A nurse is caring for a client who has a ventricular dysrhythmia and a new prescription for amiodarone.
Which of the following interventions should the nurse include in the client's plan of care?

Schedule the client for a hearing screening twice per year.

Remind the client to report an increase in appetite.

Instruct the client to have liver enzyme testing periodically.

Monitor the client for the development of manic behavior.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Amiodarone is known to cause various adverse effects, but ototoxicity leading to hearing impairment is not a commonly reported or significant side effect. The primary concerns with amiodarone involve pulmonary, thyroid, hepatic, and ocular toxicities. Therefore, routine hearing screenings are not a standard intervention in the care plan for clients on amiodarone.

Choice B rationale

An increase in appetite is not a recognized or common adverse effect associated with amiodarone. Amiodarone can cause gastrointestinal side effects such as nausea, vomiting, and anorexia, but an increased appetite is not typically observed. Monitoring for such a symptom would not be a priority in the client's plan of care.

Choice C rationale

Amiodarone is extensively metabolized by the liver and is known to cause hepatotoxicity, ranging from asymptomatic transaminase elevation to severe hepatitis and cirrhosis. Therefore, periodic monitoring of liver enzyme levels (e.g., AST, ALT, alkaline phosphatase) is crucial to detect early signs of liver injury and adjust treatment if necessary. Normal AST levels are typically 10-40 U/L, and ALT levels are 7-56 U/L.

Choice D rationale

While some medications can cause psychiatric disturbances, manic behavior is not a commonly reported or characteristic adverse effect of amiodarone. The central nervous system effects of amiodarone are more likely to include peripheral neuropathy, ataxia, and tremors. Monitoring for manic behavior is not a standard intervention for clients on amiodarone therapy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Step 1 is: Convert client weight from pounds to kilograms. 165 Ib ÷ 2.2 Ib/kg = 75 kg.

Step 2 is: Calculate the total dose of verapamil needed. 0.1 mg/kg × 75 kg = 7.5 mg.

Step 3 is: Calculate the volume to administer in mL. 7.5 mg ÷ (2.5 mg/mL) = 3 mL. The nurse should administer 3 mL.

A. Disulfiram. B. Epinephrine. C. Naloxone. D. Flumazenil.

Correct Answer is C

Explanation

Choice A rationale

Disulfiram is an aldehyde dehydrogenase inhibitor used in the treatment of chronic alcoholism, causing an unpleasant reaction when alcohol is consumed. It has no pharmacological antagonism to opioids and would not be effective in reversing the effects of hydromorphone toxicity.

Choice B rationale

Epinephrine is a potent vasoconstrictor and bronchodilator, primarily used in anaphylaxis and cardiac arrest. While it stimulates adrenergic receptors, it does not counteract the central nervous system depression caused by opioid toxicity and is not a specific antidote for hydromorphone.

Choice C rationale

Naloxone is an opioid antagonist that competitively binds to opioid receptors, displacing opioid agonists like hydromorphone. This action rapidly reverses the central nervous system and respiratory depression characteristic of opioid toxicity, restoring ventilation and consciousness.

Choice D rationale

Flumazenil is a benzodiazepine receptor antagonist, used to reverse the effects of benzodiazepine overdose. It has no affinity for opioid receptors and therefore would be ineffective in treating hydromorphone toxicity, which is mediated by opioid receptor activation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has a ventricular dysrhythmia and a new prescription for amiodarone. Which of the following interventions should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer verapamil 0.1 mg/kg via intermittent IV bolus over 2 min. Available is verapamil 2.5 mg/mL. The client weighs 165 Ib. How many mL should the nurse administer?

Correct Answer is ["3"]

Explanation

A nurse is caring for a client who has hydromorphone toxicity. The nurse should anticipate a prescription for which of the following medications?

Correct Answer is C

Explanation

A nurse is providing teaching to an adolescent who has a prescription for cromolyn for the management of asthma. Which of the following statements by the adolescent indicates an understanding of the teaching?

A nurse is administering haloperidol to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor?

A nurse is assessing a client prior to administration of atenolol and finds that the client's apical heart rate is 61/min. Which of the following actions should the nurse take?

A nurse is caring for a 62-year-old female client on a medical-surgical unit. Complete the following sentence by using the lists of options. The client is at risk for ________ due to _________.

A nurse is preparing to administer topotecan IV for a client who has metastatic ovarian cancer. Which of the following medications should the nurse expect to administer to control the adverse effects of topotecan?

A nurse is planning care for a client who has asthma and a prescription for methylprednisolone. Which of the following laboratory values should the nurse monitor while the client is receiving this medication?

A nurse is providing teaching to a client who has a history of diabetes mellitus and a new prescription for hydrochlorothiazide to treat uncontrolled hypertension. Which of the following information should the nurse include in the teaching?

A nurse is monitoring a client who is receiving warfarin and has an INR of 4 (0.8 to 1.1). Which of the following medications should the nurse plan to administer?

A nurse is caring for a client who has a ventricular dysrhythmia and a new prescription for amiodarone.
Which of the following interventions should the nurse include in the client's plan of care?