The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)
Place defibrillator pads and prepare for defibrillation
Prepare Cardizem subcutaneously
Prepare for synchronized cardioversion
Prepare Adenosine PO
Prepare for Adenosine IV
Correct Answer : A,B,D
Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.
Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.
Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.
Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.
Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.
Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.
Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.
Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.
Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.
Correct Answer is B
Explanation
Choice A reason: Decreased central venous pressure is not typically associated with glomerulonephritis. This condition often leads to fluid retention and increased pressure within the blood vessels.
Choice B reason: Hypertension is a common manifestation of glomerulonephritis due to fluid retention and impaired kidney function. The kidneys are unable to excrete excess fluid, leading to increased blood pressure.
Choice C reason: Bradycardia is not typically associated with glomerulonephritis. The condition primarily affects kidney function and fluid balance, rather than heart rate.
Choice D reason: Decreased cardiac output can occur in severe cases of acute kidney injury, but it is not a primary manifestation of glomerulonephritis. Monitoring blood pressure and fluid status is more critical in these patients.
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