A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?

Radiofrequency catheter ablation

CPR

Defibrillation

Synchronized cardioversion

Answer and Explanation

The Correct Answer is D

A. Radiofrequency catheter ablation is a long-term treatment for recurrent VT, not an immediate intervention.
B. CPR is indicated for pulseless VT, but this client has a carotid pulse.
C. Defibrillation is used for pulseless VT or ventricular fibrillation, but this client is still perfusing.
D. Synchronized cardioversion is the appropriate treatment for unstable VT with a pulse, as it delivers a timed shock to restore normal rhythm.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

Rationale:

A. Distribution refers to the area of the body where the pain is felt.

B. Onset refers to when the pain started.

C. Intensity refers to the severity of the pain.

D. Location refers to where the pain is felt.

E. Radiation refers to whether the pain spreads to other areas.

F. Alleviated refers to what makes the pain better or worse.

A. Hypocalcemia B. Hypernatremia C. Hyperkalemia D. Hypokalemia

Correct Answer is D

Explanation

Rationale:

A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.

B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.

C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.

D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Correct Answer is D

Explanation

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?

A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))

A nurse is caring for a client post transcatheter aortic valve replacement (TAVR). During the first cardiac rehabilitation session, the client tells the nurse, "I do not need to be here. I am feeling so much better, I can do this at home". Which of the following is the appropriate nursing response?

A nurse is caring for a client with a possible acute myocardial infarction (AMI). The electrocardiogram (ECG) shows no ST segment elevations or depression. The nurse is aware that an elevation of which lab result will determine if there has been cardiac injury?

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?