The licensed practical nurse is setting up the room for a client arriving at the emergency department with ventricular arrhythmias. The nurse is most correct to place which of the following in the room for treatment?

Defibrillator

Cardioversion equipment

An ECG machine

A suction machine

Answer and Explanation

The Correct Answer is A

A. Defibrillator: Ventricular arrhythmias, such as ventricular tachycardia or fibrillation, can be life-threatening and require immediate defibrillation if the client is pulseless or unstable. Having a defibrillator ready is the highest priority for emergency response.
B. Cardioversion equipment: Cardioversion is typically used for atrial arrhythmias or stable ventricular tachycardia. It is synchronized with the cardiac rhythm and not appropriate for pulseless ventricular fibrillation, which needs unsynchronized defibrillation.
C. An ECG machine: An ECG is important for diagnosing the specific arrhythmia but does not treat the condition. While useful for assessment, it is not the priority in an emergency involving unstable ventricular rhythms.
D. A suction machine: Suction may be needed later if the client loses consciousness or vomits, but it is not specific to the treatment of ventricular arrhythmias and is not the first piece of equipment to prepare.

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

Explanation

A. Right extremity comparable in size to left: Reduction in swelling indicates improved venous return and resolution of the thrombus. Symmetry between extremities suggests successful clot dissolution and reduced obstruction in the affected vein.
B. No bleeding or bruising noted: While this is a desirable side effect outcome, it is not a direct measure of thrombolytic effectiveness. Thrombolytics carry bleeding risk, but the absence of bruising doesn’t confirm clot resolution.
C. Right extremity pink: A pink, well-perfused extremity suggests adequate blood flow, which reflects successful reperfusion. This indicates improved circulation after clot breakdown and is a positive therapeutic result.
D. Client denies pain: Pain is a hallmark symptom of DVT due to inflammation and obstruction. Decreased or absent pain after thrombolytic therapy reflects clinical improvement and reduced clot burden.
E. Pedal pulse thready: A thready pulse may indicate decreased perfusion and is not a reassuring finding. Effective thrombolytic therapy should lead to strong, palpable pulses if circulation has improved.

A. The spleen is lymphoid tissue in the upper chest that contains stem cells. B. The spleen assists with blood clotting. C. The spleen is a large lymph node and takes waste debris away. D. The spleen is a lymphatic structure and assists with phagocytosis

Correct Answer is D

Explanation

A. The spleen is lymphoid tissue in the upper chest that contains stem cells: The spleen is located in the left upper abdomen, not the chest, and it does not house hematopoietic stem cells. While it is lymphoid tissue, it does not primarily contain stem cells; stem cells are mainly found in the bone marrow.
B. The spleen assists with blood clotting: While the spleen stores platelets, its primary function is not clotting. It plays a secondary role in hemostasis but is more essential for filtering blood and immune responses.
C. The spleen is a large lymph node and takes waste debris away: The spleen is not a lymph node, although both are part of the lymphatic system. Lymph nodes filter lymph fluid, while the spleen filters blood. While the spleen does remove waste debris (through phagocytosis), it's not accurate to describe it as a large lymph node.
D. The spleen is a lymphatic structure and assists with phagocytosis: The spleen plays a critical role in immune defense by filtering blood, removing pathogens, and facilitating phagocytosis of old or damaged cells. Preserving it reduces the risk of overwhelming infections.

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The licensed practical nurse is setting up the room for a client arriving at the emergency department with ventricular arrhythmias. The nurse is most correct to place which of the following in the room for treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the expected outcomes following thrombolytic therapy for a right leg deep vein thrombosis. Which finding(s) confirms a positive outcome? Select all that apply.

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

Explanation

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Correct Answer is D

Explanation

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