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Author Question: The nurse identifies a nursing diagnosis of Nausea secondary to the effects of antiarrhythmic ... (Read 106 times)

jessicacav

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The nurse identifies a nursing diagnosis of Nausea secondary to the effects of antiarrhythmic therapy. Which of the following would the nurse include in the client's plan of care? Select all that apply.
 
  A) Administering the drug with food
  B) Having the client lie flat for 2 hours after eating
  C) Scanning the client's bladder for distention
  D) Offering small, frequent meals
  E) Encouraging gradual position changes

Question 2

A client receiving antiarrhythmic therapy develops a new arrhythmia due to the administration of the drug. The nurse documents this as which of the following?
 
  A) Cinchonism
  B) Refractory period
  C) Proarrhythmic effect
  D) Action potential



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paavo

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Answer to Question 1

Ans: A, D
Feedback:
To combat nausea, the nurse would administer the drug with food and offer the client small, frequent meals. The nurse would encourage the client to keep his head at least 4 inches higher than his feet when resting or reclining. Scanning for bladder distention would be appropriate if the client experienced urinary retention. Encouraging gradual position changes would be appropriate for the client at risk for injury from dizziness or lightheadedness.

Answer to Question 2

Ans: C
Feedback:
The development of a new arrhythmia due to drug administration is referred to as a proarrhythmic effect. Cinchonism refers to quinidine toxicity. Refractory period refers to the quiet period between the transmission of nerve impulses along a nerve fiber. Action potential refers to the electrical impulse that passes from cell to cell in the myocardium of the heart and stimulates the fibers to shorten, causing heart muscles to contract.




paavo

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