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 B
Explanation
A. “C” refers to the cost to complete the research: This is not accurate. In a PICOT question, “C” stands for “Comparison”. It refers to the other main intervention or treatment that you wish to compare with the intervention12.
B. “O” refers to the outcome of the research: This is correct. In a PICOT question, “O” stands for “Outcome”. It refers to the effect or result that you expect from the intervention12.
C. “I” refers to the issue to be researched: This is not accurate. In a PICOT question, “I” stands for “Intervention”. It refers to the treatment or action that the researcher wants to study12.
D. “T” Prefers to the steps for planning the research: This is not accurate. In a PICOT question, “T” stands for “Time”. It refers to the time it takes for the intervention to achieve the outcome or how long patients are observed
Correct Answer is B
Explanation
A. Small for gestational age:
While being small for gestational age can contribute to respiratory difficulties in newborns, it is not directly associated with respiratory distress syndrome or respiratory acidosis. Other factors, such as prematurity or intrauterine growth restriction, may play a more significant role.
B. Cesarean birth:
Cesarean birth can predispose newborns to respiratory difficulties, including respiratory distress syndrome. During vaginal birth, the compression of the chest during passage through the birth canal helps expel lung fluid, whereas babies born via cesarean section may have more retained lung fluid, leading to respiratory distress.
C. Ventricular septal defect:
Ventricular septal defect is a congenital heart defect and is not directly associated with respiratory distress syndrome or respiratory acidosis. However, congenital heart defects can affect the cardiovascular system, leading to respiratory compromise in some cases.
D. Maternal history of asthma:
While maternal asthma can increase the risk of respiratory problems in newborns, it is not directly related to respiratory distress syndrome or respiratory acidosis. Maternal asthma may increase the likelihood of the newborn developing asthma or other respiratory conditions later in life.
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