Question

1. The nurse is providing teaching for a patient who will begin taking procainamide for long-term suppression of a dysrhythmia. Which statement by the patient indicates a need for further teaching?

A. I will need to have blood tests at regular intervals while taking this drug

B. I will need to make arrangements for lifelong homecare infusions

C. I will report any bruising I experience while taking this drug

D. I should report pain and swelling in my joints when taking this drug

2. A nurse is providing teaching to a patient who is admitted to the hospital for initiation of treatment with amiodarone for atrial fibrillation that has been refractory to other medications. Which statement by the patient indicates a need for further teaching?

A. I should report shortness of breath and cough

B. I should not drink grapefruit juice while taking this medication

C. I need to use sunblock to help keep my skin from turning bluish gray

D. I may have itching, malaise, and jaundice, but these symptoms will subside

Answer 1

1. B. I will need to make arrangements for lifelong home care infusions.

Procainamide infusion /injection should be done only where close monitoring and careful watching of patient is possible.It can't be done as home care infusions.

Bruising,pain and swelling in joints should be reported.

Checking of complete blood count should be done at regular intervals.

2. D. I may have itching, malaise, and jaundice, but these symptoms will subside.

Itching,malaise and jaundice should be reported immediately to the doctor as these are serious side effects.it will not subside.

shortness of breath and cough need to be informed and use of sunscreen is important to avoid tanning.

Avoid taking grape juice as it increases the amount of amiodarone in the body causing serious side effects.