The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

Administer Atropine M

Defibrillate with 360 joules

Begin CPR

Administer Epinephrine N

Answer and Explanation

The Correct Answer is C

Choice A rationale: Atropine is not typically used in the treatment of cardiac arrest91011.

Choice B rationale: Defibrillation is not the first step in the treatment of cardiac arrest. The first step is to start CPR91011.

Choice C rationale: Starting CPR is the first action when a patient is unresponsive and pulseless91011.

Choice D rationale: While epinephrine is used in the treatment of cardiac arrest, it is not the first step. The first step is to start CPR91011.
So, the correct answer is Choice C, after analyzing all choices.

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Correct Answer is A

Explanation

Choice A rationale: Heparin is an anticoagulant that prevents new clots from forming but does not dissolve existing clots23.

Choice B rationale: Heparin does not directly dissolve clots23.

Choice C rationale: While a pharmacist can provide medication information, it is incorrect to say they would be a better fit to answer this question as nurses are trained in medication education23.

Choice D rationale: While it’s true that it takes time for heparin to reach a therapeutic blood level, this statement could be misleading because heparin does not dissolve clots23.

So, the correct answer is Choice A, after analysing all choices.

A. Epinephrine B. Atropine C. Adenosine D. Verapamil

Correct Answer is B

Explanation

Choice A rationale: Epinephrine is a potent vasoconstrictor and is typically used in emergency situations such as cardiac arrest. It is not the first-line treatment for symptomatic bradycardia1.

Choice B rationale: Atropine is the first-line medication for the treatment of bradycardia. It increases the heart rate by blocking the effects of the vagus nerve on the heart1.

Choice C rationale: Adenosine is primarily used to treat supraventricular tachycardia, not bradycardia1.

Choice D rationale: Verapamil is a calcium channel blocker used to treat high blood pressure, angina, and certain heart rhythm disorders, not typically used for bradycardia1.

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The nurse on the unit hears an alarm sound in the client's room. Arriving in the room, the client is unresponsive. pulseless and the nurse sees the flat rhythm on the monitor. What is the FIRST action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer is A

Explanation

A nurse is caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

Correct Answer is B

Explanation

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?

A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

As the registered nurse, which tasks below should you NOT delegate to the LPN?

The nurse notes a client in supraventricular tachycardia. The patient has a pulse and the cardiac monitor is at the bedside. The nurse understands electrical intervention is indicated. What button does the nurse push to ensure the electricity is delivered on the R wave? Refer to the picture.

A client with Sinus tachycardia has been admitted into the telemetry unit. The nurse identifies the following as possible causes of sinus tachycardia. Select all that apply (SATA) (Select All that Apply.)

A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

A client has developed atrial fibrillation with a ventricular rate of 148 beats per minute. Which assessment findings does the nurse expect to find in this client? Select all that apply (Select All that Apply.)