The nurse admits a client to the emergency department with new-onset atrial fibrillation and a heart rate of 168 beats per minute
The client is complaining of dizziness and shortness of breath. The nurse starts an intravenous line in anticipation of administering which drug?
1. Digoxin (Lanoxin)
2. Disopyramide (Norpace)
3. Ibutilide (Corvert)
4. Lidocaine (Xylocaine)
Correct Answer: 3
Rationale 1: While digoxin (Lanoxin) may be prescribed to help control the ventricular rate associated with atrial fibrillation, it would not be the drug of choice for a new-onset atrial fibrillation that could be converted to normal sinus rhythm.
Rationale 2: Disopyramide (Norpace) is usually only given to clients with life-threatening ventricular tachycardia.
Rationale 3: Ibutilide (Corvert) is a drug of choice for rapidly converting atrial fibrillation to normal sinus rhythm.
Rationale 4: Lidocaine (Xylocaine) is not effective in treating atrial dysrhythmias.
Global Rationale: Ibutilide (Corvert) is a drug of choice for rapidly converting atrial fibrillation to normal sinus rhythm. While digoxin (Lanoxin) may be prescribed to help control the ventricular rate associated with atrial fibrillation, it would not be the drug of choice for a new-onset atrial fibrillation that could be converted to normal sinus rhythm. Disopyramide (Norpace) is usually only given to clients with life-threatening ventricular tachycardia. Lidocaine (Xylocaine) is not effective in treating atrial dysrhythmias.
You might also like to view...
Which of the following nursing actions should the nurse perform when a client with Addison's disease has a blood glucose level above 80 mg/dL?
A) Inform the physician. B) Give the client milk and graham crackers. C) Instruct the client to remain in bed. D) Assess the client's blood glucose level before each meal.
The nurse wishes to assess the anatomic snuffbox of a patient's wrist. Which instruction should the nurse provide?
1. "Place your hand palm-up on the table.". 2. "Make a tight fist as I palpate your wrist.". 3. "Extend your thumb fully to the side.". 4. "Flex your wrist as much as possible.".
Why is it important for the nurse to understand the type of family that a client comes from? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Family structure can influence finances. 2. Some families choose to conceive or adopt without a life partner. 3. The nurse can anticipate which problems a client will experience based on the type of family the client has. 4. Understanding if the client's family is nuclear or blended will help the nurse teach the client the appropriate information. 5. The values of the family will be predictable if the nurse knows what type of family the client is a part of.
The client is found to have methicillin-resistant Staphylococcus aureus (MRSA). Which of the following is an appropriate isolation procedure for the nurse to implement when working with this client?
a. Leave all linen in the client's room. b. Place specimen containers in appropriate bags for transport. c. Wipe the stethoscope before removing it from the room. d. Remove the mask and goggles first when leaving the client's room.