Practice Question
A nurse is caring for a client who has a new diagnosis of atrial fibrillation. Despite medication therapy aimed at correcting the dysrhythmia, the patient has consistently remained in atrial fibrillation for several days. Which of the following interventions would the nurse expect to be ordered for this client?
Answer Choices:
Correct Answer:
Anticoagulant therapy
Rationale:
🔹For clients with persistent atrial fibrillation (AF), especially when rhythm control has failed, the primary concern becomes stroke prevention due to thrombus formation in the atria, particularly in the left atrial appendage.
🔹Anticoagulant therapy (e.g., warfarin, apixaban) is indicated to prevent embolic events.
🔹Emergency defibrillation is not appropriate unless the patient is unstable.
🔹 CABG addresses coronary artery disease, and diuretics don’t manage rhythm or clot risk in AF.
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This question is from RN Medsurg~Respiratory(midterm) which contains 40 questions.
More Questions from This Exam
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Answer Choices:
A. Soles of the feet
B. Palms of the hands
C. Oral mucosa
D. Nail beds
A nurse is assessing a client who has Guillain-Barre Syndrome, and notes that the client's breathing is shallow and the client is short of breath. The nurse understands that the client's respiratory distress is caused by which of the following?
Answer Choices:
A. Degeneration of nerves in the brainstem and spinal cord.
B. Pleural effusion caused by immobility.
C. Demyelination of nerves that stimulate the respiratory muscles
D. Bronchoconstriction and edema of the airways.
A nurse is caring for a client who has been diagnosed with heparin-induced thrombocytopenia (HIT). Which of the following clinical manifestations should the nurse recognize as the most concerning for a client with this condition?
Answer Choices:
A. Petechiae on the oral mucosa.
B. Hemoglobin of 14 g/dL.
C. Bleeding of the gums after oral care.
D. Pain and swelling in one leg.
An older adult client who is having difficulty passing urine is found to have elevated levels of prostate-specific antigen (PSA). The nurse understands that this finding indicates which of the following?
Answer Choices:
A. The client has a harmful gene mutation which puts him at a higher risk for cancer in the future.
B. The client will need additional testing to determine if he has cancer.
C. The client has prostate cancer.
D. The client has benign prostatic hyperplasia (BPH).
A nurse is caring for a 24-year-old client who has frequent premature atrial contractions seen on the cardiac monitor. The nurse understands that the client requires additional education when the client selects which of the following items for the breakfast tray?
Answer Choices:
A. Whole milk
B. Black tea
C. Bacon
D. Scrambled eggs with cheese
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4