A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?

Amiodarone administration

Defibrillation

Epinephrine administration

Synchronized Cardioversion

Answer and Explanation

The Correct Answer is B

A. Amiodarone is an antiarrhythmic medication used after defibrillation and CPR in persistent ventricular fibrillation (VF) or ventricular tachycardia (VT). However, it is not the first priority.
B. Defibrillation is the immediate priority in a pulseless client with ventricular fibrillation. Early defibrillation increases the chances of survival. The shock should be delivered as soon as possible.
C. Epinephrine is given after the first defibrillation and CPR cycle, not before.
D. Synchronized cardioversion is inappropriate because it is used for unstable tachyarrhythmias with a pulse, not pulseless VF.

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Correct Answer is D

Explanation

A. Hyperkalemia is not a typical complication of thiazide diuretics. Instead, they promote potassium loss, increasing the risk of hypokalemia.
B. Hypoglycemia is not directly associated with thiazide diuretics. These medications may affect glucose tolerance but do not cause low blood sugar.
C. Seizures are not a common adverse effect of thiazide diuretics. While severe electrolyte imbalances could contribute to neurological symptoms, they are not the primary concern in this scenario.
D. Cardiac dysrhythmias can result from hypokalemia, a common side effect of thiazide diuretics. Potassium is essential for normal cardiac conduction, and low levels can lead to palpitations, weakness, and potentially life-threatening arrhythmias.

A. Increased appetite B. Distended neck veins C. Worsening lower extremity edema D. Feeling fatigued E. Unable to lie flat F. Weight gain >2 lb in 24 hours

Correct Answer is ["B","C","D","E","F"]

Explanation

A. Increased appetite is not a symptom of worsening right-sided heart failure; clients may actually experience nausea or anorexia due to fluid congestion in the gastrointestinal system.
B. Distended neck veins (jugular venous distension) indicate increased venous pressure and systemic congestion, which are signs of worsening right-sided heart failure.
C. Worsening lower extremity edema occurs due to fluid retention and poor venous return, which are hallmark signs of right-sided heart failure.
D. Feeling fatigued is common as the heart struggles to pump blood effectively, leading to decreased oxygen delivery to tissues.
E. Unable to lie flat (orthopnea) is typically associated with left-sided heart failure but can also occur in right-sided failure due to fluid overload and pulmonary congestion.
F. Weight gain >2 lb in 24 hours suggests significant fluid retention and worsening heart failure, requiring prompt medical attention.

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A nurse is caring for a client with chest pain who becomes unresponsive. The client is pulseless and apneic. The code team places the client on the monitor, which indicates ventricular fibrillation. What is the next priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with a history of hypertension. The client reports compliance with the prescribed thiazide medication but is complaining of generalized weakness and palpitations. The nurse should monitor the client for which potential complications of diuretics?

Correct Answer is D

Explanation

A nurse is caring for a client with right-sided heart failure. Which of the following symptoms should the nurse include in teaching the client about signs of worsening heart failure? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D","E","F"]

Explanation

A nurse is caring for a client diagnosed with heart failure and atrial fibrillation. The client reports feeling palpitations and shortness of breath. The nurse is aware that clients with atrial fibrillation are at risk for which complication?

A nurse is caring for a client with heart failure (HF) and preparing to give a daily dose of Digoxin (Lanoxin). The nurse understands the rationale for giving this medication for HF is which of the following?

Identify the following Cardiac Rhythm:

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A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain? (SELECT ALL THAT APPLY).

A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?

A nurse is caring for a client who is scheduled for an echocardiogram the following day. Which of the following information should the nurse include about the test?