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 B

Explanation

Choice A rationale: While changes in the ECG can indicate various heart conditions, they are not specific to the effectiveness of therapies for chronic constrictive pericarditis67.

Choice B rationale: Jugular venous distention is a common sign of chronic constrictive pericarditis, and its absence can indicate effective treatment67.

Choice C rationale: Changes in the sedimentation rate are not specific indicators of the effectiveness of therapies for chronic constrictive pericarditis67.

Choice D rationale: The presence of a paradoxical pulse is not a specific indicator of the effectiveness of therapies for chronic constrictive pericarditis67.
So, the correct answer is Choice B, after analyzing all choices.

A. Take one tablet sublingually every 5 minutes x3 to relieve chest pain. B. Take this medication with 8 ounces of water. C. Take this medication after each meal and at bedtime. D. Take one tablet every 10 minutes x3 during an acute attack.

Correct Answer is A

Explanation

Choice A rationale: Nitroglycerin tablets are typically taken sublingually (under the tongue) at the onset of chest pain. If the pain is not relieved, a second tablet may be taken 5 minutes after the first. If the pain continues for another 5 minutes, a third tablet may be used123.

Choice B rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream1.

Choice C rationale: Nitroglycerin is not typically taken after each meal and at bedtime. It is used as needed to relieve chest pain1.

Choice D rationale: While nitroglycerin can be taken every 5 minutes up to three times during an acute angina attack, it is not typically recommended to take one tablet every 10 minutes1.

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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

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 educating a patient with a newly placed pacemaker about a variety of complementary and alternative therapies. What type of therapy is contraindicated in patients with pacemakers?.

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 nurse is teaching a client with a new atrial fibrillation diagnosis on worsening signs and symptoms. The nurse should instruct the client to monitor for which of the following complications?

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?

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.

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?