A nurse is caring for a client who has a prescription for diltiazem. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. The nurse should prepare to administer which of the following medications?
Atropine
Verapamil
Digoxin
Carvedilol
The Correct Answer is A
A) Atropine:
Atropine is a medication used to increase heart rate. It acts by blocking the parasympathetic nervous system, leading to increased heart rate. It is commonly used to treat bradycardia, which is characterized by a heart rate less than 60 beats per minute. In this scenario, with the client's apical heart rate at 49/min, indicating bradycardia, the nurse should prepare to administer atropine to increase the heart rate.
B) Verapamil:
Verapamil is a calcium channel blocker that can decrease heart rate. It is used to treat various cardiac conditions, but it is not appropriate for a client with bradycardia, as it would further lower the heart rate.
C) Digoxin:
Digoxin is a medication used to treat heart failure and certain arrhythmias, but it does not directly increase heart rate. In fact, it can exacerbate bradycardia in some cases.
D) Carvedilol:
Carvedilol is a beta-blocker that can decrease heart rate. It is used to treat hypertension, heart failure, and other cardiovascular conditions, but it is not appropriate for a client with bradycardia, as it would further lower the heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Restlessness:
Restlessness is not typically associated with hypokalemia. Instead, it may indicate anxiety, discomfort, or other factors unrelated to electrolyte imbalances.
B. Hyperactive bowel sounds:
Hyperactive bowel sounds are often associated with increased gastrointestinal motility, which may occur in conditions such as diarrhea or gastroenteritis. While electrolyte imbalances can contribute to gastrointestinal symptoms, hyperactive bowel sounds are not specific to hypokalemia.
C. Decreased deep-tendon reflexes:
Hypokalemia can lead to decreased deep-tendon reflexes due to its effects on nerve conduction. Potassium is essential for proper nerve and muscle function, and low levels can impair reflexes.
D. Bounding peripheral pulses:
Bounding peripheral pulses are not typically associated with hypokalemia. Instead, they may indicate increased cardiac output or volume overload, which can occur in conditions such as heart failure.
Correct Answer is C
Explanation
A. Eggs: While eggs are a good source of protein and other nutrients, they are also high in cholesterol. Therefore, they should be consumed in moderation on a low-cholesterol diet.
B. Liver: Liver is high in cholesterol and should be limited on a low-cholesterol diet. While it is rich in iron and other nutrients, there are other sources of these nutrients that are lower in cholesterol.
C. Beans: This is correct. Beans are a great choice for a low-cholesterol diet. They are high in soluble fiber, which can help lower cholesterol levels. They are also a good source of protein and are low in fat.
D. Milk: While milk is a good source of calcium and other nutrients, it can also be high in cholesterol, especially if it’s whole or 2% milk. On a low-cholesterol diet, it’s better to choose low-fat or non-fat dairy products
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