A nurse is caring for a client in the emergency department (ED). Afib
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
- Atrial fibrillation is characterized by an irregular, often rapid heart rate that can lead to poor blood flow. The client's symptoms of a "fluttering" and "racing" heartbeat, dizziness, and shortness of breath, along with the irregular cardiac rhythm and unclear P waves, are indicative of atrial fibrillation.
- Obtaining a 12 lead ECG is essential to confirm the diagnosis and assess the extent of the arrhythmia.
- Administering an anticoagulant is crucial to prevent thromboembolic events, such as stroke, which are common complications of atrial fibrillation.
- Monitoring for manifestations of stroke is important because atrial fibrillation increases the risk of stroke.
- PT/INR should be monitored to ensure the effectiveness and safety of anticoagulant therapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While aspirin has analgesic properties, it is not primarily used for pain relief in the case of myocardial infarction (MI). Its main role in MI is to reduce the risk of further clot formation.
B. Aspirin has anti-inflammatory properties, but in the case of MI, its primary role is not inflammation reduction but rather preventing platelet aggregation.
C. Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
D. Aspirin does have antipyretic effects, but this is not the primary reason for its use in MI.
Correct Answer is A
Explanation
A. Applying ice to the affected area is recommended after arthroscopic knee surgery to reduce swelling and pain. Ice helps control inflammation and promotes healing.
B. Bedrest is not typically necessary after arthroscopic knee surgery. Early mobilization is encouraged to prevent complications such as blood clots and to promote recovery.
C. Active range of motion should not be started immediately post-surgery unless specifically instructed by the surgeon. Early movement may be recommended, but it is generally passive range of motion or gentle exercises initially.
D. Keeping the leg in a dependent position could increase swelling. The leg should be elevated to reduce swelling, especially in the first few days after surgery.
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