What action should the nurse take prior to administering an intravenous anti-arrhythmic medication such as amiodarone to a client?
Administer a laxative to avoid constipation.
Place an NG tube to decompress the stomach.
Call for respiratory to intubate the client.
Attach the client to a cardiac monitor.
The Correct Answer is D
Choice A reason: This statement is false. The nurse does not need to administer a laxative to the client before giving amiodarone, as amiodarone is not known to cause constipation. Amiodarone is an anti-arrhythmic medication that slows down the electrical impulses in the heart and restores a normal heart rhythm. It does not affect the bowel function or the gastrointestinal motility.
Choice B reason: This statement is false. The nurse does not need to place an NG tube to the client before giving amiodarone, as amiodarone is not known to cause gastric distension. An NG tube is a nasogastric tube that is inserted through the nose and into the stomach to remove air or fluid. It is used for clients who have bowel obstruction, vomiting, or bleeding. Amiodarone does not cause any of these conditions.
Choice C reason: This statement is false. The nurse does not need to call for respiratory to intubate the client before giving amiodarone, as amiodarone is not known to cause respiratory depression. Intubation is a procedure that involves inserting a tube through the mouth and into the trachea to assist breathing. It is used for clients who have difficulty breathing, low oxygen levels, or airway obstruction. Amiodarone does not cause any of these conditions.
Choice D reason: This statement is true. The nurse should attach the client to a cardiac monitor before giving amiodarone, as amiodarone is an anti-arrhythmic medication that can affect the heart rate, rhythm, and conduction. A cardiac monitor is a device that records the electrical activity of the heart and displays it on a screen. It is used to detect and treat any abnormal heartbeats, such as arrhythmias, bradycardia, or tachycardia. The nurse should monitor the client's cardiac status closely and report any changes to the prescriber.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is false. The nurse should not delay the administration of digoxin based on the heart rate alone, unless it is below 60 beats per minute. The nurse should also consider the serum potassium level, which is low in this case and increases the risk of digoxin toxicity.
Choice B reason: This statement is true. The nurse should hold the digoxin and call the MD, as the client has a low potassium level, which can potentiate the effects of digoxin and cause arrhythmias, nausea, vomiting, or visual disturbances. The MD may order a serum digoxin level, potassium supplementation, or a dose adjustment.
Choice C reason: This statement is false. The nurse does not need to call the prescriber and ask for a chest x-ray, as this is not relevant to the digoxin order. A chest x-ray may be indicated to assess the severity of heart failure, but it does not affect the decision to administer digoxin.
Choice D reason: This statement is false. The nurse should not give the digoxin as ordered, as the client has a low potassium level, which can increase the risk of digoxin toxicity. The nurse should hold the digoxin and call the MD for further instructions..
Correct Answer is B
Explanation
Choice A reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It does not have a significant effect on blood glucose levels. The client has a normal blood glucose level, which can be maintained by following a balanced diet and exercise regimen.
Choice B reason: This statement is true. The nurse would question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. The client has a high potassium level, which can cause cardiac arrhythmias or muscle weakness. The nurse should hold the lisinopril and notify the prescriber.
Choice C reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also reduce the symptoms and mortality of heart failure, which is indicated by a high BNP level. BNP stands for B-type natriuretic peptide, which is a hormone that is released by the heart when it is stretched or stressed. The client has a high BNP level, which suggests that they have heart failure.
Choice D reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also prevent cardiovascular events, such as stroke or heart attack, in people with hypertension. The client has a high blood pressure, which can damage the blood vessels and organs. The nurse should administer the lisinopril as ordered and monitor the client's blood pressure and renal function.
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