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A nurse is caring for client who is experiencing supraventricular
tachycardia. Upon assessing the client, the nurse observes the following
findings: heart rate 200/min, blood pressure 78/40 mm Hg, and
respiratory rate 30/min. Which of the following actions should then nurse
take?
a. Defibrillate the client's heart.
b. Perform synchronized cardioversion.
c. Begin cardiopulmonary resuscitation.
,d. Administer lidocaine IV bolus. - ANSWER ✔✔b. Perform
synchronized cardioversion.
The nurse should perform synchronized cardioversion for a client who
has supraventricular tachycardia.
What rhythms are shockable? (defibrillation) - ANSWER
✔✔ventricular fibrillation and pulseless ventricular tachycarida
What dysrhythmia are amiodarone and lidocaine indicated for? -
ANSWER ✔✔ventricular arrhythmias
The nurse should initiate CPR for a client who what? - ANSWER
✔✔is pulseless or not breathing
A nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following medications should the
nurse instruct the client to withhold for 48 hr prior to cardioversion?
A. Enoxaparin
B. Metformin
C. Diazepam
D. Digoxin - ANSWER ✔✔D. digoxin
,Cardiac glycosides, such as digoxin, are withheld prior to cardioversion.
These medications can increase ventricular irritability and put the client
at risk for ventricular fibrillation after the synchronized countershock of
cardioversion
_______ are usually given prior to cardioversion to reduce anxiety and
minimize discomfort with the procedure. - ANSWER ✔✔Sedatives
like diazepam
Metformin is held before what kind of procedures? Example? Why? -
ANSWER ✔✔Ones that involve contrast dye like cardiac
catheterization, in order to prevent kidney damage.
__________ prevent blood clots that can be released into the circulatory
system after cardioversion. - ANSWER ✔✔Anticoagulants like
enoxaparin
What kind of drugs are withheld prior to cardioversion? - ANSWER
✔✔cardiac glycosides like digoxin
exopthalmosis - ANSWER ✔✔condition produced by hyperthyroidism
in which the eyeballs protrude beyond their normal protective orbit
because of swelling in the tissues behind them
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, entropion - ANSWER ✔✔the inversion of the edge of an eyelid
ectropion - ANSWER ✔✔the eversion of the edge of an eyelid
ptosis - ANSWER ✔✔drooping
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and the
high-pressure alarm is sounding. Which of the following actions should
the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. -
ANSWER ✔✔C. Instruct the client to allow the machine to breathe for
them. When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is
to provide verbal instructions and emotional support to help the client
relax and allow the ventilator to work. Clients can exhibit anxiety and
restlessness when trying to "fight the ventilator."
A nurse is caring for a client who has a potassium level of 3. Which of
the following assessment findings should the nurse expect?