A nurse is caring for a client who reports shortness of breath and heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse notes a carotid pulse with a BP of 70 systolic, the client reports feeling dizzy. The nurse should anticipate the need for which priority action?
Radiofrequency catheter ablation
CPR
Defibrillation
Synchronized cardioversion
The Correct Answer is D
A. Radiofrequency catheter ablation is a long-term treatment for recurrent VT, not an immediate intervention.
B. CPR is indicated for pulseless VT, but this client has a carotid pulse.
C. Defibrillation is used for pulseless VT or ventricular fibrillation, but this client is still perfusing.
D. Synchronized cardioversion is the appropriate treatment for unstable VT with a pulse, as it delivers a timed shock to restore normal rhythm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Encouraging the client to participate in the cardiac rehab program is important for recovery and returning to an active lifestyle.
B. Acknowledging the doctor's expertise is important, but it does not address the client's concerns.
C. This statement may minimize the client's concerns and is not the best response.
D. This statement is not specific and may not address the client's concerns.
Correct Answer is ["C","D"]
Explanation
Rationale:
A. A BMI of 20 is not typically considered a risk factor for deep vein thrombosis.
B. High calcium intake is not typically considered a risk factor for deep vein thrombosis.
C. Oral contraceptive use is a risk factor for deep vein thrombosis due to the estrogen content.
D. Immobility is a risk factor for deep vein thrombosis due to decreased venous return.
E. Hypertension is not typically considered a risk factor for deep vein thrombosis.
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