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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale: An oxygen saturation reading of 99% on room air is normal8.

Choice B rationale: Slurred speech could indicate a stroke, which is a potential complication of atrial fibrillation due to the risk of clot formation8.

Choice C rationale: A decrease in intensity of chest pain is not typically a sign of worsening atrial fibrillation8.

Choice D rationale: While elevated blood pressure can be associated with atrial fibrillation, it is not a specific sign of worsening atrial fibrillation8.
So, the correct answer is Choice B, after analyzing all choices.

A. Fever B. Lisinopril C. Albuterol D. sleeping E. Dehydration

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?

Correct Answer is B

Explanation

A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply (SATA) (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

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 patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a o2 saturation of 90% while sitting down. Which action should the nurse do FIRST?

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?