A nurse is assessing clients on a medical-surgical unit. Which client would the nurse identify as being at greatest risk for atrial fibrillation?
An 80-year-old with chronic obstructive pulmonary disease.
A 78-year-old who had a carotid endarterectomy.
A 45-year-old who takes an aspirin daily.
A 50-year-old who is post coronary artery bypass graft surgery.
The Correct Answer is A
A. Atrial fibrillation (AF) is more common in older adults, particularly those with underlying conditions like chronic obstructive pulmonary disease (COPD). COPD can lead to structural changes in the heart, increasing the risk of AF. The elderly are particularly vulnerable due to age-related heart changes and comorbidities such as lung disease.
B. While carotid endarterectomy is a surgical procedure that can be related to stroke prevention, it is not directly associated with a higher risk of AF compared to COPD.
C. Aspirin is used for its antiplatelet effects, not directly related to the risk of AF.
D. Post coronary artery bypass graft (CABG) surgery increases the risk for arrhythmias, but it is less directly linked to AF than conditions like COPD in an older adult.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clients with ICDs should avoid strong electromagnetic fields, which can interfere with the device’s function. This is crucial for safety.
B. Discontinuing antidysrhythmic medication is not recommended unless instructed by the healthcare provider, as it could increase the risk of arrhythmias.
C. Strenuous exercise may be too strenuous for someone with an ICD and could increase the risk of arrhythmias or lead to ICD activation.
D. A snug-fitting shirt is generally not recommended because it may place pressure on the ICD site and cause discomfort.
Correct Answer is B
Explanation
A. Finasteride does not need to be taken on an empty stomach.
B. Finasteride can cause harm to a developing male fetus, and pregnant women should avoid handling it to prevent potential absorption through the skin.
C. Finasteride is an oral medication and is not administered as an intramuscular injection.
D. Hair loss is not a common adverse effect of finasteride; in fact, it is used to treat hair loss in men with benign prostatic hyperplasia.
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