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.)

Shortness of breath

Hypotension

Hypertension

Chest Pain

Dizziness

Bounding pulses

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale: Shortness of breath is a common symptom in atrial fibrillation due to the heart’s inability to pump blood effectively12.

Choice B rationale: Hypotension can occur in atrial fibrillation due to decreased cardiac output12.

Choice C rationale: Hypertension is not typically a direct result of atrial fibrillation. However, long-term untreated hypertension can be a cause of atrial fibrillation12.

Choice D rationale: Chest pain can occur in atrial fibrillation due to decreased blood flow to the heart12.

Choice E rationale: Dizziness is a common symptom in atrial fibrillation due to decreased blood flow to the brain12.

Choice F rationale: Bounding pulses are not typically associated with atrial fibrillation12.

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Correct Answer is A

Explanation

Choice A rationale: Nitroglycerin tablets are typically taken sublingually (under the tongue) at the onset of chest pain. If the pain is not relieved, a second tablet may be taken 5 minutes after the first. If the pain continues for another 5 minutes, a third tablet may be used123.

Choice B rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream1.

Choice C rationale: Nitroglycerin is not typically taken after each meal and at bedtime. It is used as needed to relieve chest pain1.

Choice D rationale: While nitroglycerin can be taken every 5 minutes up to three times during an acute angina attack, it is not typically recommended to take one tablet every 10 minutes1.

So, the correct answer is A, after analysing all choices.

A. Epinephrine B. Atropine C. Adenosine D. Verapamil

Correct Answer is B

Explanation

Choice A rationale: Epinephrine is a potent vasoconstrictor and is typically used in emergency situations such as cardiac arrest. It is not the first-line treatment for symptomatic bradycardia1.

Choice B rationale: Atropine is the first-line medication for the treatment of bradycardia. It increases the heart rate by blocking the effects of the vagus nerve on the heart1.

Choice C rationale: Adenosine is primarily used to treat supraventricular tachycardia, not bradycardia1.

Choice D rationale: Verapamil is a calcium channel blocker used to treat high blood pressure, angina, and certain heart rhythm disorders, not typically used for bradycardia1.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

Correct Answer is B

Explanation

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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 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.)

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.)