A client has been admitted repeatedly in the past year for episodes of atrial flutter which the cardiologist believes are caused by an area of conduction in the atria other than the SA node. Medications have not improved the condition. Which procedure should the nurse anticipate will be performed?
Heart transplantation
Defibrillation
Coronary artery stent placement
Radiofrequency catheter ablation
The Correct Answer is D
A. Heart transplantation is not indicated for atrial flutter; it is reserved for end-stage heart failure or severe cardiac conditions that cannot be managed by other means.
B. Defibrillation is used in emergency situations for life-threatening arrhythmias like ventricular fibrillation, not for atrial flutter.
C. Coronary artery stent placement is used to open blocked coronary arteries, not to treat arrhythmias.
D. Radiofrequency catheter ablation targets and destroys the abnormal conduction pathways causing atrial flutter, providing a more permanent solution when medications are ineffective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Taking furosemide in the morning helps prevent nocturia and ensures better management of fluid balance during the day.
B. Gaining 3 pounds in 2 days likely indicates fluid retention rather than an issue with calorie intake. The client should contact their healthcare provider as it may indicate worsening heart failure.
C. Avoiding extreme temperatures is important as they can place additional stress on the cardiovascular system.
D. Limiting salt intake to 2 grams or less per day and reading nutrition labels is appropriate for managing heart failure.
Correct Answer is D
Explanation
A. The correct timing for taking a second nitroglycerin tablet is after 5 minutes if the first one does not relieve chest pain, not 10 minutes.
B. Nitroglycerin tablets should generally be replaced every 6 months to ensure potency, not 3 months.
C. Tingling of the tongue is a common side effect of nitroglycerin and does not require discontinuation of the medication or medical attention.
D. Nitroglycerin can cause orthostatic hypotension, so clients should change positions slowly to prevent dizziness or fainting.
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