A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI
A diuretic medication
An oral anticoagulant medication
A beta blocker medication
An antihyperuricemic medication
The Correct Answer is B
Choice A reason:
A diuretic medication is generally used to remove excess fluid from the body and treat conditions such as hypertension and heart failure. While it can be part of the management plan for atrial fibrillation if there is fluid overload, it is not specifically used to prevent thromboembolic events like TIA, which are a major concern in atrial fibrillation patients.
Choice B reason:
An oral anticoagulant medication is the most appropriate choice for a patient with atrial fibrillation who has experienced a TIA. Anticoagulants, such as warfarin or newer direct oral anticoagulants (DOACs), are used to prevent blood clots from forming and reduce the risk of stroke and other thromboembolic events. This choice directly addresses the primary goal of reducing the risk of future TIAs or strokes in patients with atrial fibrillation.
Choice C reason:
A beta blocker medication can be useful in managing atrial fibrillation by controlling the heart rate and reducing the risk of symptomatic episodes. However, beta blockers do not address the risk of thromboembolism, which is critical in the context of a patient with a history of TIA. Thus, while beneficial for rate control, they do not serve the primary purpose of preventing strokes in this scenario.
Choice D reason:
An antihyperuricemic medication is used to lower uric acid levels and treat conditions like gout. It is not relevant to the management of atrial fibrillation or the prevention of thromboembolic events. Including this option does not align with the clinical needs of a patient with atrial fibrillation and a history of TIA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Proceeding to measure the oral temperature immediately after the client has consumed ice chips is incorrect. The cold substance can lower the temperature reading, leading to inaccurate results. The oral temperature measurement would not reflect the client's true body temperature.
Choice B reason:
Documenting that the temperature was not measured is not a practical approach to this situation. While it records the inability to take a measurement, it does not address the need to obtain an accurate temperature reading after an appropriate waiting period.
Choice C reason:
Providing warm water and then measuring the temperature after 5 minutes is not advisable. This method can cause a rebound effect, where the warm water temporarily raises the oral temperature, again leading to an inaccurate reading. It also does not provide a sufficient waiting period for the mouth to return to its baseline temperature.
Choice D reason:
Waiting 30 minutes before remeasuring the oral temperature is the best practice. This period allows the oral cavity to return to its normal temperature, ensuring that the reading is accurate and reflective of the client's true body temperature. It avoids the influence of recent ingestion of cold substances.
Correct Answer is B
Explanation
Choice A reason: Bradycardia is not typically associated with gastrointestinal perforation. While changes in heart rate can occur with severe pain or shock, it is not a primary indicator of perforation in peptic ulcer disease.
Choice B reason: This is the correct answer. Sudden abdominal pain, especially if severe and accompanied by signs of peritonitis, is a key indicator of gastrointestinal perforation. This condition requires immediate medical intervention to prevent serious complications.
Choice C reason: Hyperactive bowel sounds are more commonly associated with other gastrointestinal conditions, such as obstruction or gastroenteritis. In the case of perforation, bowel sounds may actually be diminished or absent.
Choice D reason: Increased blood pressure might occur as a response to severe pain or stress but is not a specific indicator of gastrointestinal perforation. The focus should be on abdominal symptoms and signs of acute abdomen.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.