The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

Defibrillation

Antiarrhythmic medication

Synchronized cardioversion

Pacemaker

Answer and Explanation

The Correct Answer is A

A.   Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B.   Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C.   Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D.   A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.

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Correct Answer is B

Explanation

A. Fatigue is a common symptom in patients with multiple myeloma but may not directly impact safety in the home environment as much as other factors.
B. An unsteady gait can increase the risk of falls and injuries, making it a priority for safety considerations in the home environment.
C. Back pain is common in multiple myeloma but may not directly affect safety in the home environment unless it significantly impairs mobility.

D. Dyspnea on exertion may limit physical activity but may not pose an immediate safety risk in the home environment unless it indicates a severe respiratory compromise.

A. "They are going to examine my gallbladder and ducts." B. "I'll have an endoscope put down my throat so they can see my gallbladder." C. "Soon those shock waves will get rid of my gallstones." D. "They'll put medication into my gallbladder to dissolve the stones."

Correct Answer is B

Explanation

A. This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B. An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C. This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D. This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.

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The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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