Which nursing diagnosis is appropriate for a patient receiving antidysrhythmics?

Correct Answer: C

Rationale: When a patient is receiving antidysrhythmics, there is a risk of fluid and electrolyte disturbances due to the medication's effects on the heart's electrical activity. Antidysrhythmics can cause arrhythmias, which can impact cardiac output and blood pressure, potentially leading to fluid volume deficits. It is essential for nurses to monitor the patient's fluid balance closely and address any deficits promptly to prevent complications. Therefore, the nursing diagnosis of Deficient fluid volume is most appropriate for a patient receiving antidysrhythmics.

Correct Answer: C

Rationale: Milrinone (Primacor) is a phosphodiesterase inhibitor that acts by increasing the levels of cyclic adenosine monophosphate (cAMP) in cardiac muscle cells. This leads to an increased force of cardiac contractions, which is known as a positive inotropic effect. This effect results in the heart muscle contracting more forcefully, leading to an increased cardiac output. The other options (A. Increased heart rate, B. Increased blood vessel dilation, D. Increased conduction of electrical impulses across the heart) do not directly relate to the inotropic effect of milrinone.

Correct Answer: C

Rationale: The most common side effect that occurs with the initial therapy of Nitroglycerine due to increased vasodilation is a headache. Nitroglycerine works by dilating blood vessels to improve blood flow to the heart. This sudden increase in vasodilation can lead to headache in many individuals, especially when starting the medication. The headache is often described as a pulsating sensation and usually subsides as the body adjusts to the medication. It is important to reassure patients that this side effect is temporary and tends to improve with continued use.

Correct Answer: C

Rationale: When a patient is receiving antidysrhythmics, there is a risk of fluid and electrolyte disturbances due to the medication's effects on the heart's electrical activity. Antidysrhythmics can cause arrhythmias, which can impact cardiac output and blood pressure, potentially leading to fluid volume deficits. It is essential for nurses to monitor the patient's fluid balance closely and address any deficits promptly to prevent complications. Therefore, the nursing diagnosis of Deficient fluid volume is most appropriate for a patient receiving antidysrhythmics.

Correct Answer: A

Rationale: Chloroquine can cause retinopathy, so patients should be advised to report any visual changes promptly. Taking the medication with milk is not necessary. Sunlight avoidance is not specifically required for chloroquine, though it may cause photosensitivity in some patients. Increasing fluid intake is not a specific recommendation for chloroquine use.