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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: This statement is false. The nurse does not need to understand that absorption will be affected in this patient, as absorption is the process of moving the drug from the site of administration into the bloodstream. Absorption is mainly influenced by the route of administration, the drug formulation, and the blood flow to the site of administration. Acute renal failure does not have a significant impact on absorption.

Choice B reason: This statement is false. The nurse does not need to understand that distribution will be affected in this patient, as distribution is the process of moving the drug from the bloodstream to the tissues and organs. Distribution is mainly influenced by the blood flow, the plasma protein binding, and the tissue affinity of the drug. Acute renal failure does not have a significant impact on distribution.

Choice C reason: This statement is false. The nurse does not need to understand that metabolism will be affected in this patient, as metabolism is the process of transforming the drug into more or less active forms by the enzymes in the liver or other organs. Metabolism is mainly influenced by the genetic factors, the liver function, and the drug interactions. Acute renal failure does not have a significant impact on metabolism.

Choice D reason: This statement is true. The nurse should understand that excretion will be affected in this patient, as excretion is the process of eliminating the drug and its metabolites from the body by the kidneys or other organs. Excretion is mainly influenced by the kidney function, the urine pH, and the drug characteristics. Acute renal failure can impair the kidney function and reduce the excretion of the drug and its metabolites. This can cause the drug to accumulate in the body and increase the risk of toxicity or adverse effects.

A. Withdraw air into the NPH vial first. B. Never mix the two insulins together. C. Test blood glucose every 3 days while taking these meds. D. Take these meds on an empty stomach 2 hours before breakfast.

Correct Answer is A

Explanation

Choice A reason: This statement is true. When mixing NPH and regular insulin, the nurse should instruct the client to withdraw air into the NPH vial first, then into the regular vial, and then withdraw the regular insulin first, followed by the NPH insulin. This prevents contamination of the regular insulin by the NPH insulin.

Choice B reason: This statement is false. NPH and regular insulin can be mixed together in the same syringe, as long as the correct order of drawing up is followed. This reduces the number of injections and improves compliance.

Choice C reason: This statement is false. The client should test blood glucose at least once a day, or more frequently if indicated, while taking these meds. This helps to monitor the effectiveness and safety of the insulin therapy and adjust the dosage accordingly.

Choice D reason: This statement is false. The client should take these meds 15 to 30 minutes before meals, not on an empty stomach 2 hours before breakfast. This ensures that the peak action of the regular insulin coincides with the postprandial rise in blood glucose.

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What action should the nurse take prior to administering an intravenous anti-arrhythmic medication such as amiodarone to a client?

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