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Author Question: A 48-year-old male patient with no known history of cardiovascular disease has presented to the ... (Read 65 times)

fagboi

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on: Jul 23, 2018
A 48-year-old male patient with no known history of cardiovascular disease has presented to the emergency department in atrial flutter. The on-call cardiologist has ordered propafenone PO 150 mg every 8 hours for 24 hours.
 
  What is the cardiac care nurse's priority assessment during this period? A) Every 1 hour monitoring of potassium levels
  B) Blood pressure monitoring every 10 minutes
  C) Echocardiography
  D) Continuous ECG monitoring

Question 2

An older adult patient is experiencing diarrhea. Which of the following is a likely cause of diarrhea?
 
  A) Fluid volume deficit
  B) Antihypertensive agents
  C) Laxative abuse
  D) Anemia


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jointhecircus

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Feedback:
Propafenone may cause new dysrhythmias or aggravate preexisting dysrhythmias, sometimes causing sustained ventricular tachycardia or ventricular fibrillation. As a result, continuous ECG monitoring is necessary at the initiation of treatment. This is a priority over serial potassium levels or echocardiography. Blood pressure should ideally be monitored more frequently than every 10 minutes.

Answer to Question 2

C
Feedback:
Laxative abuse is associated with diarrhea. This phenomenon is particularly common among older adults. Antihypertensive agents and anemia are not associated with diarrhea. Fluid volume deficit is a result, not cause, of diarrhea.


fagboi

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Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

parshano

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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