Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?

Adenosine 6mg iVP fast followed by a 10mL saline flush.

Atenolol 25mg PO.

Metoprolol 25mg IVP.

Atropine IVP fast followed by a 10ml saline flush.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Adenosine is primarily used to treat supraventricular tachycardia, not typically used for tachycardic rhythm with palpitations and dizziness5.

Choice B rationale: Atenolol is a beta-blocker that can be used to treat tachycardia, but it is not typically the first choice for acute symptoms5.

Choice C rationale: Metoprolol is a beta-blocker that is often used to treat tachycardia and can help alleviate symptoms such as palpitations and dizziness5.

Choice D rationale: Atropine is typically used to treat bradycardia, not tachycardia5.

So, the correct answer is C, after analysing all choices.

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Correct Answer is A

Explanation

Choice A rationale: Nitroglycerin tablets are typically taken sublingually (under the tongue) at the onset of chest pain. If the pain is not relieved, a second tablet may be taken 5 minutes after the first. If the pain continues for another 5 minutes, a third tablet may be used123.

Choice B rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream1.

Choice C rationale: Nitroglycerin is not typically taken after each meal and at bedtime. It is used as needed to relieve chest pain1.

Choice D rationale: While nitroglycerin can be taken every 5 minutes up to three times during an acute angina attack, it is not typically recommended to take one tablet every 10 minutes1.

So, the correct answer is A, after analysing all choices.

A. The 44year-old client was newly diagnosed with myocardial infarction. B. The 50-year-old client started complaining of crushing chest pain. C. The 95-year-old client who is scheduled for a cardiac catheterzation and requires patient teaching D. The 65-year-old client admitted today with unstable angina

Correct Answer is C

Explanation

Choice A rationale: A client newly diagnosed with myocardial infarction would require a nurse with more experience due to the complexity and potential instability of the condition678910.

Choice B rationale: A client complaining of crushing chest pain could be experiencing a serious condition such as a myocardial infarction. This client would require a nurse with more experience678910.

Choice C rationale: A client scheduled for a cardiac catheterization and requires patient teaching would be an appropriate assignment for a new graduate nurse. This client is stable and the task of patient teaching is within the scope of a new graduate678910.

Choice D rationale: A client admitted with unstable angina would require a nurse with more experience due to the potential for rapid changes in the client’s condition678910.
So, the correct answer is C, after analysing all choices.

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Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

Correct Answer is A

Explanation

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Correct Answer is C

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