A nurse is caring for a client diagnosed with heart failure and atrial fibrillation. The client reports feeling palpitations and shortness of breath. The nurse is aware that clients with atrial fibrillation are at risk for which complication?

Hypertensive crisis

Cardiogenic shock

Embolic cerebral vascular accident

Flash pulmonary edema

Answer and Explanation

The Correct Answer is C

A. Hypertensive crisis is not a direct complication of atrial fibrillation. It is typically caused by uncontrolled hypertension rather than arrhythmias.
B. Cardiogenic shock can occur in severe heart failure but is not a primary complication of atrial fibrillation.
C. Embolic cerebral vascular accident (stroke) is a major risk for clients with atrial fibrillation. The irregular atrial contractions allow blood to pool in the atria, increasing the risk of clot formation. If a clot dislodges, it can travel to the brain and cause a stroke.
D. Flash pulmonary edema is a complication of acute decompensated heart failure but is not directly caused by atrial fibrillation.

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Correct Answer is A

Explanation

A. Defibrillation is the priority intervention for pulseless ventricular tachycardia, as it can restore a normal rhythm. It should be performed as soon as possible.
B. Synchronized cardioversion is used for hemodynamically unstable tachyarrhythmias with a pulse, not for pulseless V-Tach.
C. CPR should be initiated if a defibrillator is not immediately available, but defibrillation is the definitive treatment.
D. Repeating an ECG does not address the immediate life-threatening situation.

A. "The test is used to identify the extent of blockages in the arteries in the heart." B. "You will not be permitted to eat or drink after midnight." C. "The test is used to assess the structures and function of the valves and heart muscle." D. "During the test, there will be slight discomfort in the chest area."

Correct Answer is C

Explanation

A. An echocardiogram does not assess coronary artery blockages; a coronary angiogram or cardiac catheterization is used for that.
B. Fasting is not required for a standard transthoracic echocardiogram. However, fasting may be needed for a transesophageal echocardiogram (TEE).
C. An echocardiogram is a non-invasive ultrasound test that evaluates heart structure, valve function, and cardiac muscle performance.
D. There is no discomfort during a transthoracic echocardiogram, as it is performed externally using a probe on the chest.

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A nurse is caring for a client diagnosed with heart failure and atrial fibrillation. The client reports feeling palpitations and shortness of breath. The nurse is aware that clients with atrial fibrillation are at risk for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?

Correct Answer is C

Explanation

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