A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?
Obtain a cardiology consult.
Perform pre-oxygenation prior to suctioning.
Suction the client less frequently.
Administer an antidysrhythmic medication.
The Correct Answer is B
B. This is advised to prevent hypoxemia, which can manifest as tachycardia and arrhythmia, conditions indicated by an increased and irregular heart rate. Pre-oxygenation helps maintain adequate oxygen levels in the blood, which can be compromised during the suctioning process.
A. Obtaining a cardiology consult might be necessary if the client's heart rate increases and becomes irregular. However, it's not the immediate action the nurse should take. This option is more appropriate for addressing the underlying cause of the client's dysrhythmia rather than the immediate management during suctioning.
C. Suctioning the client less frequently might be appropriate if the client's response to suctioning is causing distress or physiological changes like increased heart rate. However, if suctioning is necessary due to secretions in the airway, simply reducing the frequency might not be sufficient to address the client's cardiovascular response.
D. Administering an antidysrhythmic medication should be considered if the client's heart rate increases and becomes irregular during or after suctioning, especially if the dysrhythmia persists or worsens.
However, this should be done under the guidance of a healthcare provider and after assessing the client's overall condition, including potential causes of the dysrhythmia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A The first intervention should be to ensure adequate oxygenation, as hypoxia can exacerbate shock. Therefore, providing oxygen at 100% via a non-rebreather mask is the most critical initial step. This intervention helps to maximize the amount of oxygen delivered to the patient's lungs and subsequently to the rest of the body, supporting vital organ function while further assessments and interventions are prepared.
B Continuous ECG monitoring allows for the assessment of the patient's heart rhythm, rate, and any signs of dysrhythmias or cardiac ischemia. This intervention is important for detecting any life- threatening arrhythmias, such as ventricular tachycardia or fibrillation, which may require immediate intervention. While ECG monitoring is important, it may not be the highest priority intervention.
C Drawing blood for type and crossmatch is important for preparing for potential blood transfusions if significant blood loss is suspected. However, this intervention may take some time to process, and immediate stabilization of the patient's condition is paramount.
D Large-bore IV catheters allow for rapid infusion of fluids to restore intravascular volume and improve tissue perfusion. This intervention is critical for stabilizing the patient's hemodynamic status and takes precedence in the management of shock. However, oxygenation should take priority.
Correct Answer is []
Explanation
AF is characterized by irregular, rapid heartbeat (100 to 175 beats per minute (bpm) and the absence of distinct P waves.
Management of unstable atrial fibrillation include immediate pharmacological or electrical cardioversion and anticoagulation.
Atrial fibrillation leads to ineffective pumping and stasis of blood in the heart which increases the risk of stroke.
On initiating anticoagulation, PTT/INR is important to ensure that the drug is administered at doses that achieve the optimal therapeutic effect.
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