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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Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale: LPNs can reinforce education provided by RNs56.

Choice B rationale: LPNs can administer medications that are not high-risk56.

Choice C rationale: LPNs can obtain vital signs on stable patients56.

Choice D rationale: Starting a blood transfusion is a task that requires specific nursing judgment and decision-making skills, which should not be delegated to an LPN56.

So, the correct answer is Choice D, after analyzing all choices.

A. Give vitamin K STAT B. Prepare to place the client on a Heparin drip C. Draw labs: PT, PTT, INR D. Prepare to administer Coumadin E. Prepare to administer Verapamil

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.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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

Explanation

A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

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?

The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?

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

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is educating a patient with a newly placed pacemaker about a variety of complementary and alternative therapies. What type of therapy is contraindicated in patients with pacemakers?.