Following two defibrillation shocks, the client's electrocardiogram (ECG) continues to indicate ventricular fibrillation (VF). Which intervention should the nurse implement next?

Resume CPR immediately.

Obtain an arterial blood gas sample.

Perform the third defibrillation shock.

Administer an IV bolus of epinephrine.

Answer and Explanation

The Correct Answer is C

Choice A: CPR is important but should be performed in conjunction with defibrillation. Since two defibrillation shocks have already been administered, the next step should be another shock.

Choice B : Obtaining an arterial blood gas sample is not the immediate priority when the client is in ventricular fibrillation. Defibrillation should be continued.

Choice C: Performing the third defibrillation shock is the next appropriate step in the advanced cardiac life support (ACLS) algorithm for ventricular fibrillation.

Choice D: Administering an IV bolus of epinephrine may be part of the ACLS protocol, but it is typically administered after defibrillation attempts.

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Correct Answer is D

Explanation

Choice A: Whole wheat bread is not typically high in tyramine and is not a common trigger for migraines.

Choice B: Chicken is a low-tyramine food and is unlikely to be a trigger for migraines.

Choice C: Cherries are also low in tyramine and are not commonly associated with migraine triggers.

Choice D: Hard salami is a high-tyramine food and is known to be a potential trigger for migraines. Therefore, the nurse should recommend that the client eliminate hard salami from their diet.

A. Milk products, canned salmon, and fresh oysters. B. Cranberry juice, butter, and hard candy. C. Hard cheese, whole grain cereals, and dried vegetables. D. Potatoes, bananas, and oranges.

Correct Answer is D

Explanation

Choice A: Milk products, canned salmon, and fresh oysters are sources of calcium and may be included in the diet but are not primary sources of potassium.

Choice B: Cranberry juice, butter, and hard candy are not significant sources of potassium and may not address the client's hypokalemia.

Choice C: Hard cheese, whole-grain cereals, and dried vegetables are not primary sources of potassium and may not provide an adequate potassium intake.

Choice D: Potatoes, bananas, and oranges are all good dietary sources of potassium and should be encouraged for a client with hypokalemia. Increasing potassium-rich foods can help correct low potassium levels.

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Following two defibrillation shocks, the client's electrocardiogram (ECG) continues to indicate ventricular fibrillation (VF). Which intervention should the nurse implement next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has migraine headaches wants to decrease the intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which food should the nurse recommend that the client eliminate?

Correct Answer is D

Explanation

When conducting diet teaching for a client diagnosed with hypokalemia, which foods should the nurse encourage the client to eat?

Correct Answer is D

Explanation

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