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

[waynest]

The nurse is providing patient education for a patient who will be undergoing long-term therapy with procainamide (Procanbid). The nurse is discussing possible adverse effects and should include the possible development of
 
  a. a lupuslike syndrome.
  b. hypertension.
  c. pulmonary fibrosis.
  d. bronchospasm.

Question 2

The nurse is caring for a patient in the cardiac care unit who is receiving lidocaine. The patient appears confused and drowsy and complains of numbness and tingling. During the physical assessment, the patient begins having convulsions.
 
  The nurse should prepare for immediate intravenous administration of
  a. digoxin (Lanoxin).
  b. diazepam (Valium).
  c. verapamil (Calan).
  d. quinidine.

[jrpg123456]

Answer to Question 1

ANS: A
A lupuslike syndrome may occur with prolonged treatment; however, once the procainamide is discontinued, the symptoms resolve. The nurse should discuss the signs and symptoms of the lupuslike syndrome so that the patient can notify his health care provider, who will change his medication.
Hypertension, pulmonary fibrosis, and bronchospasm are not long-term effects of procainamide.

Answer to Question 2

ANS: B
The patient is displaying signs and symptoms of lidocaine toxicity, which is managed with diazepam or phenytoin.
Digoxin, verapamil, and quinidine are not indicated for the management of lidocaine toxicity.

[waynest]

Both answers were spot on, thank you once again

[jrpg123456]

Great! Please up vote