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 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.
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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