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 D

Explanation

A. While vitamin K plays a role in immune function, its administration prior to surgery primarily aims to correct potential clotting abnormalities rather than prevent infection.

B. Vitamin K does not affect gastric secretions. Its role in this context is unrelated to gastric function.
C. While vitamin K is involved in various physiological processes, its administration prior to surgery is primarily aimed at preventing bleeding complications by ensuring adequate clotting factor synthesis.
D. Vitamin K is essential for the synthesis of clotting factors in the liver.

Administering vitamin K prior to surgery helps ensure adequate levels of clotting factors, reducing the risk of bleeding during and after the procedure.

A. Use contact precautions. B. Administer ibuprofen prior to assisting with ADLS C. Measure rectal temperature every 4 hr. D. Administer a stool softener.

Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

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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

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Explanation

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Correct Answer is D

Explanation

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