A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and S-T segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

Lidocaine

Digoxin

Atropine

Sotalol

Answer and Explanation

The Correct Answer is C

C. Atropine is an anticholinergic medication that increases heart rate by blocking vagal tone to the heart. It is used to treat symptomatic bradycardia, including sinus bradycardia that causes hemodynamic instability

A Lidocaine is primarily used for the treatment of ventricular arrhythmias, particularly in the setting of acute myocardial infarction or during cardiac arrest. Sinus bradycardia with S-T segment elevation suggests ischemia or injury to the heart muscle (myocardium) rather than ventricular arrhythmias.

B. Digoxin is a medication used to increase myocardial contractility and reduce heart rate in certain heart conditions such as atrial fibrillation or heart failure. It is not typically indicated for acute management of sinus bradycardia

D. Sotalol is a beta-blocker with class III antiarrhythmic properties. It is used primarily for the management of atrial and ventricular arrhythmias, not for acute coronary syndrome or sinus bradycardia with myocardial ischemia.

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Correct Answer is B

Explanation

B. Family visits should be limited to 30 minutes per day to minimize their exposure.

A It should be worn consistently by the nurse caring for the client with the radiation implant to monitor their radiation exposure. Giving it to the oncoming nurse at the end of the shift is not appropriate because it does not provide real-time monitoring of radiation exposure for the nurse during their shift.

C. Soiled linens should be kept in the room until the radioactive source is removed to prevent the spread of contamination

D. One should never touch it directly; instead, use long-handled forceps and place it in a lead-lined container for safe disposal.

A. "I should expect to take my medication for 3 weeks." B. "I should use natural skin condoms during sexual intercourse." C. "I should expect my lesions to resolve in 6 weeks." D. "I should apply antibiotic ointment to the lesions." E. None F. None

Correct Answer is C

Explanation

B. This statement indicates understanding of preventive measures to reduce the risk of transmitting genital herpes to sexual partners. Using condoms, including natural skin (non-latex) condoms, can help reduce the risk of transmission.

A Antiviral medications for genital herpes are typically prescribed to manage outbreaks and reduce symptoms, but the duration can vary depending on the severity of symptoms and recurrence.

b. People with genital herpes should use latex or polyurethane condoms during sexual intercourse, as these are effective at reducing the risk of transmitting the virus. Natural skin condoms (e.g., lambskin condoms) do not provide an effective barrier against the herpes virus because they have tiny pores that can allow the virus to pass through, potentially leading to transmission.

C. These typically heal within 2-4 weeks. While some might take longer, 6 weeks provides a reasonable timeframe for most cases.

D. Antibiotic ointments are not effective against viruses such as herpes simplex virus (HSV). Treatment for genital herpes typically involves antiviral medications

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A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and S-T segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

Nursing Test Bank

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A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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