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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?

Lanoxin increases the heart rate

Lanoxin increases the force of cardiac contractions

Lanoxin order should be questioned in this diagnosis.

Lanoxin decreases the force of cardiac contractions

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is D

Explanation

A. Radiofrequency catheter ablation is a long-term treatment for recurrent VT, not an immediate intervention.
B. CPR is indicated for pulseless VT, but this client has a carotid pulse.
C. Defibrillation is used for pulseless VT or ventricular fibrillation, but this client is still perfusing.
D. Synchronized cardioversion is the appropriate treatment for unstable VT with a pulse, as it delivers a timed shock to restore normal rhythm.

A. "The cardiac rehab program, can help you safely return to an active lifestyle." B. "Your doctor is the expert, and would only recommend what is best for you." C. "It's normal to feel that way at first, but once you learn the routine, you'll enjoy it." D. "Cardiac Rehab will help you get back to normal"

Correct Answer is A

Explanation

Rationale:

A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.

B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.

C. This statement may minimize the client's concerns and is not the best response.

D. This statement is not specific and may not address the client's concerns.

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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?

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Correct Answer is D

Explanation

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?

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 client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?

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?

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 who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

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 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 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?