A nurse is caring for a client who reports feeling heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Cardioversion

Radiofrequency catheter ablation

Defibrillation

CPR

Answer and Explanation

The Correct Answer is A

A. Cardioversion. For stable clients with ventricular tachycardia who have a pulse, synchronized cardioversion is the preferred treatment.

B. Radiofrequency catheter ablation is a longer-term treatment option for recurrent VT but is not an immediate intervention.

C. Defibrillation is used for pulseless VT or ventricular fibrillation, not for stable VT with a pulse.

D. CPR is required if the client is pulseless or in cardiac arrest, which is not indicated here.

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Correct Answer is D

Explanation

A. Bloody drainage in the collection chamber is expected in the first 24 hours after chest tube insertion.
B. Fluid-level fluctuations (tidaling) in the water-seal chamber are normal and indicate proper chest tube function.
C. Constant bubbling in the suction-control chamber indicates the suction is working correctly.
D. Continuous bubbling in the water-seal chamber suggests an air leak in the system, which requires immediate intervention.

A. Check urine specific gravity. B. Measure blood glucose levels every 4 hr. C. Initiate fluid restrictions. D. Administer a diuretic.

Correct Answer is A

Explanation

A. Diabetes insipidus causes the kidneys to excrete large volumes of dilute urine, so monitoring urine specific gravity helps assess the severity and effectiveness of treatment.
B. Measuring blood glucose is important for diabetes mellitus, not diabetes insipidus.
C. Fluid restrictions are contraindicated because clients with diabetes insipidus lose large amounts of fluids and need replacement.
D. Diuretics are not typically used initially; some specific diuretics may be used in certain cases but not as a primary intervention.

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A nurse is caring for a client who reports feeling heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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