This topic contains a solution. Click here to go to the answer

Author Question: The nurse is preparing to administer procainamide (Pronestyl) intravenously for conversion of atrial ... (Read 179 times)

amal

  • Hero Member
  • *****
  • Posts: 572
The nurse is preparing to administer procainamide (Pronestyl) intravenously for conversion of atrial flutter. How should the nurse position the client?
 
  1. In Trendelenburg position
  2. Prone
  3. Supine
  4. With the head of the bed elevated

Question 2

A client is started on sotalol (Betapace) for conversion of atrial fibrillation. Which finding requires immediate nursing action?
 
  1. A widening of the QRS complex
  2. Complaints of a flutter feeling in the chest
  3. Complaints of headache
  4. Increased blood glucose level



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

amandalm

  • Sr. Member
  • ****
  • Posts: 306
Answer to Question 1

Correct Answer: 3
Rationale 1: The Trendelenburg position would be used in the event of a hypotensive episode.
Rationale 2: The prone position is not used because it inhibits access to the airway.
Rationale 3: The supine position should be maintained with IV infusion of Pronestyl due to the increased risk of hypotension.
Rationale 4: The head of the bed should not be elevated due to risk of hypotension with IV infusion of Pronestyl.
Global Rationale: The supine position should be maintained with IV infusion of Pronestyl due to the increased risk of hypotension. The Trendelenburg position would be used in the event of a hypotensive episode. The prone position is not used because it inhibits access to the airway. The head of the bed should not be elevated due to risk of hypotension with IV infusion of Pronestyl.

Answer to Question 2

Correct Answer: 1
Rationale 1: Sotalol delays repolarization and prolongs the refractory period, thus widening the QT interval. Widening of the QRS complex can be a precursor to ventricular tachycardia. The health care provider should be alerted immediately, and the medication held.
Rationale 2: Complaints of a flutter feeling in the chest are characteristic of atrial fibrillation, for which the client is receiving treatment.
Rationale 3: There is no indication that treatment with sotalol induces headache as an adverse effect.
Rationale 4: There is no evidence that sotalol increases blood glucose levels.
Global Rationale: Sotalol delays repolarization and prolongs the refractory period, thus widening the QT interval. Widening of the QRS complex can be a precursor to ventricular tachycardia. The health care provider should be alerted immediately, and the medication held. Complaints of a flutter feeling in the chest are characteristic of atrial fibrillation, for which the client is receiving treatment. There is no indication that treatment with sotalol induces headache or increased blood glucose levels as an adverse effect.




amal

  • Member
  • Posts: 572
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


ttt030911

  • Member
  • Posts: 315
Reply 3 on: Yesterday
Gracias!

 

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

For a complete list of videos, visit our video library