A nurse is caring for a client who is in pulseless ventricular tachycardia (V-Tach). The nurse recognizes the need for which priority intervention?
Synchronized Cardioversion
Repeat electrocardiogram (ECG)
Assessment of blood pressure
Immediate Defibrillation
The Correct Answer is D
Rationale:
A. Synchronized cardioversion is not appropriate for pulseless ventricular tachycardia.
B. A repeat ECG is not necessary for pulseless ventricular tachycardia.
C. Assessment of blood pressure is not the priority in pulseless ventricular tachycardia.
D. Immediate defibrillation is the priority in pulseless ventricular tachycardia to restore a perfusing rhythm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Epinephrine is not typically used to treat supraventricular tachycardia (SVT).
B. Atropine is not typically used to treat supraventricular tachycardia (SVT).
C. Adenosine is the medication of choice for terminating supraventricular tachycardia (SVT).
D. Lidocaine is not typically used to treat supraventricular tachycardia (SVT).
Correct Answer is D
Explanation
Rationale:
A. A weight gain of 0.5 kg (1 lb) in a week is not typically concerning for heart failure exacerbation.
B. Skipping a dose of a diuretic can lead to fluid retention and exacerbate heart failure symptoms.
C. Weighing daily is important for monitoring fluid retention, but the specific time of day is not as crucial as consistent timing.
D. A weight gain of 2 lbs. in 24 hours can indicate fluid retention and worsening heart failure.
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