Author Question: The nurse is caring for a patient who reports insomnia since starting the antiarrhythmic agent ... (Read 56 times)

D2AR0N · **on:** Jul 23, 2018

The nurse is caring for a patient who reports insomnia since starting the antiarrhythmic agent prescribed for him or her. What antiarrhythmic agent would the nurse expect this patient is taking?

A) Disopyramide (Norpace)
B) Amiodarone (Cordarone)
C) Procainamide (Pronestyl)
D) Propranolol (Inderal)

Question 2

The nurse is caring for a patient who is having a pump placed to deliver intrathecal baclofen and another patient who will receive dantrolene as a muscle relaxant.

What nursing diagnosis would be appropriate for both care plans? (Select all that apply.) A) Acute pain related to GI effects of drug
B) Risk for injury related to central nervous system (CNS) effects
C) Disturbed body image related to muscle pain
D) Disturbed thought processes related to CNS effects
E) Deficient knowledge related to procedure

mjenn52 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Class II antiarrhythmics can cause insomnia. The adverse effects associated with class II antiarrhythmics are related to the effects of blocking beta-receptors in the sympathetic nervous system. CNS effects include dizziness, insomnia, unusual dreams, and fatigue. Disopyramide and procainamide are class I agents and do not cause insomnia. Amiodarone is a class III drug and is not associated with insomnia.

Answer to Question 2

A, B, D
Feedback:
Acute pain related to GI effects of drug, risk for injury related to CNS effects, and disturbed thought processes related to CNS effects all apply to both patients. Disturbed body image may apply to the patient having the pump placed, but this is not related to muscle pain. Only the patient having the pump placed would need information related to the procedure.