The client is found in ventricular fibrillation. What interventions should the team implement? Select All That Apply

Bring the crash cart to the bedside

Start Cardiopulmonary resuscitation.

Defibrillate the client

Administer Adenosine (Adenocard) to assist in determining the patient's rhythm

Consider the "Hs and Ts" (reversible causes of cardiac arrest) to determine appropriate treatment.

Answer and Explanation

Correct Answer : A,B,C,E

A. Bring the crash cart to the bedside: Essential for advanced cardiac life support (ACLS), including defibrillation and medications.

B. Start cardiopulmonary resuscitation: High-quality CPR is critical to maintain circulation until defibrillation can occur.

C. Defibrillate the client: Defibrillation is the definitive treatment for ventricular fibrillation to restore a normal rhythm.

D. Administer adenosine (Adenocard) to assist in determining the rhythm: Adenosine is used for diagnosing or treating certain supraventricular tachycardias, not ventricular fibrillation.

E. Consider the "Hs and Ts": Identifying reversible causes of cardiac arrest (e.g., hypoxia, hypothermia, toxins) is part of the ACLS protocol.

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Correct Answer is C

Explanation

A. The client is able to sit erect without assistance: This suggests a lower level injury, likely below C-2, as higher injuries often result in paralysis of respiratory muscles.

B. The client is able to move fingers slightly: This would be indicative of a higher level injury, but C-1 to C-2 injuries typically result in complete paralysis below the neck.

C. The client is displaying shallow respirations: Injuries at the C-1 or C-2 level can affect the diaphragm and the ability to breathe deeply, leading to shallow respirations.

D. The client is able to speak in full sentences: A C-1 to C-2 injury would likely affect the ability to speak, as it could impair the phrenic nerve and respiratory muscles needed for adequate breathing and speech.

A. Have you had any immunizations recently? B. Have you had any dental work done recently? C. Do you have a family history of endocarditis? D. Have you every suffered a heart attack?

Correct Answer is B

Explanation

A. Have you had any immunizations recently?: Immunizations are not associated with a significant risk of infectious endocarditis.

B. Have you had any dental work done recently?: Dental procedures can introduce bacteria into the bloodstream, posing a risk for endocarditis, especially in clients with prosthetic valves.

C. Do you have a family history of endocarditis?: Endocarditis is not typically hereditary; risk factors are more related to procedures, infections, or valve abnormalities.

D. Have you ever suffered a heart attack?: While a history of a heart attack is relevant to cardiac health, it does not directly increase the risk for infectious endocarditis.

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The client is found in ventricular fibrillation. What interventions should the team implement? Select All That Apply

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a 28-year-old client who sustained a spinal injury after diving into a shallow pool. Which finding would indicate that the client has a C-1 to C-2 injury?

Correct Answer is C

Explanation

The nurse obtains a health history from a patient with a prosthetic mitral value. Which question by the nurse would help to identify a risk factor for infectious endocarditis

Correct Answer is B

Explanation

The nurse is caring for a client with sinus bradycardia. The nurse understands that this arrhythmia may be caused by which of the following? Select All That Apply

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