A client on the unit is diagnosed with rapid atrial fibrillation. Which medication is the healthcare provider likely to prescribe to correct this rhythm?

Verapamil

Adenosine

Nitroglycerin

Atropine

Answer and Explanation

The Correct Answer is A

Choice A reason: Verapamil is a calcium channel blocker used to manage rapid atrial fibrillation. It works by slowing down the conduction of electrical impulses in the heart, helping to control the heart rate.

Choice B reason: Adenosine is used to treat supraventricular tachycardia (SVT) but is not typically used for atrial fibrillation.

Choice C reason: Nitroglycerin is used to relieve chest pain (angina) by dilating the blood vessels but is not used to treat atrial fibrillation.

Choice D reason: Atropine is used to treat bradycardia (slow heart rate) and is not used for atrial fibrillation.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.

Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.

Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.

Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.

Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.

A. Prepare for the administration of IV fluids B. Administer a bolus of IV fluids C. Administer Atenolol stat D. Administer Nitroglycerin

Correct Answer is B

Explanation

Choice A reason: Preparing for the administration of IV fluids is important but not as immediate as administering a bolus of IV fluids. Immediate fluid resuscitation is crucial for addressing low blood pressure and improving the patient's hemodynamic status.

Choice B reason: Administering a bolus of IV fluids is the priority nursing action for a patient with symptomatic hypotension. Rapid fluid administration helps to increase blood volume and improve blood pressure, which is essential for stabilizing the patient.

Choice C reason: Administering Atenolol, a beta-blocker, is not appropriate for a patient with hypotension. Beta-blockers can further lower blood pressure and are contraindicated in this situation.

Choice D reason: Administering Nitroglycerin is not suitable for a patient with hypotension. Nitroglycerin can cause vasodilation and further decrease blood pressure, which would worsen the patient's condition.

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A client on the unit is diagnosed with rapid atrial fibrillation. Which medication is the healthcare provider likely to prescribe to correct this rhythm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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