The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?
Defibrillation
Antiarrhythmic medication
Synchronized cardioversion
Pacemaker
The Correct Answer is A
A. Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B. Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C. Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D. A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"A,C"}}
Explanation
Elevated BUN and creatinine levels are common indicators of impaired kidney function, which can be seen in chronic kidney disease (CKD) and glomerulonephritis. Flank pain is often associated with UTIs but can also occur in glomerulonephritis. Decreased RBCs (red blood cells) can be a sign of glomerulonephritis due to the loss of blood cells in the urine. Fever is typically associated with infection, making it more indicative of a UTI.
Peripheral edema is is most commonly associated with CKD and glomerulonephritis due to the retention of fluids and sodium. Hypertension is a common finding in CKD and can also be seen in glomerulonephritis.
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