Read orders by the prescriber and answer the question.

Prescriber's orders

Labs: PT, PTT, INR

Unsupervised ambulation every 1 hr

Give protamine sulfate STAT

Give Aspirin orally daily

Continue unrestricted regular diet

Give vitamin K STAT

Initiate bleeding precautions

A nurse is admitting a client who has been in Atrial Fibrillation for 24 hours.

Which of the following interventions does the nurse plan to complete?

(Select All that Apply.)

Give vitamin K STAT

Prepare to place the client on a Heparin drip

Draw labs: PT, PTT, INR

Prepare to administer Coumadin

Prepare to administer Verapamil

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale: Vitamin K is given to counteract the effects of anticoagulants like warfarin, which might have been administered to manage atrial fibrillation1.

Choice B rationale: Heparin is an anticoagulant often used in the initial management of atrial fibrillation to prevent the formation of clots2.

Choice C rationale: PT, PTT, and INR are lab tests used to monitor the effectiveness of anticoagulation therapy1.

Choice D rationale: Coumadin (warfarin) is a long-term anticoagulant therapy often used in the management of atrial fibrillation1.

Choice E rationale: Verapamil is a calcium channel blocker, not typically the first line of treatment for atrial fibrillation3.
So, the correct answer is Choices A, B, C, and D, after analyzing all choices.

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Correct Answer is D

Explanation

Choice A rationale: First-degree AV block is a type of heart block, not a dysrhythmia associated with palpitations, fatigue, and dizziness12.

Choice B rationale: Sinus bradycardia is a slow heart rate, not a rapid and irregular one12.

Choice C rationale: Sinus tachycardia is a fast heart rate but it is regular, not irregular12.

Choice D rationale: Atrial fibrillation is a fast and irregular heart rate, which aligns with the symptoms described34.

So, the correct answer is Choice D, after analysing all choices.

Correct Answer is ["83"]

Explanation

Step 1 is to use the formula for calculating the IV infusion rate: Infusion Rate (mL/hour) = Volume to be Infused (mL) ÷ Time for Infusion (hours)5.

So, Infusion Rate = 1000 mL ÷ 12 hours = 83.33 mL/hr.

Rounding to the nearest whole number gives 83 mL/hr.

So, the correct answer is 83 mL/hr, after calculating.

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Naxlex Comprehensive Predictor Exams

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?

Correct Answer is D

Explanation

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

Correct Answer is ["83"]

Explanation

A patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a o2 saturation of 90% while sitting down. Which action should the nurse do FIRST?

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

As the registered nurse, which tasks below should you NOT delegate to the LPN?

A client is experiencing atrial fibrillation for 2 weeks and did not respond to medication therapy. The client is scheduled for an elective (outpatient) cardioversion. Which other procedure or test does the nurse anticipate this client will need?

A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply (Select All that Apply.)

A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?