A nurse is working on telemetry unit when an alarm sounds on the cardiac monitor The rhythm below is noted. What should the nurse do?

Call the physician

Administer oxygen

Initiate cardiopulmonary resuscitation (CPR)

Give a dose of epinephrine

Answer and Explanation

The Correct Answer is C

A. Call the physician: While notifying the physician is important, it is not the immediate priority in a life-threatening situation like ventricular fibrillation.

B. Administer oxygen: Administering oxygen is helpful, but the immediate priority in ventricular fibrillation is to initiate life-saving measures.

C. Initiate cardiopulmonary resuscitation (CPR): Ventricular fibrillation is a life-threatening emergency, and initiating CPR immediately is crucial to restore circulation and improve chances of survival.

D. Give a dose of epinephrine: Epinephrine is part of the advanced cardiac life support (ACLS) protocol, but it should be administered after initiating CPR and defibrillation.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Pharmacological toxins can contribute to myocarditis, as certain drugs may induce inflammatory responses in the myocardium.

B. Pleural infusion is incorrect. Pleural infusion, or pleural effusion, is not directly associated with myocarditis.

C. Autoimmune disorders such as lupus and rheumatoid arthritis can predispose individuals to myocarditis due to immune system dysregulation.

D. Viral infections are a major cause of myocarditis, particularly infections like coxsackievirus, parvovirus B19, and HIV.

E. Peripheral vascular disease is incorrect. While peripheral vascular disease is related to poor circulation, it does not directly contribute to the development of myocarditis.

A. Amiodarone B. Dopamine C. Adenosine D. Atropine E. Norepinephrine F. Epinephrine

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

Explanation

A. Amiodarone: This is an antiarrhythmic, not a vasopressor.

B. Dopamine: Dopamine has vasopressor effects, increasing blood pressure and cardiac output.

C. Adenosine: This is used to treat supraventricular tachycardia, not for vasopressor purposes.

D. Atropine: Atropine increases heart rate by inhibiting parasympathetic activity but is not a vasopressor.

E. Norepinephrine: Norepinephrine is a potent vasopressor that increases systemic vascular resistance and blood pressure.

F. Epinephrine: Epinephrine has vasopressor and inotropic effects, making it critical during cardiac arrest.

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A nurse is working on telemetry unit when an alarm sounds on the cardiac monitor The rhythm below is noted. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of staff nurses about myocarditis. What would the nurse identify as being potential risk factors for this condition? Select All That Apply

Correct Answer is ["A","C","D"]

Explanation

The nurse is caring for a client who is found in cardiac arrest. Which medications would the nurse want to have available for their vasopressor effect? Select All That Apply

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

Explanation

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