A nurse is caring for a client in the emergency department (ED). Afib
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
- Atrial fibrillation is characterized by an irregular, often rapid heart rate that can lead to poor blood flow. The client's symptoms of a "fluttering" and "racing" heartbeat, dizziness, and shortness of breath, along with the irregular cardiac rhythm and unclear P waves, are indicative of atrial fibrillation.
- Obtaining a 12 lead ECG is essential to confirm the diagnosis and assess the extent of the arrhythmia.
- Administering an anticoagulant is crucial to prevent thromboembolic events, such as stroke, which are common complications of atrial fibrillation.
- Monitoring for manifestations of stroke is important because atrial fibrillation increases the risk of stroke.
- PT/INR should be monitored to ensure the effectiveness and safety of anticoagulant therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bone demineralization occurs over a longer period of immobilization and is not a primary concern within the first 24 to 48 hours following a fracture.
B. Fat embolism syndrome (FES) is a serious complication that can occur within 24 to 48 hours after a long bone fracture, especially a femur fracture. Fat droplets from the bone marrow can enter the bloodstream, leading to embolism in the lungs, brain, or heart, causing symptoms such as respiratory distress, confusion, and petechial rash.
C. Muscle atrophy is a concern with prolonged immobility, but it develops over a longer period of time, not within the first 24 to 48 hours after a fracture.
D. Renal calculi (kidney stones) are more commonly associated with long-term immobility or dehydration, not an immediate complication following a fracture.
Correct Answer is C
Explanation
A. While aspirin has analgesic properties, it is not primarily used for pain relief in the case of myocardial infarction (MI). Its main role in MI is to reduce the risk of further clot formation.
B. Aspirin has anti-inflammatory properties, but in the case of MI, its primary role is not inflammation reduction but rather preventing platelet aggregation.
C. Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
D. Aspirin does have antipyretic effects, but this is not the primary reason for its use in MI.
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