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 B
Explanation
A. Autonomy refers to respecting the patient’s right to make their own decisions. While important, it is not the ethical principle that guides the nurse's decision to report the situation to Adult Protective Services.
B. Nonmaleficence refers to the duty to do no harm. Reporting the neglect of the client to Adult Protective Services is consistent with preventing further harm and ensuring the client’s safety.
C. Justice refers to fairness and equal treatment. While the nurse is working to protect the client, the situation involves more than just fairness, making nonmaleficence the more applicable principle.
D. Fidelity refers to loyalty and keeping promises, but it does not specifically guide the nurse’s action in this situation.
Correct Answer is C
Explanation
A. Physiologic indicators can be helpful in pain assessment, but they are not directly linked to pain intensity scales, which are focused on subjective reports.
B. Pain intensity scales still involve a subjective component, as they rely on the patient’s report of their pain, even if the scale itself is structured.
C. A specific pain intensity scale provides consistency in how pain is assessed, allowing for more reliable tracking and management of pain across different shifts and caregivers.
D. While pain scales include subjective reports, they do not focus solely on objective data. The goal is to measure the patient's perception of pain.
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