A nurse is caring for a client with chest pain who suddenly 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

Synchronized Cardioversion

Epinephrine administration

Defibrillation

Answer and Explanation

The Correct Answer is D

Rationale:

A. Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT) that is unresponsive to cardioversion.

B. Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and unstable ventricular tachycardia (VT).

C. Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It is given after defibrillation.

D. Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).

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Correct Answer is B

Explanation

Rationale:

A. Anorexia is a common symptom of infective endocarditis but is not typically the priority assessment finding.

B. Fever is a hallmark sign of infective endocarditis and should be monitored closely.

C. Dyspnea is a common symptom of infective endocarditis but is not typically the priority assessment finding.

D. Malaise is a common symptom of infective endocarditis but is not typically the priority assessment finding.

A. The client experiences sudden weakness of one arm and leg B. The client's ECG tracing shows irregular heart rate without P waves. C. The client's urine output is cloudy and odorous. D. The client has an aPTT of 80 seconds.

Correct Answer is A

Explanation

Rationale:

A. Sudden weakness of one arm and leg may indicate a stroke, which is a potential complication of atrial fibrillation.

B. An irregular heart rate without P waves is characteristic of atrial fibrillation and is expected.

C. Cloudy and odorous urine may indicate a urinary tract infection but is not the priority in this case.

D. An aPTT of 80 seconds is within the therapeutic range for heparin therapy.

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A nurse is caring for a client with chest pain who suddenly 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 client diagnosed with infective endocarditis. The nurse is aware that which of the following is the priority assessment finding for this patient?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

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 with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.

A nurse is reviewing cardiac rhythms and heart blocks for a critical care course. The nurse is aware that which of the following describes first degree heart block?

Identify the following Cardiac Rhythm:

Identify the following Cardiac Rhythm:

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)