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A nurse is caring for a client who is complaining of dyspnea, dizziness, palpitations, and rapid heart rate. ECG shows a narrow complex tachy dysrhythmia with a rate of 188, Supraventricular Tachycardia (SVT) The nurse is aware that this rapid arrhythmia is best treated with which of the following medications?

Epinephrine

Atropine

Adenosine

Lidocaine

Answer and Explanation

The Correct Answer is C

Rationale:

A. Epinephrine is not typically used to treat supraventricular tachycardia (SVT).

B. Atropine is not typically used to treat supraventricular tachycardia (SVT).

C. Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT).

D. Lidocaine is not typically used to treat supraventricular tachycardia (SVT).

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Correct Answer is D

Explanation

Rationale:

A. This is not correct since a sinus tachycardia show have a sinus P wave unlike in the strip.

B. This is incorrect since a junctional rhythm should have a regular ventricular rhythm unlike in the above strip which is irregular.

C. A first degree heart block should have a PR interval greater than 0.20 without a disruption in the atrial to ventricular conduction.

D. This is correct since the rhythm is irregular and the P waves are absent.

A. "I will call the provider to get a prescription for discontinuing the IV heparin today." B. "Both heparin and warfarin work together to dissolve the clots." C. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay." D. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level."

Correct Answer is D

Explanation

Rationale:

A. Discontinuing heparin abruptly without achieving therapeutic levels of warfarin increases the risk of thrombus formation.

B. Heparin and warfarin have different mechanisms of action, but they both serve to prevent clot formation.

C. Heparin and warfarin do not directly affect each other's therapeutic effects.

D. Warfarin takes time to reach therapeutic levels and become effective, so heparin is continued until warfarin is fully active.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Identify the following Cardiac Rhythm:

Correct Answer is D

Explanation

Correct Answer is D

Explanation

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

A nurse is caring for a client in a critical care unit who is 4 hours post operative coronary artery bypass surgery. The nurse performs the reassessment and suspects the client may be developing a pericardial effusion. What assessment findings would the nurse note in this case?

A nurse is caring for a client with an acute myocardial infarction (AMI). The nurse is preparing medications for the client and recognizes that which medication will dilate the client’s coronary blood vessels?

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client diagnosed with atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?