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Pharm 2
Class IV Antidysrhythmic Therapy (Calcium Channel Blockers)
| Question | Answer |
|---|---|
| A nurse administered diltiazem intravenously at 0900. At which time will the nurse assess the patient for therapeutic effects of diltiazem? | 0905 |
| A nurse would question a prescription for verapamil in a patient diagnosed with which condition? | Heart failure |
| The nurse is assessing a patient who is taking verapamil for atrial fibrillation and notes 1+ edema to the ankles and feet. Which action would the nurse take? | Assess the patient for heart failure. |
| Before administering diltiazem, the nurse observes the patient’s pulse at 54 beats/min on the cardiac monitor. Which action will the nurse take next? | Hold the Drug |
| Which instruction will the nurse provide on avoiding side effects related to diltiazem? | Increase dietary fiber. |
| A health care provider prescribes diltiazem 10 mg intravenous push for persistent atrial fibrillation with a ventricular rate of 115 beats/min. While preparing the diltiazem, the nurse notices the patient is on digoxin 0.125 mg and metoprolol 25 mg. | -- |
| Which action will the nurse take? | Hold the diltiazem. |
| A patient who is being discharged on diltiazem tells the nurse that cooking with herbs and taking supplements has improved the patient’s physical stamina. Which response by the nurse is appropriate? | "Certain supplements can alter the therapeutic effects of diltiazem." |
| A patient who is receiving verapamil asks the nurse how the drug helps the heart. The nurse responds knowing that verapamil has which mechanisms of action? | -Slowing of sinoatrial (SA) node automaticity -Delay of AV nodal conduction -Reduction of myocardial contractility |
| A patient with atrial fibrillation is being discharged on verapamil. Which symptoms will the nurse instruct the patient to report to the health care provider? | Weight gain Dyspnea Swelling to feet and ankles |
Created by:
Lightnning54
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