The patient is asymptomatic but is diagnosed with second-degree heart block Mobitz 1. The patient is on digoxin at home. Which of the following interventions will the nurse anticipate?

Administration of prescribed Atropine

A prescription for transcutaneous pacing.

An extra dose of digoxin will be prescribed

The next dose of digoxin will be held

Answer and Explanation

The Correct Answer is D

A. Administration of prescribed Atropine. Atropine is typically used for bradycardia related to second-degree heart block Mobitz 2 or complete block, but Mobitz 1 usually resolves on its own and does not require atropine unless symptoms develop.

B. A prescription for transcutaneous pacing. Transcutaneous pacing is typically used for more severe types of heart block, such as Mobitz 2 or third-degree block, not Mobitz 1.

C. An extra dose of digoxin will be prescribed. Giving additional digoxin would be contraindicated due to its effects on AV conduction.

D. The next dose of digoxin will be held: Second-degree heart block Mobitz 1 (also known as Wenckebach) can be worsened by digoxin, which has a vagomimetic effect that can slow conduction through the AV node. Therefore, the next dose of digoxin should be held to avoid further exacerbating the block.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Have you had any immunizations recently?: Immunizations are not associated with a significant risk of infectious endocarditis.

B. Have you had any dental work done recently?: Dental procedures can introduce bacteria into the bloodstream, posing a risk for endocarditis, especially in clients with prosthetic valves.

C. Do you have a family history of endocarditis?: Endocarditis is not typically hereditary; risk factors are more related to procedures, infections, or valve abnormalities.

D. Have you ever suffered a heart attack?: While a history of a heart attack is relevant to cardiac health, it does not directly increase the risk for infectious endocarditis.

A. It decreases spasm of the coronary arteries B. It increases the force of myocardial contraction C. It helps prevent clotting in the coronary arteries. D. It reduces the "fight or flight" response.

Correct Answer is A

Explanation

A. It decreases spasm of the coronary arteries: Amlodipine is a calcium channel blocker that relaxes vascular smooth muscle, making it effective in treating coronary artery spasms in Prinzmetal's angina.

B. It increases the force of myocardial contraction: Amlodipine does not increase myocardial contractility; it primarily affects vascular tone.

C. It helps prevent clotting in the coronary arteries: Amlodipine is not an anticoagulant or antiplatelet agent.

D. It reduces the "fight or flight" response: Beta-blockers, not amlodipine, are typically associated with reducing the sympathetic nervous system response.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The patient is asymptomatic but is diagnosed with second-degree heart block Mobitz 1. The patient is on digoxin at home. Which of the following interventions will the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse obtains a health history from a patient with a prosthetic mitral value. Which question by the nurse would help to identify a risk factor for infectious endocarditis

Correct Answer is B

Explanation

Amlodipine (Norvasc) has been ordered for a client with newly diagnosed Prinzmetal's (variant) angina. The nurse knows the purpose of the amlodipine is to do which of the following?

Correct Answer is A

Explanation

The nurse is caring for a client who reports persistent, crushing chest pain. What additional signs or symptoms would make a nurse suspect that the client is experiencing a myocardial infarction?

A client with new-onset atrial flutter is unresponsive to drug therapy and is scheduled to receive further treatment. Which intervention should the nurse prepare the client to receive?

The nurse is educating a client diagnosed with mitral valve prolapse. What education will the nurse need to provide the client about this diagnosis? Possible Education

The nurse is providing discharge instructions to a 76-year-old male client with chronic atrial fibrillation who has a CHA2DS2-VASC score of 2. Which medication would the nurse identify as most likely to be prescribed for the client?

The nurse is caring for a client on a telemetry unit. The client's cardiac monitor exhibits the rhythm below. How should the nurse document this rhythm?

The nurse is teaching a class to a group of staff nurses about traumatic brain injury which condition would the nurse identify as having the highest risk of a fatal outcome within the first 24 hours post-injury?

The nurse is assessing the cardiac rhythm of a client who is admitted with coronary artery disease. The nurse notes that the PR interval is 0.24 and the QRS interval is 0.10. Which interpretation would be appropriate for the nurse to make

The nurse is evaluating a cardiac monitor strip for their client that displays a sinus rhythm with a heart rate of 72 bpm. The PR interval is 0.24 seconds. The vital signs are stable and the client reports no symptoms. What is the most appropriate nursing intervention?