A nurse is caring for a client in the emergency department (ED).

Exhibits
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

AF is characterized by irregular, rapid heartbeat (100 to 175 beats per minute (bpm) and the absence of distinct P waves.

Management of unstable atrial fibrillation include immediate pharmacological or electrical cardioversion and anticoagulation.

Atrial fibrillation leads to ineffective pumping and stasis of blood in the heart which increases the risk of stroke.

On initiating anticoagulation, PTT/INR is important to ensure that the drug is administered at doses that achieve the optimal therapeutic effect.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

D Sedatives are typically administered alongside neuromuscular blockers to ensure the patient's comfort and prevent awareness during mechanical ventilation.

A The absence of a cough reflex when suctioned is expected in a patient receiving cisatracurium (Nimbex) because it is a neuromuscular blocking agent that induces paralysis. Cisatracurium inhibits skeletal muscle movement, including the muscles involved in coughing.

B An oxygen saturation between 90% to 93% is within an acceptable range for a patient in this condition.

C The lack of response to voice may indicate that the patient is sedated or experiencing effects from the neuromuscular blocking agent. However, since the patient is receiving cisatracurium to prevent asynchronous breathing with the positive pressure ventilator, it's expected that the patient will not respond to voice due to the medication-induced paralysis.

A. Elective cardioversion B. Defibrillation C. Radiofrequency catheter ablation D. CPR

Correct Answer is A

Explanation

A. Elective cardioversion involves the synchronized delivery of a therapeutic electrical shock to the heart to restore normal sinus rhythm in a patient with a tachyarrhythmia, such as atrial fibrillation or atrial flutter. However, ventricular tachycardia (VT) is a life-threatening arrhythmia characterized by a rapid heart rate originating from the ventricles, and it requires immediate intervention due to the risk of deteriorating into ventricular fibrillation (VF) and cardiac arrest. Therefore, elective cardioversion is not appropriate for treating VT.

B. Defibrillation involves the unsynchronized delivery of a high-energy electrical shock to the heart to terminate life-threatening arrhythmias, such as ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT). In the case of a conscious patient with pulse-sustaining ventricular tachycardia, immediate defibrillation may not be necessary. However, if the patient deteriorates into pulseless VT or VF, prompt defibrillation is required to restore normal cardiac rhythm and circulation.

C. Radiofrequency catheter ablation is a procedure performed in a cardiac catheterization lab to treat certain cardiac arrhythmias by delivering radiofrequency energy to the specific area of the heart responsible for the abnormal rhythm. While radiofrequency catheter ablation may be considered for certain types of sustained ventricular tachycardia that are refractory to medical therapy or deemed to be originating from a specific site in the heart, it is not the immediate intervention for hemodynamically unstable ventricular tachycardia.

D. CPR is an emergency procedure performed on individuals experiencing cardiac arrest or a life- threatening medical emergency. In the case of ventricular tachycardia (VT) with a pulse, the patient is still perfusing, and CPR is not indicated. However, if the patient deteriorates into pulseless VT or ventricular fibrillation (VF), CPR may be initiated along with immediate defibrillation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which information about a patient who is receiving cisatracurium (Nimbex) to prevent asynchronous breathing with the positive pressure ventilator requires action by the nurse?

Correct Answer is D

Explanation

A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)

Which action should the nurse take first when the low pressure alarm sounds for a patient who has an arterial line in the left radial artery?

A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?

An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which intervention should the nurse anticipate?

Norepinephrine has been prescribed for a patient who was admitted with dehydration and hypotension. Which data indicate that the nurse should consult with the health care provider before starting the norepinephrine?

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 with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?

A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur

When admitting a patient with possible respiratory failure and a high PaCO2, which assessment information should be immediately reported to the health care provider?