HESI Med Surg > EXAM > HESI RN MED-SURG LATEST TEST EXAM 2025/2026 COMPLETE WITH STUDY QUESTIONS WITH CORRECT ANSWERS GUARA (All)
A 43-year-old homeless, malnourished client with a history of alcoholism is transferred to the ICU. The nurse palpates a heart rate of 160 beats/min, and the client's blood pressure is 90/54 mm Hg. ... Based on these findings, which IV medication should the nurse administer? A. Amiodarone (Cordarone) B. Magnesium sulfate C. Lidocaine (Xylocaine) D. Procainamide (Pronestyl) - Answer>>> B Rationale:The client with chronic alcoholism is likely to have hypomagnesemia. Option B is the recommended drug for torsades de pointes, which is a form of polymorphic ventricular tachycardia (VT) usually associated with a prolonged QT interval that occurs with hypomagnesemia. Options A and D increase the QT interval, which can cause the torsades to worsen. Option C is the antiarrhythmic of choice in most cases of drug-induced monomorphic VT, not torsades. The clinic nurse is teaching a client newly diagnosed with Raynaud's Syndrome. What instructions will the nurse include in the client's teaching plan? (Select all that apply.) A. Place your hands in 130°F/54.4°C water until warmed through. B. Wear warm clothing and socks when you are cold. C. Use finger guards when using a knife to avoid cutting your hands. D. Take your medication only when you feel the tingling in your fingers. E. Avoid stressful situations at work and in your home life. - Answer>>> B, C, E Rationale:Water at 130°F/54.4°C can cause burns at 30 second exposure. Because of the numbness and tingling the client may not be able to sense burning. Vasodilators are often prescribed for these clients, especially during the cold months. The therapy needs to be continuous for the maximum effect. The remaining instructions will benefit the client with Raynaud's. [Show More]
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