Author Question: The nurse is preparing to administer procainamide hydrochloride for the first time to a patient ... (Read 63 times)

cherise1989 · **on:** Jul 24, 2018

The nurse is preparing to administer procainamide hydrochloride for the first time to a patient newly diagnosed with atrial fibrillation. Before administering this medication, the nurse will assess (Select all that apply.)

a. cardiac rhythm.
b. blood pressure.
c. oxygen saturation.
d. blood glucose levels.
e. liver function tests.

Question 2

The nurse is preparing to mix a lidocaine infusion for a patient. Which consideration(s) should the nurse take into account before administration? (Select all that apply.)

a. Lidocaine with preservatives should be used.
b. Dextrose 5 is the solution to mix with lidocaine.
c. Therapeutic blood levels should be 1 to 5 mg/L.
d. The rate of administration is 1 to 4 mg/min.
e. Monitor for changes in neurologic status.

owenfalvey · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, B, C
The nurse should assess cardiac rhythm, vital signs, and oxygen saturation to use as a baseline for subsequent evaluation to response. Blood glucose levels and liver function tests are not essential assessments prior to providing procainamide hydrochloride for the first time.

Answer to Question 2

ANS: B, C, D, E
Lidocaine for infusion should be mixed with dextrose 5 solution. Lidocaine administration rate should be 1 to 4 mg/min. Additional nursing considerations include monitoring of therapeutic blood levels (1 to 5 mg/L) and observing for adverse effects to report to the health care provider. Lidocaine for IV use for dysrhythmias is different from lidocaine used as a local anesthetic. For use with dysrhythmias, check the label carefully to be certain it says lidocaine for dysrhythmias or lidocaine without preservatives.