Question 1

The patient recently prescribed quinidine is at highest risk for which common adverse effect?

Accepted Answer

A)  Chills 
B)  Diarrhea 
C)  Nausea 
D)  Rash 
A)  Chills 
B)  Diarrhea 
C)  Nausea 
D)  Rash B

Question 2

A patient is admitted to the acute care telemetry unit with a diagnosis of atrial fibrillation.The physician orders dofetilide (Tikosyn).Before initiating this medication,the nurse will:

Accepted Answer

A)  hold anticoagulant medications. 
B)  remove ECG leads. 
C)  assess potassium level. 
D)  ensure Q-Tc interval is more than 440 to 500 msec. 
A)  hold anticoagulant medications. 
B)  remove ECG leads. 
C)  assess potassium level. 
D)  ensure Q-Tc interval is more than 440 to 500 msec. C

Question 3

What is the action of amiodarone (Cordarone),a class III agent used to treat cardiac dysrhythmias?

Accepted Answer

A)  It acts as a myocardial depressant by inhibiting sodium ion movement. 
B)  It prolongs the duration of the electrical stimulation on cells and the refractory time between electrical impulses. 
C)  It acts as a beta-adrenergic agent. 
D)  It slows the rate of electrical conduction and prolongs the time between contractions. 
A)  It acts as a myocardial depressant by inhibiting sodium ion movement. 
B)  It prolongs the duration of the electrical stimulation on cells and the refractory time between electrical impulses. 
C)  It acts as a beta-adrenergic agent. 
D)  It slows the rate of electrical conduction and prolongs the time between contractions. D

Question 4

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.)

Accepted Answer

A)  cardiac rhythm. 
B)  blood pressure. 
C)  oxygen saturation. 
D)  blood glucose levels. 
E)  liver function tests. 
A)  cardiac rhythm. 
B)  blood pressure. 
C)  oxygen saturation. 
D)  blood glucose levels. 
E)  liver function tests.

Question 5

The nurse is preparing to administer adenosine to a patient with supraventricular tachycardia.Which consideration(s)should the nurse take into account before administration? (Select all that apply.)

Accepted Answer

A)  Constant ECG monitoring is necessary. 
B)  Initial recommended dosage is 12 mg IV bolus. 
C)  Rapid IV bolus administration is recommended. 
D)  Saline flush following bolus is necessary. 
E)  Long half-life of adenosine may prolong adverse medication effects. 
A)  Constant ECG monitoring is necessary. 
B)  Initial recommended dosage is 12 mg IV bolus. 
C)  Rapid IV bolus administration is recommended. 
D)  Saline flush following bolus is necessary. 
E)  Long half-life of adenosine may prolong adverse medication effects.

Question 6

Amiodarone is contraindicated for patients with which condition?

Accepted Answer

A)  Pulmonary edema 
B)  Severe sinus node dysfunction causing bradycardia 
C)  Atrial fibrillation 
D)  Premature ventricular contractions (PVCs) 
A)  Pulmonary edema 
B)  Severe sinus node dysfunction causing bradycardia 
C)  Atrial fibrillation 
D)  Premature ventricular contractions (PVCs)

Question 7

A patient is taking amiodarone (Cordarone)for hypertrophic cardiomyopathy and begins to complain of dizziness.What will the nurse instruct the patient to do?

Accepted Answer

A)  Discontinue the medication immediately. 
B)  Decrease the medication dosage for 1 week,and then resume the original order. 
C)  Change positions slowly. 
D)  Increase the dosage per healthcare provider directions. 
A)  Discontinue the medication immediately. 
B)  Decrease the medication dosage for 1 week,and then resume the original order. 
C)  Change positions slowly. 
D)  Increase the dosage per healthcare provider directions.

Question 8

Which statement is true regarding the antidysrhythmic agent adenosine (Adenocard)?

Accepted Answer

A)  It is synthesized from petroleum products. 
B)  It is created through recombinant DNA. 
C)  It is extracted from plants. 
D)  It is a naturally occurring chemical in the body. 
A)  It is synthesized from petroleum products. 
B)  It is created through recombinant DNA. 
C)  It is extracted from plants. 
D)  It is a naturally occurring chemical in the body.

Question 9

Which symptom will the nurse encourage the patient taking flecainide to report to the healthcare provider?

