A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?

Amiodarone administration

Defibrillation

Epinephrine administration

Synchronized Cardioversion

Answer and Explanation

The Correct Answer is B

A. Amiodarone is an antiarrhythmic medication used after defibrillation and CPR in persistent ventricular fibrillation (VF) or ventricular tachycardia (VT). However, it is not the first priority.
B. Defibrillation is the immediate priority in a pulseless client with ventricular fibrillation. Early defibrillation increases the chances of survival. The shock should be delivered as soon as possible.
C. Epinephrine is given after the first defibrillation and CPR cycle, not before.
D. Synchronized cardioversion is inappropriate because it is used for unstable tachyarrhythmias with a pulse, not pulseless VF.

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Correct Answer is D

Explanation

A. Hyperkalemia is not a typical complication of thiazide diuretics. Instead, they promote potassium loss, increasing the risk of hypokalemia.
B. Hypoglycemia is not directly associated with thiazide diuretics. These medications may affect glucose tolerance but do not cause low blood sugar.
C. Seizures are not a common adverse effect of thiazide diuretics. While severe electrolyte imbalances could contribute to neurological symptoms, they are not the primary concern in this scenario.
D. Cardiac dysrhythmias can result from hypokalemia, a common side effect of thiazide diuretics. Potassium is essential for normal cardiac conduction, and low levels can lead to palpitations, weakness, and potentially life-threatening arrhythmias.

A. Reduction of blood pressure to normal over a period of days B. Reduce the blood pressure to normal over a period of hours. C. Reduction of blood pressure by 50% in the first hour. D. Reduce blood pressure until the patient is asymptomatic.

Correct Answer is A

Explanation

A. In a hypertensive emergency, the goal is to reduce blood pressure gradually over 24 to 48 hours to prevent organ damage while avoiding excessive drops that could cause ischemia.
B. Rapid reduction of blood pressure over a few hours can lead to organ hypoperfusion and ischemic complications, such as stroke or acute kidney injury.
C. A 50% reduction in the first hour is too aggressive and may result in severe adverse effects such as cerebral or myocardial ischemia. The recommended initial reduction is no more than 25% in the first hour.
D. Treating hypertension based solely on symptoms is inappropriate, as some patients may be asymptomatic despite dangerously high blood pressure. The focus is on preventing target organ damage.

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A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics?

Correct Answer is D

Explanation

A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?

Correct Answer is A

Explanation

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