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 B
Explanation
Choice A rationale
Cholinergic agonists primarily stimulate the parasympathetic nervous system rather than the central nervous system, affecting activities like digestion, salivation, and decreased heart rate.
Choice B rationale
Parasympathetic nervous system is the correct answer. Cholinergic agonists mimic acetylcholine and stimulate parasympathetic responses, promoting rest-and-digest functions such as reducing heart rate and enhancing glandular secretions.
Choice C rationale
The sympathetic nervous system is not stimulated by cholinergic agonists. Instead, this system is activated by adrenergic agonists, which prepare the body for fight-or-flight responses, increasing heart rate and blood pressure.
Choice D rationale
Voluntary nervous system control is not the primary target of cholinergic agonists. This system governs skeletal muscle movement and is influenced by neuromuscular junctions rather than the autonomic responses modulated by cholinergic drugs. .
Correct Answer is B
Explanation
Choice A rationale
While tinnitus can occur with certain medications, it is not a common adverse effect of lidocaine.
Choice B rationale
Dizziness is a common adverse effect of lidocaine and can indicate an issue with its administration.
Choice C rationale
Dysphagia is not a typical adverse effect of lidocaine administration.
Choice D rationale
Excessive bruising is not associated with lidocaine but rather with anticoagulants or trauma.
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