A client comes to the emergency department with reports of three days of watery stools and emesis x 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?

Heparin drip

Sodium Chloride IV bolus

Atenolol oral

Verapamil oral

Answer and Explanation

The Correct Answer is B

Choice A rationale: Heparin is an anticoagulant, not typically used to treat dehydration due to diarrhea and vomiting4.

Choice B rationale: Sodium Chloride IV bolus is often used to treat dehydration, which can be caused by three days of watery stools and emesis5.

Choice C rationale: Atenolol is a beta-blocker, used to manage heart conditions, not dehydration4.

Choice D rationale: Verapamil is a calcium channel blocker, not typically used to treat dehydration4.
So, the correct answer is Choice B, after analyzing all choices.

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

Explanation

Choice A rationale: Vitamin K is given to counteract the effects of anticoagulants like warfarin, which might have been administered to manage atrial fibrillation1.

Choice B rationale: Heparin is an anticoagulant often used in the initial management of atrial fibrillation to prevent the formation of clots2.

Choice C rationale: PT, PTT, and INR are lab tests used to monitor the effectiveness of anticoagulation therapy1.

Choice D rationale: Coumadin (warfarin) is a long-term anticoagulant therapy often used in the management of atrial fibrillation1.

Choice E rationale: Verapamil is a calcium channel blocker, not typically the first line of treatment for atrial fibrillation3.

So, the correct answer is Choices A, B, C, and D, after analyzing all choices.

A. Check the electrocardiogram (ECG) for ST segment changes. B. Assess for the presence of jugular venous distention (VD). C. Monitor for changes in the patient's sedimentation rate. D. Assess for the presence of a paradoxical pulse.

Correct Answer is B

Explanation

Choice A rationale: While changes in the ECG can indicate various heart conditions, they are not specific to the effectiveness of therapies for chronic constrictive pericarditis67.

Choice B rationale: Jugular venous distention is a common sign of chronic constrictive pericarditis, and its absence can indicate effective treatment67.

Choice C rationale: Changes in the sedimentation rate are not specific indicators of the effectiveness of therapies for chronic constrictive pericarditis67.

Choice D rationale: The presence of a paradoxical pulse is not a specific indicator of the effectiveness of therapies for chronic constrictive pericarditis67.
So, the correct answer is Choice B, after analyzing all choices.

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Naxlex Comprehensive Predictor Exams

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

Explanation

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

Correct Answer is B

Explanation

A nurse is caring for a client who has a serum potassium level of 5.9 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?

A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply (Select All that Apply.)

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?

A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply (SATA) (Select All that Apply.)

As the registered nurse, which tasks below should you NOT delegate to the LPN?

The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?