What is the nurse's priority action when preparing to administer quinidine to a client with atrial fibrillation?

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Question 1 of 5

What is the nurse's priority action when preparing to administer quinidine to a client with atrial fibrillation?

Correct Answer: B

Rationale: Quinidine can prolong the QT interval, increasing the risk of torsades de pointes.

Question 2 of 5

The human heart has four chambers.

Correct Answer: A

Rationale: The heart's four chambers—two atria and two ventricles—facilitate the separation of oxygenated and deoxygenated blood.

Question 3 of 5

A 22 y/o female presents with irregular menses and breast discharge. She is fatigued with a 5 pound weight gain in 3 months. Thyroid is small without nodule. Heart is regular and lungs are clear. Prolactin= 44, TSH= 32, BHcg= negative, FSH is low. Which of the following medications should be initiated first?

Correct Answer: C

Rationale: The markedly elevated TSH indicates severe hypothyroidism, which should be treated with thyroxine replacement before addressing hyperprolactinemia.

Question 4 of 5

Mr. Gomez is asymptomatic with neuromuscular disorder and asks if he needs an ICD. Your recommendation would be:

Correct Answer: C

Rationale: In neuromuscular disorders, ICDs are recommended for primary and secondary prevention due to increased risk of sudden cardiac death, even if asymptomatic.

Question 5 of 5

Which of the following diets should be prescribed to a patient with Parkinson disease?

Correct Answer: A

Rationale: Low protein diets can enhance levodopa absorption in Parkinson's patients, improving motor symptom management.

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