Nokea
The nurse is monitoring for adverse effects in a patient who is receiving an amiodarone infusion. Which are adverse effects for amiodarone? (Select all that apply.)
- A. Tachycardia
- B. Constipation
- C. Chest pain
- D. QT prolongation
- E. Headache
- F. Hypotension
- G. Blue-gray coloring of the skin on the face, arms, and neck
Correct Answer: B,D,F,G
Rationale: Amiodarone can cause constipation, QT prolongation, hypotension, and blue-gray skin discoloration due to its complex pharmacology. Tachycardia, chest pain, and headache are not typical adverse effects.
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A patient is taking procainamide for a cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect?
- A. Bradycardia
- B. Shortened QT interval
- C. Dyspnea
- D. Diarrhea
Correct Answer: D
Rationale: Procainamide, a class Ia antidysrhythmic, can cause gastrointestinal side effects like diarrhea. Bradycardia, shortened QT interval, and dyspnea are not commonly associated with procainamide.
A patient is in the intensive care unit because of an acute myocardial infarction. He is experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of choice for this dysrhythmia?
- A. Diltiazem
- B. Verapamil
- C. Amiodarone
- D. Adenosine
Correct Answer: C
Rationale: Amiodarone is the drug of choice for ventricular dysrhythmias per Advanced Cardiac Life Support guidelines due to its effectiveness in stabilizing ventricular rhythms. Diltiazem, verapamil, and adenosine are used for other dysrhythmias.
A patient is taking quinidine for the treatment of dysrhythmias. The nurse will monitor for which adverse effect of this drug?
- A. Diarrhea
- B. Tachycardia
- C. Tinnitus
- D. Dry mouth
Correct Answer: C
Rationale: Quinidine, a class Ia antidysrhythmic, can cause cinchonism, characterized by tinnitus, hearing loss, and gastrointestinal upset. Diarrhea, tachycardia, and dry mouth are not primary adverse effects.
The nurse notes in the patient's medication orders that the patient will be taking ibutilide. Based on this finding, the nurse interprets that the patient has which disorder?
- A. Ventricular ectopy
- B. Atrial fibrillation
- C. Supraventricular tachycardia
- D. Bradycardia
Correct Answer: B
Rationale: Ibutilide, a class III antidysrhythmic, is used to convert atrial fibrillation or flutter to normal sinus rhythm. It is not indicated for ventricular ectopy, supraventricular tachycardia, or bradycardia.
A patient is in the emergency department with a new onset of rapid-rate atrial fibrillation, and the nurse is preparing a continuous infusion. Which drug is most appropriate for this dysrhythmia?
- A. Diltiazem
- B. Atenolol
- C. Lidocaine
- D. Adenosine
Correct Answer: A
Rationale: Diltiazem is used for rate control in atrial fibrillation by slowing AV node conduction, making it appropriate for rapid-rate atrial fibrillation. Atenolol, lidocaine, and adenosine are not primarily used for this purpose.