A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

Epinephrine

Atropine

Adenosine

Verapamil

Answer and Explanation

The Correct Answer is B

Choice A rationale: Epinephrine is a potent vasoconstrictor and is typically used in emergency situations such as cardiac arrest. It is not the first-line treatment for symptomatic bradycardia1.

Choice B rationale: Atropine is the first-line medication for the treatment of bradycardia. It increases the heart rate by blocking the effects of the vagus nerve on the heart1.

Choice C rationale: Adenosine is primarily used to treat supraventricular tachycardia, not bradycardia1.

Choice D rationale: Verapamil is a calcium channel blocker used to treat high blood pressure, angina, and certain heart rhythm disorders, not typically used for bradycardia1.

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Correct Answer is D

Explanation

The correct answer is choice D: Prepare to administer supplemental O2 via nasal cannula.

Choice A rationale:

Atropine is used to treat bradycardia (slow heart rate), not atrial flutter with a rapid heart rate. Administering Atropine in this scenario could potentially worsen the patient’s condition by increasing the heart rate further.

Choice B rationale:

While reassessing the patient’s blood pressure is important, it is not the most immediate action. The patient’s current blood pressure is stable (118/64), and the priority is addressing the low oxygen saturation and high respiratory rate, which indicates respiratory distress.

Choice C rationale:

Adenosine is used to treat certain types of supraventricular tachycardia by temporarily slowing the heart rate, but it is not the first-line treatment for atrial flutter. Additionally, the patient’s blood pressure is stable, and there is no indication of hemodynamic instability that would necessitate immediate rate control.

Choice D rationale:

The patient’s oxygen saturation is 90%, which is below the normal range, and they are tachypneic with a respiratory rate of 26 breaths per minute. The first action should be to administer supplemental oxygen to improve oxygenation and prevent hypoxemia-related complications. Oxygen therapy can help stabilize the patient’s condition and improve oxygen saturation levels.

A. Adenosine 6mg iVP fast followed by a 10mL saline flush. B. Atenolol 25mg PO. C. Metoprolol 25mg IVP. D. Atropine IVP fast followed by a 10ml saline flush.

Correct Answer is C

Explanation

Choice A rationale: Adenosine is primarily used to treat supraventricular tachycardia, not typically used for tachycardic rhythm with palpitations and dizziness5.

Choice B rationale: Atenolol is a beta-blocker that can be used to treat tachycardia, but it is not typically the first choice for acute symptoms5.

Choice C rationale: Metoprolol is a beta-blocker that is often used to treat tachycardia and can help alleviate symptoms such as palpitations and dizziness5.

Choice D rationale: Atropine is typically used to treat bradycardia, not tachycardia5.

So, the correct answer is C, after analysing all choices.

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A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a o2 saturation of 90% while sitting down. Which action should the nurse do FIRST?

Correct Answer is D

Explanation

Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?

Correct Answer is C

Explanation

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