RN HESI Pharmacology | Nurselytic

Questions 53

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Extract:

History and physical
The client is a 75-year-old female admitted to the preoperative area to prepare for pacemaker insertion. The client reports she is having this done because her heart rate has been staying very low. She is always tired, and she has passed out once from a low heart rate. The client has a history of worsening symptomatic bradycardia and a history of atrial fibrillation controlled by medication. She has been off anticoagulants for 4 days to prepare for the procedure.
Nurses notes
0700: Laboratory specimens have been drawn and completed during a preadmission visit. After changing clothes and settling into bed, the client was placed on continuous monitoring. Admission process completed.
0800: Peripheral IV (PIV) started in the right antecubital with a 20-gauge catheter. IV fluids of 0.9% sodium chloride started at 50 mL/hr. Cardiac surgeon in to see the client and answer questions about the procedure.
0830: Client reports no known allergies. Vancomycin 1 gram in 250 mL 0.9% sodium chloride started at 125 mL/hr as endocarditis prophylaxis.
0840: Awaiting transfer to the operating room (OR). Vancomycin infusing at 125 mL/hr.


Question 1 of 5

The nurse would determine what actions to implement in an emergent situation. Drag from Word Choices to complete the sentence. "The client is at immediate risk for developing: ---------------,---------------------and-----------------------

Correct Answer: C,E,F

Rationale: The client’s bradycardia and atrial fibrillation increase risks for cardiac arrest, arrhythmias, and anaphylaxis (from vancomycin), requiring emergency preparedness.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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