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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

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

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

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.

A. Obtain a wound culture. B. Administer broad-spectrum antibiotics. C. Rapidly administer 30 mL/kg of normal saline. D. Insert a nasogastric (NG) tube. E. Type and cross-match for 2 units of packed RBCs F. Obtain a urine specimen. G. Measure lactate level. H. Obtain blood cultures

Correct Answer is ["B","C","G","H"]

Explanation

A. Obtain a wound culture: While important, it is not the immediate priority compared to fluid resuscitation, antibiotic administration, and lactate level measurement.
B. Early administration of antibiotics is crucial in sepsis management to prevent further tissue damage and organ dysfunction.
C. Fluid resuscitation is essential to improve blood pressure and organ perfusion. Rapid administration of fluids is necessary to stabilize the patient.
D. Inserting a nasogastric (NG) tube might be necessary later if the patient develops gastrointestinal issues, but it's not an immediate priority.

E. While blood transfusion might be necessary if the patient becomes severely hypotensive, it's not the initial step. Fluid resuscitation is attempted first.
F. Urine culture can be helpful in identifying the source of infection but is not the immediate priority.
G. Lactate levels are a biomarker for tissue hypoxia and can help assess the severity of sepsis.
H. Blood cultures are essential to identify the causative organism for targeted antibiotic therapy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Explanation

A nurse is caring for a 73-year-old client in the emergency department (ED). Exhibits It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?

Correct Answer is ["B","C","G","H"]

Explanation

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?

A nurse is doing rounds and notes a patient in the following position: How would the nurse document this finding?

A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?

The emergency department nurse is preparing an infusion of IV alteplase for a client who suffered a cerebrovascular accident (CVA). Which of the following statements is accurate about the administration of alteplase?

A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?

A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?