An 18-month-old toddler is in the emergency department with poor ...

[ereecah]

An 18-month-old toddler is in the emergency department with poor feeding and lethargy. The nurse assesses a rapid, thready pulse, which is too fast to count. The nurse will expect the provider to order which medication to treat this condition?
 
  a. Adenosine
  b. Albuterol
  c. Atropine
  d. Theophylline

Question 2

The nurse is administering amiodarone to a patient who is being treated for a ventricular arrhythmia.
 
  The patient has received a bolus of 150 mg of amiodarone IV and is now receiving a continuous infusion of 1 mg/minute. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 88/54 mm Hg. The nurse will notify the provider and perform which other action?
  a. Continue the amiodarone infusion at 1 mg/minute.
  b. Decrease the rate of the amiodarone infusion to 0.5 mg/minute.
  c. Increase the rate of the amiodarone infusion to 1.5 mg/minute.
  d. Stop the infusion of amiodarone.

[Chou]

Answer to Question 1

ANS: A
Adenosine is given for supraventricular tachycardia. Albuterol and theophylline are bronchodilators, and both will increase the heart rate. Atropine is given for bradycardia and is contraindicated.

Answer to Question 2

ANS: B
Amiodarone has significant adverse effects of hypotension and bradycardia. When these occur, the nurse should slow the infusion rate to prevent or treat these effects.

[ereecah]

Thanks

[Chou]

Welcome