Which of the following medications does the nurse anticipate administering to a client preparing for cardioversion?

Digoxin

Enalapril

Atropine

Diazepam

Answer and Explanation

The Correct Answer is D

A. Digoxin: Digoxin is a cardiac glycoside used for rate control in atrial fibrillation and heart failure but is generally held before cardioversion. It increases the risk of post-cardioversion arrhythmias; especially ventricular irritability hence is used as a maintenance medication not before cardioversion.
B. Enalapril: Enalapril is an ACE inhibitor used to manage blood pressure and heart failure. It has no direct role in preparing a client for cardioversion and is not used as a pre-procedural medication.
C. Atropine: Atropine is an anticholinergic medication used to treat bradycardia by increasing heart rate. It is not indicated prior to cardioversion and may interfere with rhythm stabilization efforts.
D. Diazepam: Cardioversion is a procedure that delivers an electrical shock to the heart to restore a normal rhythm. It can be an anxiety-provoking and uncomfortable procedure for the client. Diazepam, a benzodiazepine, causes sedation and anxiety reduction before procedures. It helps relax the patient during cardioversion, which is typically done under light sedation for comfort and safety.

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Correct Answer is C

Explanation

A. History of thrombophlebitis in both extremities: This is a non-modifiable risk factor. Prior venous inflammation or clotting increases susceptibility to varicose veins but cannot be changed through lifestyle modifications.
B. Mother and maternal grandmother had varicose veins: Family history reflects genetic predisposition and is a non-modifiable factor. Inherited vein wall weakness increases risk but cannot be influenced by behavior.
C. Employed as an over-the-road truck driver: Prolonged sitting or standing restricts venous return and contributes to vein distension. This is modifiable through frequent leg movement, walking breaks, and use of compression stockings.
D. Weight gained during past pregnancies: Weight gain during previous pregnancies is a past event and no longer modifiable. Although pregnancy increases venous pressure, current lifestyle changes can't alter that history.

A. Bladder trauma B. A pleural effusion C. Fractured pelvis D. Cardiac tamponade

Correct Answer is D

Explanation

A. Bladder trauma: Bladder injuries are more commonly associated with lower abdominal or pelvic trauma, especially from a direct blow or pelvic fracture, not chest compression.
B. A pleural effusion: Pleural effusion refers to fluid accumulation in the pleural space, usually from infection, malignancy, or inflammation. It does not occur suddenly from blunt chest trauma.
C. Fractured pelvis: A pelvic fracture is typically caused by impact to the lower body or hip area, not by forceful chest compression against a steering wheel.
D. Cardiac tamponade: Blunt chest trauma can lead to bleeding into the pericardial sac, causing cardiac tamponade. This is a life-threatening condition where fluid compresses the heart, impairing its ability to pump effectively. It is a likely concern in cases of severe chest impact.

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Which of the following medications does the nurse anticipate administering to a client preparing for cardioversion?

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Naxlex Comprehensive Predictor Exams

Which of the following factors would the nurse identify as a modifiable risk factor for the development of varicose veins?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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