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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: An oxygen saturation reading of 99% on room air is normal8.
Choice B rationale: Slurred speech could indicate a stroke, which is a potential complication of atrial fibrillation due to the risk of clot formation8.
Choice C rationale: A decrease in intensity of chest pain is not typically a sign of worsening atrial fibrillation8.
Choice D rationale: While elevated blood pressure can be associated with atrial fibrillation, it is not a specific sign of worsening atrial fibrillation8.
So, the correct answer is Choice B, after analyzing all choices.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale: Fever can cause an increase in metabolic rate which can lead to sinus tachycardia1.
Choice B rationale: Lisinopril is an ACE inhibitor used to treat hypertension, not a cause of sinus tachycardia1.
Choice C rationale: Albuterol is a bronchodilator that can cause sinus tachycardia as a side effect1.
Choice D rationale: Sleeping typically results in a slower heart rate, not sinus tachycardia1.
Choice E rationale: Dehydration can lead to low blood volume, causing the heart to beat faster to maintain blood pressure, resulting in sinus tachycardia1.
So, the correct answer is Choices A, C, and E, after analysing all choices.
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