A client presents to the emergency healthcare setting and diagnosed with a life-threatening ventricular dysrhythmia. Which of the following medications would the nurse begin to prepare?
Atenolol
Lisinopril
Procainamide
Adenosine
The Correct Answer is C
A. Atenolol is a beta-blocker used for various cardiac conditions but is not typically the first-line treatment for acute ventricular dysrhythmias.
B. Lisinopril is an ACE inhibitor, which is not indicated for immediate management of ventricular dysrhythmias.
C. Procainamide is an antiarrhythmic medication specifically used to treat ventricular dysrhythmias and would be appropriate in this scenario.
D. Adenosine is typically used for rapid atrial dysrhythmias, not specifically for ventricular dysrhythmias, making procainamide the better choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["675"]
Explanation
To calculate the dosage of vancomycin, we first convert the client's weight from pounds to kilograms, knowing that 1 kilogram is approximately 2.2 pounds. The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2). The prescribed dose is 15 mg/kg/day, so for a 90 kg individual, this would be 1350 mg/day (15 mg/kg * 90 kg). Since the dose is divided equally every 12 hours, the nurse would administer half of the daily dose every 12 hours, resulting in 675 mg per dose (1350 mg/day / 2). Therefore, the nurse should administer 675 mg of vancomycin with each dose.
Correct Answer is D
Explanation
A. While aspirin has anti-inflammatory properties, this is not the primary reason it is prescribed after an MI.
B. Aspirin does not primarily function as an anti-pyretic in this context; its use is focused on cardiovascular benefits.
C. Aspirin does not have antiemetic properties and is not indicated for nausea control.
D. Inhibiting platelet aggregation is the key therapeutic effect of aspirin in preventing further clot formation, which is critical following an MI to reduce the risk of subsequent cardiovascular events.
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