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

Synchronized Cardioversion

Repeat electrocardiogram (ECG)

Assessment of blood pressure

Immediate Defibrillation

Answer and Explanation

The Correct Answer is D

Rationale:

A. Synchronized cardioversion is not appropriate for pulseless ventricular tachycardia.

B. A repeat ECG is not necessary for pulseless ventricular tachycardia.

C. Assessment of blood pressure is not the priority in pulseless ventricular tachycardia.

D. Immediate defibrillation is the priority in pulseless ventricular tachycardia to restore a perfusing rhythm.

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Correct Answer is D

Explanation

A. Regular pacemaker checks are scheduled periodically, not only when the battery needs replacement.
B. Modern pacemakers are well-shielded and are not affected by household microwaves.
C. Clients should check their pulse daily to ensure proper pacemaker function, not just weekly.
D. Many pacemakers can be checked remotely using telephone or wireless technology, allowing for convenient monitoring.

A. "I will take my diuretic before sleep and drink fluids during the day." B. "I will read food labels and limit my sodium to 4 grams per day." C. "I plan to pace my activities to avoid fatigue." D. "I should use naproxen to manage discomfort."

Correct Answer is B

Explanation

Rationale:

A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.

B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.

C. Pacing activities is important but is not specific to sodium intake.

D. Naproxen is not typically used to manage discomfort in congestive heart failure.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a permanent pacemaker and has just had the initial pacemaker check. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is D

Explanation

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is B

Explanation

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