Author Question: The patient will receive an IV infusion of milrinone (Primacor) as treatment for acute heart ... (Read 59 times)

ghost! · **on:** Jul 23, 2018

The patient will receive an IV infusion of milrinone (Primacor) as treatment for acute heart failure. What is the priority plan by the nurse?

1. Plan to monitor for atrial fibrillation.
2. Plan to monitor the ECG continuously.
3. Plan to take vital signs every 15 minutes.
4. Plan to monitor for hypertension.

Question 2

The physician orders metoprolol (Toprol-XL) for several patients. The nurse will hold the medication and contact the physician for which patient?

1. The patient with an apical pulse rate of 100
2. The patient with compensated heart failure
3. The patient with chronic bronchitis
4. The patient with a history of migraines

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

Answer to Question 1

Correct Answer: 2
Rationale: The patient's ECG is usually monitored continuously during the infusion of milrinone (Primacor). Vital signs should be assessed continuously, not every 15 minutes, while the patient receives milrinone (Primacor). Hypotension, not hypertension, is an adverse effect of milrinone (Primacor). Ventricular dysrhythmias, not atrial fibrillation, are an adverse effect of milrinone (Primacor).

Answer to Question 2

Correct Answer: 3
Rationale: Beta-blockers are contraindicated for patients with chronic bronchitis. Beta-blockers may be used for patients with migraines. Beta-blockers may be used for patients with compensated heart failure. Beta-blockers may be used for patients with apical pulse rates of 100.