The nurse is sitting at the desk watching the telemetry monitors and notes a patient's rhythm suddenly shows asystole. Which action should the nurse take first?

Document the rhythm as normal.

Start cardiopulmonary resuscitation (CPRL

Prepare the patient for cardioversion.

Prepare to administer atropine

Answer and Explanation

The Correct Answer is B

(A) Document the rhythm as normal: Asystole is a serious condition characterized by a flatline ECG, indicating no electrical activity in the heart. It is not a normal rhythm and requires immediate intervention.

(B) Start cardiopulmonary resuscitation (CPR): This is the most appropriate initial action. Asystole is a life-threatening condition that requires immediate intervention. The first step should be to start CPR and call for help.

(c) Prepare the patient for cardioversion: Cardioversion is typically used to treat conditions where the heart is beating irregularly (arrhythmias), but not when there is no electrical activity at all (asystole).

(D) Prepare to administer atropine: Atropine is sometimes used in the treatment of bradycardia (slow heart rate), not asystole. In the case of asystole, epinephrine is more commonly administered during resuscitation efforts.

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Correct Answer is C

Explanation

A. Eggs: While eggs are a good source of protein and other nutrients, they are also high in cholesterol. Therefore, they should be consumed in moderation on a low-cholesterol diet.

B. Liver: Liver is high in cholesterol and should be limited on a low-cholesterol diet. While it is rich in iron and other nutrients, there are other sources of these nutrients that are lower in cholesterol.

C. Beans: This is correct. Beans are a great choice for a low-cholesterol diet. They are high in soluble fiber, which can help lower cholesterol levels. They are also a good source of protein and are low in fat.

D. Milk: While milk is a good source of calcium and other nutrients, it can also be high in cholesterol, especially if it’s whole or 2% milk. On a low-cholesterol diet, it’s better to choose low-fat or non-fat dairy products

A. "This medication will help maintain a normal heart rhythm." B. "Warfarin helps prevent strokes in clients who have atrial fibrillation." C. "Warfarin dissolves clots in the bloodstream." D. This medication slows the response of the ventricles to the fast atrial impulses."

Correct Answer is B

Explanation

A. "This medication will help maintain a normal heart rhythm":

Warfarin is not typically used to maintain a normal heart rhythm in atrial fibrillation. It is primarily used for stroke prevention by anticoagulation.

B. "Warfarin helps prevent strokes in clients who have atrial fibrillation":

This statement is accurate. Warfarin is an anticoagulant medication that is commonly prescribed for clients with atrial fibrillation to reduce the risk of stroke by preventing blood clots from forming in the heart and traveling to the brain.

C. "Warfarin dissolves clots in the bloodstream":

Warfarin does not directly dissolve clots in the bloodstream. It works by inhibiting the production of clotting factors in the liver, thereby preventing the formation of new clots and reducing the risk of clot-related complications such as stroke.

D. "This medication slows the response of the ventricles to the fast atrial impulses":

This statement refers more to medications used for rate control in atrial fibrillation rather than warfarin. Warfarin does not directly affect the heart rate or the response of the ventricles to atrial impulses.

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The nurse is sitting at the desk watching the telemetry monitors and notes a patient's rhythm suddenly shows asystole. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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