This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse provides teaching for a patient who will begin taking procainamide (Procanbid) for long-term ... (Read 27 times)

APUS57

  • Hero Member
  • *****
  • Posts: 571
on: Jul 23, 2018
A nurse provides teaching for a patient who will begin taking procainamide (Procanbid) for long-term suppression of a dysrhythmia. Which statement by the patient indicates a need for further teaching?
 
  a. I need to take this drug at evenly spaced intervals around the clock.
  b. I may have increased bruising, but this is a temporary side effect.
  c. I should report pain and swelling in my joints when taking this drug.
  d. I will need to have blood tests at regular intervals while taking this drug.

Question 2

A patient with atrial fibrillation is taking verapamil (Calan). The patient has read about the drug on the Internet and wants to know why a drug that affects the rate of ventricular contraction is used to treat an abnormal atrial contraction.
 
  What will the nurse tell the patient?
  a. Drugs that treat ventricular dysrhythmias help to restore normal sinus rhythm.
  b. Atrial dysrhythmias can have life-threatening effects on ventricular function.
  c. Treating ventricular dysrhythmias helps prevent the likelihood of stroke.
  d. When ventricular contraction slows, atrial contraction is also slowed.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

hollysheppard095

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Blood dyscrasias are a rare but potentially fatal side effect of procainamide and are an indication for withdrawing the drug. Procainamide should be taken around the clock at evenly spaced intervals. Lupuslike symptoms may occur; inflammation of the joints is one manifestation and should be reported so that antinuclear antibody (ANA) titers can be monitored. Because of the risk of lupuslike symptoms and blood dyscrasias, blood tests need to be done weekly at first and then periodically thereafter.

Answer to Question 2

ANS: B
Dysrhythmic activity in the atria does not significantly reduce cardiac output but can be dangerous when dysrhythmic impulses cross the AV node, causing ventricular dysrhythmias, which can be life threatening. Treating ventricular dysrhythmia helps improve ventricular pumping. These drugs do not restore normal sinus rhythm. To prevent stroke, an anticoagulant, such as warfarin, is used. Slowing ventricular contraction does not affect the rate of atrial contraction. Restoring normal sinus rhythm requires cardioversion, short-term treatment with amiodarone or sotalol, or RF ablation of the dysrhythmia source.


APUS57

  • Hero Member
  • *****
  • Posts: 571
Reply #2 on: Jul 23, 2018
Thanks


hollysheppard095

  • Sr. Member
  • ****
  • Posts: 339
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Autoimmune diseases occur when the immune system destroys its own healthy tissues. When this occurs, white blood cells cannot distinguish between pathogens and normal cells.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

A 19-foot-long blue whale skull in the collections of the Smithsonian Museum of Natural History A 19-foot-long blue whale skull in the collections of the Smithsonian Museum of Natural History
Long-Term Potentiation Long-Term Potentiation
A hearing-impaired patient using an interpreter. A hearing-impaired patient using an interpreter.
Reputable Websites for Patient Education Cont. Reputable Websites for Patient Education Cont.
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Clear the lower leg with long strokes. Start proximal to the ankle, and stroke to the knee and ... Clear the lower leg with long strokes. Start proximal to the ankle, and stroke to the knee and ...
Video: Introduction to Sickle Cell Anemia

For a complete list of videos, visit our video library