The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?
Sodium Bicarbonate
Amiodarone
Epinephrine
Lidocaine
The Correct Answer is C
A. Sodium Bicarbonate is incorrect as it is not a first-line treatment for VF. It may be considered in cases of severe acidosis or hyperkalemia.
B. Amiodarone is incorrect as it is used as an antiarrhythmic, but epinephrine is administered first during cardiac arrest to increase perfusion.
C. Epinephrine is correct because it is the first-line drug given in ventricular fibrillation that persists after defibrillation. It increases coronary and cerebral perfusion and enhances the effectiveness of subsequent defibrillation attempts.
D. Lidocaine is incorrect as it is an antiarrhythmic that may be considered after epinephrine and amiodarone, but it is not the first choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The Code of Ethics for Nurses offers broad ethical guidelines, but it does not provide specific clinical practice guidelines.
B. The Code does touch on social justice issues, but it is not primarily focused on critiquing societal oppression or domination.
C. While the Code supports good care, it is more about establishing ethical standards rather than providing direct care guidelines.
D. The Code expresses nursing's commitment to society, outlining the profession's ethical standards and obligations toward patients and society as a whole.
Correct Answer is C
Explanation
A. Encouraging denial of illness is incorrect as denial is not a healthy coping mechanism and may hinder treatment adherence.
B. Encouraging the patient to let staff have total control is incorrect because patient autonomy and involvement in care decisions enhance coping and emotional well-being.
C. Fostering trust in the interprofessional health care team is correct as it helps the patient feel supported and engaged in their care, reducing anxiety and promoting better coping strategies.
D. Telling the patient that everything will be all right is incorrect because it is a false reassurance that does not validate the patient's feelings or situation.
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