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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Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:

A. Lanoxin does not typically increase heart rate significantly.

B. Digoxin (Lanoxin) is a positive inotropic agent, meaning it increases the force of cardiac contractions.

C. Lanoxin is commonly used in the treatment of heart failure.

D. Lanoxin does not decrease the force of cardiac contractions.

A. Check your skin for increased bruising B. Missing 1 dose of medication is not a risk C. The client may develop hypothyroidism. D. Hypertension is not a risk factor

Correct Answer is A

Explanation

Rationale:

A. This is important because AFib can lead to blood clots, which may cause bruising or other skin changes.

B. Missing doses of medication can increase the risk of complications in atrial fibrillation.

C. Hypothyroidism is not directly related to AFib. Therefore, this information is not relevant for AFib education.

D. Hypertension is a risk factor for atrial fibrillation.

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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 with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new diagnosis of atrial fibrillation. The nurse should include which of the following in the education?

Correct Answer is A

Explanation

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

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.

The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?

A nurse is caring for a client with sudden onset of chest pain, the nurse completes the electrocardiogram (ECG). The nurse understands that this client is having what type of acute coronary syndrome?

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?

A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

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?