C HAPTER 23: D RUGS U SED TO T REAT
D YSRHYTHMIAS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which statement is true regarding the antidysrhythmic agent adenosine
(Adenocard)?
a. It is synthesized from petroleum products.
b. It is created through recombinant DNA.
c. It is extracted from plants.
d. It is a naturall y occurring chemical in the body.
ANS: D
Adenosine is a naturall y occurring chemical found in every cell within the
body. Adenosine is not synthesized from petroleum products, is not created
through recombinant DN A, and is not extracted from plants.
DIF: Cognitive Level: Knowledge REF: p. 394 OBJ: 1
NAT: NCLEXClient Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation CON: Clinical
Judgment
2. Which condition would be a contraindicati on for amiodarone
administration?
a. Pulmonary edema
b. Severe sinus node dysfunction causing bradycardia
c. Atrial fibrillation
, d. Premature ventricular contractions (PVCs)
ANS: B
Amiodarone is contraindicated for patients with severe sinus node
dysfunction that causes sinus bradycardia, with second and third degree AV
block, and when episodes of bradycardia have caused syncope (except in the
presence of a pacemaker). Pulmonary edema is not a contraindication for
amiodarone. Atrial fibrillation is an indication for the use of amiodarone.
Premature ventricular contractions are not a contraindication for amiodarone,
but the medication is not indicated for the treatment of PVCs.
DIF: Cognitive Level: Comprehension REF: p. 390 OBJ: 1 |
4
NAT: NCLEXClient Needs Ca tegory: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Perfusion
3. Which common adverse effect is a patient that was recentl y prescribed
quinidine at the highest risk to exhibit?
a. Chills
b. Diarrhea
c. Nausea
d. Rash
ANS: B
Diarrhea is common during initiation of quinidine therapy. Chills, nausea,
and rash are not common adverse effects that occur during initiation of
quinidine therapy.
DIF: Cognitive Level: Knowledge REF: p. 386 | p. 387 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrit y
D YSRHYTHMIAS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which statement is true regarding the antidysrhythmic agent adenosine
(Adenocard)?
a. It is synthesized from petroleum products.
b. It is created through recombinant DNA.
c. It is extracted from plants.
d. It is a naturall y occurring chemical in the body.
ANS: D
Adenosine is a naturall y occurring chemical found in every cell within the
body. Adenosine is not synthesized from petroleum products, is not created
through recombinant DN A, and is not extracted from plants.
DIF: Cognitive Level: Knowledge REF: p. 394 OBJ: 1
NAT: NCLEXClient Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation CON: Clinical
Judgment
2. Which condition would be a contraindicati on for amiodarone
administration?
a. Pulmonary edema
b. Severe sinus node dysfunction causing bradycardia
c. Atrial fibrillation
, d. Premature ventricular contractions (PVCs)
ANS: B
Amiodarone is contraindicated for patients with severe sinus node
dysfunction that causes sinus bradycardia, with second and third degree AV
block, and when episodes of bradycardia have caused syncope (except in the
presence of a pacemaker). Pulmonary edema is not a contraindication for
amiodarone. Atrial fibrillation is an indication for the use of amiodarone.
Premature ventricular contractions are not a contraindication for amiodarone,
but the medication is not indicated for the treatment of PVCs.
DIF: Cognitive Level: Comprehension REF: p. 390 OBJ: 1 |
4
NAT: NCLEXClient Needs Ca tegory: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Perfusion
3. Which common adverse effect is a patient that was recentl y prescribed
quinidine at the highest risk to exhibit?
a. Chills
b. Diarrhea
c. Nausea
d. Rash
ANS: B
Diarrhea is common during initiation of quinidine therapy. Chills, nausea,
and rash are not common adverse effects that occur during initiation of
quinidine therapy.
DIF: Cognitive Level: Knowledge REF: p. 386 | p. 387 OBJ: 3
NAT: NCLEX Client Needs Category: Physiological Integrit y
