
  c. Document this as an expected action of the drug.
  d. Notify the prescriber immediately.

Question 2

Nausea, vomiting, and an irregular heart rate develop in a patient who takes oral digoxin every morning. What is the nurse's best action?
 
  a. Give prescribed diphenhydramine (Phenergan) as needed.
  b. Check the patient's cardiac monitor strip.
  c. Assess the apical pulse for a full minute.
  d. Check laboratory results for a digoxin level.


jxjsniuniu

  • Sr. Member
  • ****
  • Posts: 343
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Quinidine is a class Ia antidysrhythmic drug that can slow the conduction of electrical impulses through the heart and lengthen the interval between the QRS complex and the T wave. This in-creases the patient's risk for development of an abnormal life-threatening ventricular rhythm called torsades de pointes, which can rapidly lead to ventricular fibrillation.

Answer to Question 2

D
Signs of digoxin overdose (toxicity) include nausea, vomiting, loss of appetite, diarrhea, and vi-sion problems. Other signs include heart rate or rhythm changes, palpitations, and fainting. When these signs and symptoms occur, hold the dose, notify the prescriber, and check the patient's se-rum digoxin level. This drug has a very narrow therapeutic range (0.8 to 2 ng/mL).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

jasdeep_brar

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


jxjsniuniu

  • Sr. Member
  • ****
  • Posts: 343
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

According to animal studies, the typical American diet is damaging to the liver and may result in allergies, low energy, digestive problems, and a lack of ability to detoxify harmful substances.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Physical therapist assisting a patient to walk in the parallel bars. Physical therapist assisting a patient to walk in the parallel bars.
Patient education Patient education
Scheduling patient appointments by telephone. Scheduling patient appointments by telephone.
Patient health history form. Patient health history form.
Instructing a Patient to Use Crutches Correctly Instructing a Patient to Use Crutches Correctly
Sample prescriptions of drugs for oral fungal infections. Sample prescriptions of drugs for oral fungal infections.
Video: Central Nervous System Animation

For a complete list of videos, visit our video library