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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Rationale:

A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.

B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.

C. Pacing activities is important but is not specific to sodium intake.

D. Naproxen is not typically used to manage discomfort in congestive heart failure.

A. Obstructive sleep apnea (OSA) B. Taking benazepril C. High-density lipoprotein (HDL) level of 70 mg/dL D. A regular exercise routine

Correct Answer is A

Explanation

Rationale:

A. Obstructive sleep apnea is a risk factor for the development of hypertension.

B. Benazepril is an antihypertensive medication and is not a risk factor for hypertension.

C. A high HDL level is a protective factor against the development of hypertension.

D. A regular exercise routine is a protective factor against the development of hypertension.

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions for a client diagnosed with congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is B

Explanation

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Correct Answer is A

Explanation

A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)

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.

A nurse is caring for a client who is scheduled for an exercise stress test. Which of the following medications should the nurse hold the morning of the stress test?

A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.)

A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?

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)