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 C
Explanation
A. Docusate sodium 200 mg PO at bedtime:
This prescription seems appropriate. Docusate sodium is a stool softener commonly used to prevent or alleviate constipation. Taking it at bedtime can help ensure a regular bowel movement in the morning.
B. Meloxicam 15 mg PO daily:
This prescription is generally appropriate. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. The daily dosing is common, but the nurse should assess for any contraindications or potential issues with the patient's renal function since NSAIDs can affect the kidneys.
C. Regular insulin 8 units subcutaneous before meals:
This prescription requires clarification. While the prescription indicates the correct medication and route (regular insulin subcutaneously), it lacks specificity regarding the timing in relation to meals. Regular insulin is typically given 30 minutes before meals to control postprandial blood glucose levels. The nurse should contact the provider to confirm the appropriate timing.
D. Fentanyl 25 mcg/hr transdermal patch:
This prescription seems appropriate. Fentanyl is a potent opioid analgesic, and a transdermal patch provides continuous pain relief over an extended period. The dose is specified in micrograms per hour (mcg/hr), which is a common method for administering continuous medications
Correct Answer is D
Explanation
Choice A rationale: An elevated ST segment is not typically associated with hypokalemia45.
Choice B rationale: A widened QRS complex is not a typical finding in hypokalemia45.
Choice C rationale: An inverted P wave is not a typical sign of hypokalemia45.
Choice D rationale: An abnormally prominent U wave is a common EKG finding in hypokalemia45.
So, the correct answer is Choice D, after analysing all choices.
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