A patient with impaired renal function is to receive dofetilide ...

[captainjonesify]

A patient with impaired renal function is to receive dofetilide (Tikosyn) for conversion of atrial fibrillation. What is the nurse's priority assessment before administering the drug?
 
  A) Check the patient's creatinine level.
  B) Measure the urine output.
  C) Listen to breath sounds.
  D) Measure the PR interval on the electrocardiogram.

Question 2

The nurse is caring for a patient who is being discharged home from the rehabilitation unit. Baclofen will be discontinued and the patient will begin taking carisoprodol as an outpatient.
 
  What is the nurse's primary consideration about discontinuing administration of baclofen? A) Taper drug over 72 hours to reduce dependence on the drug.
  B) Alternate doses of baclofen and soma over 10 days to prevent drug withdrawal.
  C) Taper drug slowly over 1 to 2 weeks to prevent psychoses and hallucinations.
  D) Start carisoprodol immediately while continuing baclofen at full dose to establish carisoprodol level.

[parker125]

Answer to Question 1

A
Feedback:
When giving dofetilide to a patient with renal dysfunction, the dosage must be calculated according to the patient's creatinine level to ensure the therapeutic effect while limiting toxicity. This drug can only be administered by oral route. Intake and output as well as breath sounds may need to be assessed but are not related to administering the drug. A patient in atrial fibrillation will not have a measurable PR interval.

Answer to Question 2

C
Feedback:
If using baclofen, taper drug slowly over 1 to 2 weeks to prevent the development of psychoses and hallucinations. Giving both drugs at once would risk toxicity and serious adverse effects and would never be done.

[captainjonesify]

Thanks

[parker125]

Welcome