Complete the following sentence from the list of options

Monitor

The nurse is caring for a client who is admitted to the telemetry unit with a new onset of the following rhythm. The nurse assesses the rhythm as
dropdown
. The nurse plans to administer
dropdown
- for the rhythm and intravenous
dropdown
- to prevent blood clots.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D","dropdown-group-3":"D"}

Atrial fibrillation: This is a common arrhythmia where the atria quiver instead of contracting normally, leading to irregular heart rhythms.

Amiodarone- an antiarrhythmic medication may be used to control the heart rate or rhythm in atrial fibrillation.

Heparin-an anticoagulant prevent thromboembolic events, such as stroke, anticoagulants like heparin, enoxaparin, or newer agents like rivaroxaban are used.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D","dropdown-group-3":"D"}

Explanation

Atrial fibrillation: This is a common arrhythmia where the atria quiver instead of contracting normally, leading to irregular heart rhythms.

Amiodarone- an antiarrhythmic medication may be used to control the heart rate or rhythm in atrial fibrillation.

Heparin-an anticoagulant prevent thromboembolic events, such as stroke, anticoagulants like heparin, enoxaparin, or newer agents like rivaroxaban are used.

A. Urine output has increased from 30 mL to 50 mL per hour B. Blood pressure decreased from 140/80 to 90/50 C. Heart rate has increased from 80 to 110 beats per minute D. Client is awake, alert and oriented to time, place and person

Correct Answer is A

Explanation

A. Dopamine at low doses primarily increases renal perfusion, which can lead to improved urine output. An increase in urine output is a key indicator that the medication is effectively improving kidney function and blood flow. This is the most direct way to assess its effectiveness.
B. A decrease in blood pressure is not an expected effect of low-dose dopamine, which should actually help improve perfusion and raise blood pressure.
C. An increase in heart rate is more likely with higher doses of dopamine and is not an optimal indicator of the drug's effectiveness for acute heart failure.
D. Client alertness is important but does not directly reflect the primary effects of dopamine on renal perfusion and cardiac output in acute heart failure.

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D","dropdown-group-3":"D"}

Explanation

The client diagnosed with acute heart failure is prescribed an infusion of dopamine at a low dose. Which assessment parameter should the nurse use to best evaluate the effectiveness of this medication?

Correct Answer is A

Explanation

Which clinical manifestation would the nurse use to best indicate that the status of an elderly client's chronic heart failure condition is Improving?

The nurse is caring for a client diagnosed with acute heart failure on the telemetry unit. Which laboratory result does the nurse know is most indicative of this diagnosis?

The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will guide the provider to a diagnosis of DIC?

The nurse is reviewing the laboratory values for the client diagnosed with heart failure and notes the sodium level is 128 mEq/L (normal 135-145mEq/L). How should the nurse interpret this finding?

The client with heart failure exhibits bibasilar crackles, dyspnea and a respiratory rate of 26/min. The physician prescribes furosemide 40 mg IV. Which parameter would the nurse use to best evaluate if the client is responding to this medication?

The nurse is caring for a client who is to have an autologous transfusion of packed red blood cells. The nurse recognizes the client requires additional teaching when they state:

When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:

The nurse has provided teaching to a client who had an implantable cardioverter/defibrillator inserted. Which statement by the client indicates the need for further instruction?