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The nurse is preparing to administer adenosine (Adenocard) to a client experiencing supraventricular tachycardia. When giving this medication, what is important to remember?

The medication must be given slow intravenous IV push.

Asystole may occur for a few seconds after administration.

The medication has a long half life, and therefore the duration of action is very long.

The onset of action occurs in 5 minutes.

Answer and Explanation

The Correct Answer is B

A. The medication must be given as a rapid intravenous IV push due to its short half-life not slowly.

B. Asystole is a common and expected response after adenosine administration.

C. Adenosine has a very short half-life, contrary to this statement.

D. The onset of action is immediate, not in 5 minutes.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. A small, mobile, rubbery lump is often benign, such as a fibroadenoma.

B. A nontender, fixed breast nodule is concerning for malignancy, and further evaluation is necessary, such as imaging or biopsy.

C. Tender, bilateral nodules are commonly seen in benign conditions like fibrocystic breast changes, especially related to the menstrual cycle.

D. A lump that changes in size before menstruation is also typical of benign conditions like fibrocystic changes.

A. 2+ bilateral peripheral edema B. Heart rate 59 beats/min C. Temperature of 96 F D. Muffled heart sounds

Correct Answer is D

Explanation

A. Bilateral peripheral edema can occur after heart catheterization but is not as immediately life-threatening as cardiac tamponade.

B. A heart rate of 59 beats/min may be concerning, but bradycardia alone is not as immediately urgent as signs of cardiac tamponade.

C. A temperature of 96°F is low, but this is more of a concern for hypothermia or post-procedural effects and is not as urgent as muffled heart sounds indicating tamponade.

D. Muffled heart sounds can indicate cardiac tamponade, a medical emergency. Immediate intervention is required to relieve the pressure on the heart, which may involve pericardiocentesis to drain the fluid or blood.

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The nurse is preparing to administer adenosine (Adenocard) to a client experiencing supraventricular tachycardia. When giving this medication, what is important to remember?

Nursing Test Bank

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Correct Answer is D

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