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17.9: Review Questions

  • Page ID
    90624
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    Exercise \(\PageIndex{1}\)

    A client accidentally took double their dose of metoprolol when confused about the directions. The nurse expects which of the following to occur?

  • The client will experience tachycardia.
  • The client will experience a long QT interval.
  • The client will experience bradycardia.
  • The client will experience torsade de pointes.
  • Answer

    The client will experience bradycardia.

    Exercise \(\PageIndex{2}\)

    A nurse has an order to administer verapamil to a client with atrial fibrillation. The client has a past medical history of hyperlipidemia, type 2 diabetes, myasthenia gravis, and congestive heart failure. Which disease state may be exacerbated by administration of verapamil?

  • Hyperlipidemia
  • Myasthenia gravis
  • Congestive heart failure
  • Type 2 diabetes
  • Answer

    Congestive heart failure

    Exercise \(\PageIndex{3}\)

    A nurse is creating a monitoring protocol for drugs that require special monitoring of the QT interval. Which drug will be included?

  • Lidocaine
  • Procainamide
  • Mexiletine
  • Flecainide
  • Answer

    Procainamide

    Exercise \(\PageIndex{4}\)

    A nurse provided education to a client who will be taking quinidine long term. Which response from the client indicates the teaching was effective?

  • “I should start taking a laxative to prevent the most common side effect, constipation.”
  • “Quinine is another name for quinidine and may be on my prescription bottle.”
  • “I should drink grapefruit juice to ensure my vitamin levels are adequate.”
  • “If I experience excessive diarrhea, I should alert my provider.”
  • Answer

    “If I experience excessive diarrhea, I should alert my provider.”

    Exercise \(\PageIndex{5}\)

    Which of the following is an adverse effect of metoprolol?

  • Torsade de pointes
  • Fatigue
  • Tachycardia
  • Edema
  • Answer

    Fatigue

    Exercise \(\PageIndex{6}\)

    Which arrhythmia is associated with potassium channel blockers?

  • Torsade de pointes
  • Sinus tachycardia
  • Supraventricular tachycardia
  • Atrioventricular block
  • Answer

    Torsade de pointes

    Exercise \(\PageIndex{7}\)

    A client is admitted to the emergency department with symptoms of dizziness and hypotension after returning from a beach vacation. The nurse notices a bluish-gray color to their skin. Which medication does the nurse suspect the client takes?

  • Diltiazem
  • Amiodarone
  • Flecainide
  • Dofetilide
  • Answer

    Amiodarone

    Exercise \(\PageIndex{8}\)

    A client is discussing chronic medication options to treat their atrial fibrillation with rapid ventricular response. The client prefers to avoid hospitalization overnight for initiation. Which of the following medications would be the best option?

  • Dofetilide
  • Metoprolol tartrate
  • Sotalol
  • Mexiletine
  • Answer

    Metoprolol tartrate

    Exercise \(\PageIndex{9}\)

    Which antidysrhythmic medication would increase the risk for statin-related adverse effects in a client who takes simvastatin?

  • Dofetilide
  • Metoprolol
  • Diltiazem
  • Mexiletine
  • Answer

    Diltiazem

    Exercise \(\PageIndex{10}\)

    An 85-year-old client takes digoxin for atrial fibrillation and is admitted to the hospital with acute kidney injury. What signs and symptoms does the nurse expect the client to be experiencing?

  • Stomach upset, vision changes, confusion
  • Constipation, photosensitivity, confusion
  • Vision changes, QT interval prolongation, photosensitivity
  • Hyperthyroidism, stomach upset, muscle pain
  • Answer

    Stomach upset, vision changes, confusion


    This page titled 17.9: Review Questions is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by OpenStax.

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