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Questions 149

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Extract:


Question 1 of 5

The nurse identifies ventricular tachycardia on the heart monitor. The nurse should immediately:

Correct Answer: C

Rationale: Ventricular tachycardia requires immediate treatment with an antiarrhythmic like lidocaine to restore normal rhythm.

Question 2 of 5

A client with tuberculosis who has been on combined therapy with rifampin and isoniazid asks the nurse how long he will have to take medication. The nurse should tell the client that:

Correct Answer: C

Rationale: Standard treatment for active tuberculosis involves 6 months of combined therapy with rifampin and isoniazid to ensure complete eradication.

Question 3 of 5

A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?

Correct Answer: B

Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding

Question 4 of 5

When applying the leads for a 12-lead electrocardiogram, the nurse places V1 and V2 at the fourth intercostal space to the right and left of the sternum. Which of the remaining leads is placed at the fifth intercostal space on the left midclavicular line?

Correct Answer: B

Rationale: Lead V4 (
B) is placed at the fifth intercostal space on the left midclavicular line in a 12-lead ECG.

Question 5 of 5

Where is the best site for examining for the presence of petechiae in an African American client?

Correct Answer: C

Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.

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