A patient with a history of atrial fibrillation presents to the emergency department with palpitations, dizziness, and chest pain. The nurse anticipates administering which medication to control the heart rate? a) Adenosine b) Amiodarone c) Diltiazem d) Nitroglycerin
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A patient with a history of atrial fibrillation presents to the emergency department with palpitations, dizziness, and chest pain. The nurse anticipates administering which medication to control the heart rate? a) Adenosine b) Amiodarone c) Diltiazem d) Nitroglycerin
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- A patient with a history of myocardial infarction complains of chest pain radiating to the left arm. Which action should the nurse take first? a) Administer oxygen b) Obtain an ECG c) Administer aspirin d) Administer nitroglycerin.Beck's triad is a set of clinical signs associated with: a) Tension pneumothorax b) Cardiac tamponade c) Acute heart failure d) Aortic dissectionWhat is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decision
- A patient with a history of coronary artery disease is prescribed nitroglycerin. The nurse understands that this medication is primarily aimed at: a) Lowering blood pressure b) Dilating coronary arteries and improving blood flow to the heart c) Reducing cholesterol levels d) Preventing blood clotsThe nurse is administering lidocaine and considers which condition, if present in the patient, a caution for the use of this drug? a )Tachycardiab) Hypertensionc) Ventricular dysrhythmiasd )Renal dysfunctionThe nurse will monitor the patient who is taking a muscle relaxant for which adverse effect?a )CNS depressionb) Hypertensionc) Peripheral edemad )Blurred vision
- When a drug is characterized as having a negative chrono-tropic effect, the nurse knows to expect which effect? a) Reduced blood pressure b) Decreased heart rate c) Decreased ectopic beats d) Increased force of cardiac contractionsA patient who has recently had a myocardial infarction (MI) has started therapy with a beta blocker. The nurse explains that the main purpose of the beta blocker for this patient is to a) cause vasodilation of the coronary arteries.b) prevent hypertension.c) increase conduction through the SA node.d) protect the heart from circulating catecholamines19) myocardial infraction is a heart attack. A) true B) False
- A patient with a history of deep vein thrombosis (DVT) is receiving anticoagulant therapy. Which lab value should the nurse monitor most closely? a) Prothrombin time (PT) b) Partial thromboplastin time (PTT) c) International Normalized Ratio (INR) d) Platelet countThe nurse is administering an intravenous infusion of a phosphodiesterase inhibitor to a patient who has heart failure. The nurse will evaluate the patient for which therapeutic effects? (Select all that apply.)a) Positive inotropic effectsb) Vasodilationc) Decreased heart rated) Increased blood pressuree) Positive chronotropic effectsIn cases of suspected myocardial infarction, what is the initial pharmacological treatment? A) Aspirin B) Nitroglycerin C) Morphine D) All of the above