1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid
ventricular response. Based on this finding, the nurse anticipates assisting the physician
with which treatment?
A. Administer lidocaine, 75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push.
Rationale:
With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to
convert the cardiac rhythm back to normal sinus rhythm.
Option A is a medication used for ventricular dysrhythmias. Option C is not for a client with
atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such as ventricular
fibrillation and unstable ventricular tachycardia. Option D is the drug of choice in symptomatic
sinus bradycardia, not atrial fibrillation.
2. A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want
to be assigned to one particular resident. She reports that the male client keeps insisting
that she is his daughter and begs her to stay in his room. What is the best managerial
decision?
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