Author Question: Which statement by a patient who has been prescribed quinidine (Quinaglute) indicates to the nurse ... (Read 66 times)

jeatrice · **on:** Jul 23, 2018

Which statement by a patient who has been prescribed quinidine (Quinaglute) indicates to the nurse the need for additional teaching?

a. I use over-the-counter St. John's wort to help with my memory.
b. I am careful not to eat too much food that is high in alkaline ash.
c. I check my heart rate and blood pressure at least once a day.
d. I weigh myself every morning at the same time.

Question 2

The intravenous (IV) site of a patient who has been receiving IV therapy for 2 days is red and has a small amount of pus oozing from around the needle. What is the nurse's best action?

a. Document the finding as an expected response to long-term IV therapy as the on-ly action.
b. Immediately notify the prescriber to get an order to discontinue the IV therapy.
c. Use an iodine solution to clean the site and replace the dressing.
d. Discontinue the IV therapy and notify the prescriber.

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

Answer to Question 1

A
Taking St. John's wort at the same time as quinidine can cause decreased serum levels of the drug and decrease the intended effects of the drug. Teach patients to avoid this combination.

Answer to Question 2

D
An infected infusion site is an indication to immediately discontinue the IV therapy. An order is not needed under these circumstances, but the prescriber should be notified.