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?
2 view chest x-ray
A transesophageal echocardiogram
Exercise stress test
A central line placement for thrombolytic medication administration
The Correct Answer is B
Choice A rationale: While a chest x-ray can provide useful information about the heart and lungs, it is not typically required before an elective cardioversion89.
Choice B rationale: A transesophageal echocardiogram is often performed before cardioversion to check for the presence of any clots in the heart891011.
Choice C rationale: An exercise stress test is not typically required before an elective cardioversion89.
Choice D rationale: A central line placement for thrombolytic medication administration is not typically required before an elective cardioversion89.
So, the correct answer is Choice B, after analyzing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D: Prepare to administer supplemental O2 via nasal cannula.
Choice A rationale:
Atropine is used to treat bradycardia (slow heart rate), not atrial flutter with a rapid heart rate. Administering Atropine in this scenario could potentially worsen the patient’s condition by increasing the heart rate further.
Choice B rationale:
While reassessing the patient’s blood pressure is important, it is not the most immediate action. The patient’s current blood pressure is stable (118/64), and the priority is addressing the low oxygen saturation and high respiratory rate, which indicates respiratory distress.
Choice C rationale:
Adenosine is used to treat certain types of supraventricular tachycardia by temporarily slowing the heart rate, but it is not the first-line treatment for atrial flutter. Additionally, the patient’s blood pressure is stable, and there is no indication of hemodynamic instability that would necessitate immediate rate control.
Choice D rationale:
The patient’s oxygen saturation is 90%, which is below the normal range, and they are tachypneic with a respiratory rate of 26 breaths per minute. The first action should be to administer supplemental oxygen to improve oxygenation and prevent hypoxemia-related complications. Oxygen therapy can help stabilize the patient’s condition and improve oxygen saturation levels.
Correct Answer is C
Explanation
Choice A rationale: Atropine is not typically used in the treatment of cardiac arrest91011.
Choice B rationale: Defibrillation is not the first step in the treatment of cardiac arrest. The first step is to start CPR91011.
Choice C rationale: Starting CPR is the first action when a patient is unresponsive and pulseless91011.
Choice D rationale: While epinephrine is used in the treatment of cardiac arrest, it is not the first step. The first step is to start CPR91011.
So, the correct answer is Choice C, after analyzing all choices.
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