Following two defibrillation shocks, the client's electrocardiogram (ECG) continues to indicate ventricular fibrillation (VF). Which intervention should the nurse implement next?

Resume CPR immediately.

Obtain an arterial blood gas sample.

Perform the third defibrillation shock.

Administer an IV bolus of epinephrine.

Answer and Explanation

The Correct Answer is C

Choice A: CPR is important but should be performed in conjunction with defibrillation. Since two defibrillation shocks have already been administered, the next step should be another shock.

Choice B : Obtaining an arterial blood gas sample is not the immediate priority when the client is in ventricular fibrillation. Defibrillation should be continued.

Choice C: Performing the third defibrillation shock is the next appropriate step in the advanced cardiac life support (ACLS) algorithm for ventricular fibrillation.

Choice D: Administering an IV bolus of epinephrine may be part of the ACLS protocol, but it is typically administered after defibrillation attempts.

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Free Nursing Study Resources

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

Explanation

Choice A: Pickles, blackberries, and seeds are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice B: Pickled olives, spam, and nuts are not typically high in calcium and may not significantly contribute to increasing calcium intake.

Choice C: Buttermilk, spinach, and milk are good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice D: Cheese spread, processed cheese, and cheese are also good dietary sources of calcium and should be encouraged to increase calcium intake in a client with hypocalcemia.

Choice E: Fresh meats, fresh turkey, and fresh chicken are not typically high in calcium and may not significantly contribute to increasing calcium intake.

A. Pretzels B. Avocado C. Potatoes D. Grapes

Correct Answer is B

Explanation

Choice A: Pretzels are a carbohydrate-rich snack with a high glycemic index, which can lead to spikes in blood glucose levels. Choosing pretzels does not indicate a good understanding of the diet teaching to avoid refined sugar and carbohydrates.

Choice B: Avocado is a healthy choice for a client with Type 2 diabetes mellitus (DM) who wants to avoid refined sugar and carbohydrates. Avocado is a source of healthy fats, fiber, and other nutrients and has a low glycemic index.

Choice C: Potatoes are starchy vegetables that are high in carbohydrates, particularly when prepared in ways like mashed potatoes or fries. Choosing potatoes does not align with the goal of avoiding refined sugar and carbohydrates.

Choice D: Grapes are a fruit that contains natural sugars, and consuming them can affect blood glucose levels. Choosing grapes does not demonstrate an understanding of the need to avoid refined sugar and carbohydrates.

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Following two defibrillation shocks, the client's electrocardiogram (ECG) continues to indicate ventricular fibrillation (VF). Which intervention should the nurse implement next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting diet teaching for a client who was diagnosed with hypocalcemia, which foods should the nurse encourage the client to eat? (Select all that apply.)

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

Explanation

The nurse instructs a client with Type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

Correct Answer is B

Explanation

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