The nurse is providing information for a patient who will ...

[frankwu]

The nurse is providing information for a patient who will self-administer a twice-daily antidysrhythmic medication at home. Which patient statement would the nurse evaluate as indicating good understanding of this process?
 
  1. If I get the flu, I should stop taking the medication until my fever goes down.
  2. I should take my doses as close to 12 hours apart as I can.
  3. If I forget a dose of medication I should take two pills for the next dose.
  4. If I can't take the medication for a couple of days because I am sick, I should call the clinic for advice.
  5. I should get my prescription refilled before I am completely out of medicine.

Question 2

A patient has been taking a potassium channel blocker for 4 weeks. Which statements would indicate to the nurse that additional time for teaching about the medication should be planned?
 
  1. I got some sunglasses like you said. Do you like them?
  2. Do you have any idea what this rash on my neck and arm is?
  3. I must be getting cataracts. I can't see anything anymore.
  4. I wear sunscreen whenever I am outdoors.
  5. I think that medicine is making my hair gray.

[Anonymous]

Answer to Question 1

Correct Answer: 2,4,5
Rationale 1: Antidysrhythmic medications should not be stopped abruptly.
Rationale 2: Doses of antidysrhythmic medications should be evenly spaced.
Rationale 3: Antidysrhythmic medications should not be double-dosed to make up for missed doses.
Rationale 4: The health care provider should be consulted if the patient is going to miss medication for more than 1 day.
Rationale 5: Abrupt discontinuation of antidysrhythmic medications can have serious side effects, so an adequate supply of the medication should be available.

Answer to Question 2

Correct Answer: 2,3,5
Rationale 1: Potassium channel blockers can cause photosensitivity, and wearing sunglasses protects the eyes.
Rationale 2: Potassium channel blockers can cause skin rashes.
Rationale 3: Potassium channel blockers may cause blurred vision.
Rationale 4: Potassium channel blockers cause increased risk of sunburn.
Rationale 5: There is no connection between potassium channel blockers and the development of gray hair.

[frankwu]

Excellent

[nyrave]

TYSM