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]
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.
Correct Answer is A
Explanation
A. Lithium is a mood stabilizer commonly used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is a benzodiazepine used for anxiety, not for acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating mania.
D. Paroxetine (Paxil) is an antidepressant, and while it may be used for depression, it is not indicated for treating acute mania.
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