Accepted Answer

A)  Headache 
B)  Dizziness 
C)  Constipation 
D)  Weight gain 
A)  Headache 
B)  Dizziness 
C)  Constipation 
D)  Weight gain

Question 10

A patient who is started on phenytoin (Dilantin),who is also taking amiodarone (Cordarone),should be assessed for what possible effect?

Accepted Answer

A)  Central nervous system depression and sedation 
B)  Decrease in effectiveness of phenytoin 
C)  Respiratory depression 
D)  Increase in serum phenytoin levels 
A)  Central nervous system depression and sedation 
B)  Decrease in effectiveness of phenytoin 
C)  Respiratory depression 
D)  Increase in serum phenytoin levels

Question 11

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.)

Accepted Answer

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. 
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.

Question 12

Patients who are on neuromuscular blocking agents and lidocaine must be closely observed for which complication?

Accepted Answer

A)  Hyperkalemia 
B)  Respiratory depression 
C)  Neurotoxicity 
D)  Seizures 
A)  Hyperkalemia 
B)  Respiratory depression 
C)  Neurotoxicity 
D)  Seizures

Question 13

How many milligrams of lidocaine will the nurse administer via intravenous (IV)bolus to a 30-year-old patient with ventricular tachycardia who weighs 75 kg after a myocardial infarction?

Accepted Answer

A)  10 
B)  25 
C)  50 
D)  75 
A)  10 
B)  25 
C)  50 
D)  75

Question 14

A patient is admitted to the telemetry unit with a diagnosis of cardiovascular disease.When performing the initial assessment,the nurse records blood pressure in the left arm of 142/84,blood pressure in the right arm of 138/80,temperature of 98.8°F,and radial pulse of 80 that is weak and irregular.The nurse should notify the physician regarding:

Accepted Answer

A)  both blood pressure and pulse. 
B)  blood pressure only. 
C)  pulse only. 
D)  both blood pressure and temperature. 
A)  both blood pressure and pulse. 
B)  blood pressure only. 
C)  pulse only. 
D)  both blood pressure and temperature.

Question 15

Which lidocaine preparation is appropriate for the treatment of cardiac dysrhythmias?

Accepted Answer

A)  0.1% lidocaine with preservative 
B)  2% lidocaine for topical use 
C)  Lidocaine patch 
D)  Injectable lidocaine without preservative 
A)  0.1% lidocaine with preservative 
B)  2% lidocaine for topical use 
C)  Lidocaine patch 
D)  Injectable lidocaine without preservative

Exam 23: Drugs Used to Treat Dysrhythmias

The patient recently prescribed quinidine is at highest risk for which common adverse effect?

A patient is admitted to the acute care telemetry unit with a diagnosis of atrial fibrillation.The physician orders dofetilide (Tikosyn).Before initiating this medication,the nurse will:

What is the action of amiodarone (Cordarone),a class III agent used to treat cardiac dysrhythmias?

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.)

The nurse is preparing to administer adenosine to a patient with supraventricular tachycardia.Which consideration(s)should the nurse take into account before administration? (Select all that apply.)

Amiodarone is contraindicated for patients with which condition?

A patient is taking amiodarone (Cordarone)for hypertrophic cardiomyopathy and begins to complain of dizziness.What will the nurse instruct the patient to do?

Which statement is true regarding the antidysrhythmic agent adenosine (Adenocard)?

Which symptom will the nurse encourage the patient taking flecainide to report to the healthcare provider?

A patient who is started on phenytoin (Dilantin),who is also taking amiodarone (Cordarone),should be assessed for what possible effect?

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.)

Patients who are on neuromuscular blocking agents and lidocaine must be closely observed for which complication?

How many milligrams of lidocaine will the nurse administer via intravenous (IV)bolus to a 30-year-old patient with ventricular tachycardia who weighs 75 kg after a myocardial infarction?

Which lidocaine preparation is appropriate for the treatment of cardiac dysrhythmias?

Drug Definitions, standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

The Nursing Process and Pharmacology

Patient Education to Promote Health

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs Affecting the Autonomic Nervous System

Drugs Used for Sleep

Drugs Used to Treat Neurodegenerative Disorders

Drugs Used for Anxiety Disorders

Drugs Used for Depressive and Bipolar Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Drugs Used for Pain Management

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Drugs Used to Treat Nausea and Vomiting

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Mens and Womens Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used to Treat Cancer

Drugs Used to Treat the Musculoskeletal System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

Substance Abuse

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