A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

Bradycardia

Fever

Hypertension

Bradypnea

Answer and Explanation

The Correct Answer is A

A.   Bradycardia: Amiodarone, an antiarrhythmic medication, can cause bradycardia as an adverse effect due to its negative chronotropic effects on the heart's electrical conduction system. Bradycardia is a common adverse effect of amiodarone and requires monitoring during therapy.
B.   Fever: Fever is not a typical adverse effect of amiodarone. If a client develops a fever while taking amiodarone, other potential causes should be investigated.
C.   Hypertension: Hypertension is not a typical adverse effect of amiodarone. Amiodarone is more commonly associated with bradycardia and hypotension.
D.   Bradypnea: Bradypnea, or slow respiratory rate, is not a typical adverse effect of amiodarone.

Respiratory adverse effects of amiodarone are more commonly related to pulmonary toxicity, such as pulmonary fibrosis or pneumonitis.

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Correct Answer is A

Explanation

A. Filing a report with the facility to document the incident as a near miss medication error is essential for tracking and investigating medication errors to prevent future occurrences.
B. While contacting the prescribing provider may be necessary, the priority is to report the error internally within the facility.
C. While documenting the nurse's actions is important, it is essential to report the error through the appropriate channels within the facility.
D. While informing the client about the error is necessary, the immediate action should be to report the error internally within the facility.

A. Have another nurse verify the medication for the secondary infusion. B. Flush the IV site with sterile water prior to connecting the secondary infusion. C. Hang the secondary infusion higher than the primary IV infusion. D. Disconnect the primary IV infusion to connect the secondary infusion. E. None F. None

Correct Answer is C

Explanation

A.While medication verification is important, this is not specific to administering an intermittent IV bolus. It is standard practice for high-alert medications, not routine antibiotics.

B. Flushing the IV site with sterile water prior to connecting the secondary infusion is not standard practice. Normal saline is typically used to maintain patency, but it is not necessary before connecting the secondary infusion.
C.To administer a secondary infusion (e.g., antibiotic), the secondary bag must be hung higher than the primary infusion. This allows gravity to prioritize the secondary infusion through the Y-site.

D. Disconnecting the primary IV infusion to connect the secondary infusion is not correct. The secondary infusion should connect to the primary line without disrupting the ongoing infusion unless otherwise indicated.

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A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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