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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Adenosine is primarily used to treat supraventricular tachycardia, not typically used for tachycardic rhythm with palpitations and dizziness5.
Choice B rationale: Atenolol is a beta-blocker that can be used to treat tachycardia, but it is not typically the first choice for acute symptoms5.
Choice C rationale: Metoprolol is a beta-blocker that is often used to treat tachycardia and can help alleviate symptoms such as palpitations and dizziness5.
Choice D rationale: Atropine is typically used to treat bradycardia, not tachycardia5.
So, the correct answer is C, after analysing all choices.
Correct Answer is D
Explanation
Choice A rationale: An elevated ST segment is not typically associated with hypokalemia45.
Choice B rationale: A widened QRS complex is not a typical finding in hypokalemia45.
Choice C rationale: An inverted P wave is not a typical sign of hypokalemia45.
Choice D rationale: An abnormally prominent U wave is a common EKG finding in hypokalemia45.
So, the correct answer is Choice D, after analysing all choices.
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