A nurse is caring for a client who reports heart palpitations that come and go. An ECG confirms the client is experiencing episodes of ventricular tachycardia (VT). The client is stable. The nurse should anticipate the need for taking which of the following actions?
Elective cardioversion
CPR
Radiofrequency catheter ablation
Defibrillation
The Correct Answer is A
A. Elective cardioversion is a procedure used to restore a normal heart rhythm by delivering a controlled electrical shock to the heart. It is generally used for patients with stable atrial or ventricular arrhythmias who do not respond to medication. In the case of stable VT, elective cardioversion might be considered if the arrhythmia is causing symptoms or if the patient’s condition changes
B. CPR is an emergency procedure used when a person’s heart has stopped beating (cardiac arrest) or when they are not breathing. It is not indicated for a stable VT because the patient is still stable and conscious, and CPR is not used for arrhythmias like VT in a stable patient.
C. Radiofrequency catheter ablation is a procedure used to destroy abnormal electrical pathways in the heart that cause arrhythmias. This is often used as a treatment for recurrent or persistent VT, especially if medication or cardioversion fails to manage the condition effectively. For a stable patient with VT, this treatment might be considered in the long-term management plan rather than as an immediate intervention.
D. Defibrillation is the use of an electrical shock to the heart to restore a normal rhythm in cases of life- threatening arrhythmias such as ventricular fibrillation or pulseless VT. It is not used for stable VT because the patient still has a pulse and is not in immediate danger of cardiac arrest
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Restraining the child's arms during a seizure is not recommended. Trying to hold or restrain a child’s movements can lead to injury for both the child and the caregiver. During a seizure, it is more important to ensure the child is in a safe environment and avoid any actions that might exacerbate the situation or cause harm.
B. Using a padded tongue blade is an outdated practice and is not recommended. This method was once thought to prevent the child from biting their tongue or injuring their mouth, but it can actually lead to broken teeth, injuries to the mouth, or cause airway obstruction. Instead, focusing on ensuring the child's safety and protecting their airway is more appropriate.
C. Positioning the child laterally (on their side) is an appropriate and recommended action during a seizure. This position helps keep the airway open and allows any fluids, such as saliva, to drain out of the mouth, which helps prevent aspiration and choking. This position is especially important if the child is at risk for vomiting or if the seizure lasts for a prolonged period.
D. Attempting to stop the seizure is not possible and is not recommended. Seizures typically resolve on their own, and trying to intervene actively can cause harm. Instead, focus on protecting the child from injury, monitoring the duration of the seizure, and providing support once the seizure is over.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"B"},"E":{"answers":"A,B"}}
Explanation
Cognitive Function
- Cognitive function in Parkinson's disease can be relatively preserved early on, though some patients may develop cognitive impairment or dementia in later stages.
- Cognitive function can be significantly affected depending on the location and extent of brain damage. Sudden changes in cognition, such as confusion or difficulty forming words, are common in the acute phase following a stroke.
- Cognitive impairment is possible and can vary widely among patients. It is usually more subtle and may include difficulties with concentration and memory rather than dramatic changes.
Speech
- Speech abnormalities are common, such as reduced volume (hypophonia), monotone voice, and difficulty articulating words (dysarthria).
- Speech difficulties, including aphasia or dysarthria, are common, especially if the stroke affects the language centers of the brain.
- Speech problems can include slurred speech (dysarthria) and difficulty with articulation due to muscle weakness or coordination issues.
Mobility Status
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Characterized by bradykinesia (slowness of movement), rigidity, and tremors. Mobility issues are common, with patients often using assistive devices as the disease progresses.
- Mobility issues vary widely based on the affected brain areas. Weakness or paralysis on one side of the body (hemiparesis) and difficulty with gait and balance are common.
- Mobility issues can include weakness, spasticity, and coordination problems. Gait disturbances are common, and assistive devices may be used as the disease progresses.
Blood Pressure
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Blood pressure can vary but is not directly influenced by Parkinson's disease.
- High blood pressure is often a risk factor for stroke and can be present in both the acute phase and later stages.
- Blood pressure abnormalities are not a primary feature of MS, although secondary complications can affect it.
Facial Symmetry
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Parkinson's Disease is characterized by a reduced range of facial expressions (masked face) due to bradykinesia and rigidity, but typically no acute facial droop.
- Facial droop on one side is a common symptom, especially if the stroke affects the facial nerve area or motor control areas.
- Facial weakness or asymmetry can occur, but is less common compared to stroke.
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