A client on the cardiac telemetry unit goes into Ventricular fibrillation and is unresponsive. Following initiation of the emergency call system (code blue), what is the next priority for the nurse in caring for the client?

Administer amiodarone

Prepare to defibrillation

Prepare for Synchronized Cardioversion

Administer epinephrine

Answer and Explanation

The Correct Answer is B

Choice A rationale: While amiodarone is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.

Choice B rationale: The immediate priority in a client who goes into ventricular fibrillation and is unresponsive is to prepare for defibrillation. This is a life-saving measure that can restore a normal heart rhythm34.

Choice C rationale: Synchronized cardioversion is not the immediate priority in a client who goes into ventricular fibrillation and is unresponsive34.

Choice D rationale: While epinephrine is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.

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

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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.

A. To take the tablet with a large amount of water so that it will dissolve right away B. Go to the nearest hospital and take the medication upon reaching the hospital C. To lie or sit and place one tablet under the tongue when chest pain occurs D. if one tablet does not relieve the pain in 15 minutes, the patient should go to the hospital

Correct Answer is C

Explanation

Choice A rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream6789.

Choice B rationale: It is not necessary to go to the hospital to take the medication. The medication can be taken at the onset of chest pain6789.

Choice C rationale: This is the correct instruction. At the onset of chest pain, the patient should lie or sit down and place one tablet under the tongue6789.

Choice D rationale: If one tablet does not relieve the pain in 5 minutes, a second tablet may be taken. If the pain continues for another 5 minutes, a third tablet may be used. If the patient still has chest pain after a total of 3 tablets, they should seek immediate medical attention6789.

So, the correct answer is C, after analysing all choices

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A client on the cardiac telemetry unit goes into Ventricular fibrillation and is unresponsive. Following initiation of the emergency call system (code blue), what is the next priority for the nurse in caring for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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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.)

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?

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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?

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