You are caring for a patient who takes an antiarrhythmic agent.
What would be the priority nursing assessment before administering this drug?
Assess pulses and blood pressure.
Assess breath sounds.
Assess mental status.
Assess urine output.
The Correct Answer is A
Choice A rationale
Assessing pulses and blood pressure is crucial before administering an antiarrhythmic agent because these drugs can affect heart rate and blood pressure, requiring close monitoring to prevent adverse effects.
Choice B rationale
While assessing breath sounds is important in overall patient care, it is not the priority before administering antiarrhythmic agents as these drugs primarily affect the cardiovascular system.
Choice C rationale
Assessing mental status is important in patient care, but it is not the priority before administering an antiarrhythmic agent, as these medications primarily influence cardiovascular parameters.
Choice D rationale
Assessing urine output is vital for monitoring kidney function and fluid balance, but it is not the priority before administering an antiarrhythmic agent, which mainly affects heart rhythm and blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Evidence of human fetal risk would categorize the drug as Category D or X, not Category B.
Choice B rationale
This statement aligns more with Category C drugs, where animal studies show adverse effects, but not Category B.
Choice C rationale
This describes Category A drugs, not Category B.
Choice D rationale
Category B drugs have shown no risk in animal studies but lack adequate human studies, fitting this description.
Correct Answer is B
Explanation
Choice A rationale
A patient 3 days after surgery may still require higher doses of opioids for pain management, but the duration and intensity of postoperative pain typically decrease over time. This patient may not necessarily require a higher-than-expected dose compared to others.
Choice B rationale
Patients with cancer often experience severe and chronic pain due to the disease itself or its treatments. These patients may develop tolerance to opioids over time, necessitating higher-than-expected doses to achieve adequate pain relief.
Choice C rationale
Hypotension is a contraindication for high doses of opioids, as opioids can cause further blood pressure reduction. This patient would require careful dose adjustment to avoid exacerbating hypotension.
Choice D rationale
Patients with a concussion are at risk of altered mental status and respiratory depression from opioids. Therefore, higher doses are generally avoided to prevent worsening of these conditions.
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