Nokea
The client is taking Flecainide for arrhythmias. What type of anti- arrhythmic medication is this:
- A. Class IB
- B. Class II
- C. Class IB
- D. Class IC
Correct Answer: D
Rationale: The correct answer is D: Class IC. Flecainide belongs to Class IC anti-arrhythmic medications, which work by blocking sodium channels in the heart, slowing down the conduction of electrical impulses. This helps stabilize the heart's rhythm. Class IB medications (Choice A) work by blocking sodium channels as well, but they do not slow conduction as much as Class IC. Class II medications (Choice B) are beta blockers and do not directly affect sodium channels. Choice C is a duplicate of Choice A, which is incorrect.
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To evaluate Mrs. J.'s compliance with home health measures for peripheral vascular disease, which of the following would indicate compliance?
- A. She uses wide rubber bands instead of store-bought garters to hold up her stockings
- B. She has a dry sterile dressing on her foot where she states she cut off a corn
- C. She states she uses hot-water bottles to keep her feet warm at night
- D. She is wearing clean cotton socks with lamb's wool between her toes
Correct Answer: D
Rationale: Proper footwear and protection are essential in preventing complications.
T 1 O2 sat 99 percent. Which number represents the client’s systolic blood pressure?
- A. 16
- B. 120
- C. 60
- D. 99
Correct Answer: B
Rationale: The correct answer is B (120) as a normal systolic blood pressure range is around 90-120 mmHg. A reading of 99% oxygen saturation indicates good oxygen levels, not blood pressure. Choices A (16) and C (60) are too low for a typical systolic blood pressure. Choice D (99) is close but is the O2 saturation, not blood pressure.
The client is preparing to have a cardiac stress test. What does the nurse tell the client to do in order to have the test?
- A. The client must lie still throughout the test.
- B. The client will have an EKG after the test.
- C. The client will run on a treadmill.
- D. The test hurts for only a moment.
Correct Answer: C
Rationale: The correct answer is C: The client will run on a treadmill. During a cardiac stress test, the client is required to exercise on a treadmill to increase the heart rate and monitor the heart's response to physical activity. This helps in diagnosing heart conditions such as coronary artery disease. Choice A is incorrect as the client needs to be physically active during the test. Choice B is incorrect as the EKG is typically done before and during the test, not after. Choice D is incorrect as the test involves continuous exercise and monitoring, not a momentary pain.
The client is taking a statin medication. What common adverse reaction should the nurse warn the client about?
- A. Muscle weakness
- B. Constipation
- C. Diarrhea
- D. Dizziness
Correct Answer: A
Rationale: The correct answer is A: Muscle weakness. Statin medications are known to cause muscle-related side effects, including muscle weakness or pain, due to muscle inflammation or damage. This condition, known as myopathy, can progress to a serious condition called rhabdomyolysis. It is crucial for the nurse to warn the client about this adverse reaction to ensure prompt recognition and management.
Summary of other choices:
B: Constipation - Not a common adverse reaction of statin medications.
C: Diarrhea - Not a common adverse reaction of statin medications.
D: Dizziness - Dizziness is not a common adverse reaction of statin medications.
The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor) if the
- A. patient is restless and agitated.
- B. blood pressure is 90/54 mm Hg.
- C. patient complains about feeling anxious.
- D. heart monitor shows normal sinus rhythm.
Correct Answer: B
Rationale: The correct answer is B because a blood pressure of 90/54 mm Hg indicates hypotension, a common side effect of metoprolol. Metoprolol is a beta-blocker that can cause decreased heart rate and blood pressure. This can lead to symptoms like dizziness, weakness, and fainting. Options A, C, and D are incorrect because restlessness, agitation, feeling anxious, and normal sinus rhythm are not typical side effects of metoprolol.