A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?

Oxygen saturation reading of 99% on room air

Slurred speech

Decrease in intensity of chest pain

Elevated blood Pressure

Answer and Explanation

The Correct Answer is B

Choice A rationale: An oxygen saturation reading of 99% on room air is normal8.

Choice B rationale: Slurred speech could indicate a stroke, which is a potential complication of atrial fibrillation due to the risk of clot formation8.

Choice C rationale: A decrease in intensity of chest pain is not typically a sign of worsening atrial fibrillation8.

Choice D rationale: While elevated blood pressure can be associated with atrial fibrillation, it is not a specific sign of worsening atrial fibrillation8.
So, the correct answer is Choice B, after analyzing all choices.

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Correct Answer is D

Explanation

Choice A rationale: LPNs can reinforce education provided by RNs56.

Choice B rationale: LPNs can administer medications that are not high-risk56.

Choice C rationale: LPNs can obtain vital signs on stable patients56.

Choice D rationale: Starting a blood transfusion is a task that requires specific nursing judgment and decision-making skills, which should not be delegated to an LPN56.

So, the correct answer is Choice D, after analyzing all choices.

A. First-degree AV block B. Sinus bradycardia C. Sinus tachycardia D. Atrial fibrillation

Correct Answer is D

Explanation

Choice A rationale: First-degree AV block is a type of heart block, not a dysrhythmia associated with palpitations, fatigue, and dizziness12.

Choice B rationale: Sinus bradycardia is a slow heart rate, not a rapid and irregular one12.

Choice C rationale: Sinus tachycardia is a fast heart rate but it is regular, not irregular12.

Choice D rationale: Atrial fibrillation is a fast and irregular heart rate, which aligns with the symptoms described34.

So, the correct answer is Choice D, after analysing all choices.

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A nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As the registered nurse, which tasks below should you NOT delegate to the LPN?

Correct Answer is D

Explanation

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?

Correct Answer is D

Explanation

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