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: The “ANALYZE” button is typically used to allow the defibrillator to analyze the heart rhythm. It would not ensure that the electricity is delivered on the R wave6.

Choice B rationale: The “SHOCK” button is used to deliver a shock during defibrillation or cardioversion. However, it does not specifically ensure that the shock is delivered on the R wave6.

Choice C rationale: The “ON” button is typically used to turn the device on or off. It does not control the timing of the electrical delivery6.

Choice D rationale: The “SYNC” button is used in synchronized cardioversion to match the delivery of the shock to the R wave of the ECG, which is the peak of the electrical wave during which the ventricular cells are depolarized6.

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

A. Fever B. Lisinopril C. Albuterol D. sleeping E. Dehydration

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale: Fever can cause an increase in metabolic rate which can lead to sinus tachycardia1.

Choice B rationale: Lisinopril is an ACE inhibitor used to treat hypertension, not a cause of sinus tachycardia1.

Choice C rationale: Albuterol is a bronchodilator that can cause sinus tachycardia as a side effect1.

Choice D rationale: Sleeping typically results in a slower heart rate, not sinus tachycardia1.

Choice E rationale: Dehydration can lead to low blood volume, causing the heart to beat faster to maintain blood pressure, resulting in sinus tachycardia1.
So, the correct answer is Choices A, C, and E, after analysing all choices.

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Naxlex Comprehensive Predictor Exams

The nurse notes a client in supraventricular tachycardia. The patient has a pulse and the cardiac monitor is at the bedside. The nurse understands electrical intervention is indicated. What button does the nurse push to ensure the electricity is delivered on the R wave? Refer to the picture.

Correct Answer is D

Explanation

A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply (SATA) (Select All that Apply.)

Correct Answer is ["A","C","E"]

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?

Which action by the nurse will determine if therapies ordered for a patient with chronic constrictive pericarditis are effective?

A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?

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

The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?