A client has been diagnosed with a life-threatening recurrent ventricular fibrillation that has not responded to other medications or defibrillation. Which of the following does the nurse anticipate will be prescribed next?

Quinidine

Digoxin [Lanoxin]

Atropine

Amiodarone [Cordarone]

Answer and Explanation

The Correct Answer is D

A. Quinidine is used for other types of arrhythmias but is not typically the first choice for recurrent ventricular fibrillation that has not responded to other treatments.
B. Digoxin is used to manage heart failure and atrial fibrillation but is not effective for ventricular fibrillation.
C. Atropine is used for bradycardia, not ventricular fibrillation.
D. Amiodarone is a potent antiarrhythmic agent used for life-threatening ventricular arrhythmias, including ventricular fibrillation, particularly when other treatments have failed.

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Correct Answer is C

Explanation

A. While dabigatran has limited options for reversal, educating the client about not abruptly discontinuing the medication is more critical to prevent thrombotic events.
B. Blood in the urine and stool is not normal and would indicate a possible complication, not a normal effect.
C. Abrupt discontinuation of dabigatran can lead to an increased risk of thromboembolism. It is crucial to educate the client about the importance of maintaining consistent use of the medication.
D. Dabigatran does not have significant food interactions that would be the priority concern over the risk of abrupt discontinuation.

A. Swallow 1 nitroglycerin tablet with a full glass of water and repeat in 5 minutes. B. Apply 1 nitroglycerin transdermal patch to your chest, ensuring to remove any previous patches. C. Place 3 nitroglycerin tablets under the tongue and notify physician if pain is not relieved. D. Take 1 tablet of nitroglycerin and call 911 or go to emergency department if chest pain is not relieved in 5 minutes, and repeat medication for a total of 3 tablets at 5 minute intervals.

Correct Answer is D

Explanation

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

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A client has been diagnosed with a life-threatening recurrent ventricular fibrillation that has not responded to other medications or defibrillation. Which of the following does the nurse anticipate will be prescribed next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing teaching with a client being discharged with a prescription for dabigatran. Which of the following is a priority in client education?

Correct Answer is C

Explanation

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Correct Answer is D

Explanation

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