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saysay saysay
wrote...
Posts: 544
Rep: 1 0
6 years ago
A nurse administers prescribed adenosine (Adenocard) to a client. Which response should the nurse assess for as the expected therapeutic response?
 
  a. Decreased intraocular pressure
  b. Increased heart rate
  c. Short period of asystole
  d. Hypertensive crisis

Question 2

A nurse assesses a client with atrial fibrillation. Which manifestation should alert the nurse to the possibility of a serious complication from this condition?
 
  a. Sinus tachycardia
  b. Speech alterations
  c. Fatigue
  d. Dyspnea with activity

Question 3

A nurse evaluates prescriptions for a client with chronic atrial fibrillation. Which medication should the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?
 
  a. Sotalol (Betapace)
  b. Warfarin (Coumadin)
  c. Atropine (Sal-Tropine)
  d. Lidocaine (Xylocaine)
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
Clients usually respond to adenosine with a short period of asystole, bradycardia, hypotension, dyspnea, and chest pain. Adenosine has no conclusive impact on intraocular pressure.

The answer to question 2

ANS: B
Clients with atrial fibrillation are at risk for embolic stroke. Evidence of embolic events includes changes in mentation, speech, sensory function, and motor function. Clients with atrial fibrillation often have a rapid ventricular response as a result. Fatigue is a nonspecific complaint. Clients with atrial fibrillation often have dyspnea as a result of the decreased cardiac output caused by the rhythm disturbance.

The answer to question 3

ANS: B
Atrial fibrillation puts clients at risk for developing emboli. Clients at risk for emboli are treated with anticoagulants, such as heparin, enoxaparin, or warfarin. Sotalol, atropine, and lidocaine are not appropriate for this complication.
saysay Author
wrote...
6 years ago
I'd be lost without this website, honestly
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