Twelve hours after a client begins receiving IV verapamil HCl, ...

[rmenurse]

Twelve hours after a client begins receiving IV verapamil HCl, blood pressure is 89/60 with a pulse rate of 45 beats per minute. The nurse should:
 
  a. decrease the verapamil infusion rate. c. retake the vital signs in 15 minutes.
  b. lower the head of the client's bed. d. stop the verapamil infusion.

Question 2

The nurse caring for a client receiving intravenous lidocaine should:
 
  a. assess client for corneal granular deposits.
  b. have the client remain in the supine position throughout administration.
  c. monitor the apical pulse every five minutes during administration.
  d. monitor the serum lidocaine level for signs of toxicity.

[at]

Answer to Question 1

ANS: D

Feedback
A Incorrect: The infusion should be stopped.
B Incorrect: This will not counteract the effects of verapamil.
C Incorrect: The client should be on hemodynamic monitoring.
D Correct: The infusion should be stopped, the IV access maintained patent, and the health care provider notified, unless there is a protocol for nurse to follow.

Answer to Question 2

ANS: B

Feedback
A Incorrect: This is an adverse effect of amiodarone.
B Correct: Clients should be in the supine position when receiving IV lidocaine.
C Incorrect: This is not an intervention for IV lidocaine.
D Incorrect: This is not an intervention for IV lidocaine.

[rmenurse]

Excellent

[T4T]

Thanks for the timely response, appreciate it