A client comes to the emergency department with reports of three days of watery stools and emesis x 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?

Heparin drip

Sodium Chloride IV bolus

Atenolol oral

Verapamil oral

Answer and Explanation

The Correct Answer is B

Choice A rationale: Heparin is an anticoagulant, not typically used to treat dehydration due to diarrhea and vomiting4.

Choice B rationale: Sodium Chloride IV bolus is often used to treat dehydration, which can be caused by three days of watery stools and emesis5.

Choice C rationale: Atenolol is a beta-blocker, used to manage heart conditions, not dehydration4.

Choice D rationale: Verapamil is a calcium channel blocker, not typically used to treat dehydration4.
So, the correct answer is Choice B, after analyzing all choices.

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Correct Answer is ["83"]

Explanation

Step 1 is to use the formula for calculating the IV infusion rate: Infusion Rate (mL/hour) = Volume to be Infused (mL) ÷ Time for Infusion (hours)5.

So, Infusion Rate = 1000 mL ÷ 12 hours = 83.33 mL/hr.

Rounding to the nearest whole number gives 83 mL/hr.

So, the correct answer is 83 mL/hr, after calculating.

A. Fever B. Lisinopril C. Albuterol D. sleeping E. Dehydration

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale: Fever can cause an increase in metabolic rate which can lead to sinus tachycardia1.

Choice B rationale: Lisinopril is an ACE inhibitor used to treat hypertension, not a cause of sinus tachycardia1.

Choice C rationale: Albuterol is a bronchodilator that can cause sinus tachycardia as a side effect1.

Choice D rationale: Sleeping typically results in a slower heart rate, not sinus tachycardia1.

Choice E rationale: Dehydration can lead to low blood volume, causing the heart to beat faster to maintain blood pressure, resulting in sinus tachycardia1.
So, the correct answer is Choices A, C, and E, after analysing all choices.

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Naxlex Comprehensive Predictor Exams

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

Correct Answer is ["83"]

Explanation

A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply (SATA) (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is educating a patient with a newly placed pacemaker about a variety of complementary and alternative therapies. What type of therapy is contraindicated in patients with pacemakers?.

A patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a o2 saturation of 90% while sitting down. Which action should the nurse do FIRST?

A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply (Select All that Apply.)

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

A client is experiencing atrial fibrillation for 2 weeks and did not respond to medication therapy. The client is scheduled for an elective (outpatient) cardioversion. Which other procedure or test does the nurse anticipate this client will need?

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?