A nurse administers prescribed adenosine (Adenocard) to a client. ...

[lb_gilbert]

A nurse administers prescribed adenosine (Adenocard) to a client. Which response should the nurse assess for as the expected therapeutic response?
 
  a. Decreased intraocular pressure
  b. Increased heart rate
  c. Short period of asystole
  d. Hypertensive crisis

Question 2

A nurse assesses a client with atrial fibrillation. Which manifestation should alert the nurse to the possibility of a serious complication from this condition?
 
  a. Sinus tachycardia
  b. Speech alterations
  c. Fatigue
  d. Dyspnea with activity

[zogaridan]

Answer to Question 1

ANS: C
Clients usually respond to adenosine with a short period of asystole, bradycardia, hypotension, dyspnea, and chest pain. Adenosine has no conclusive impact on intraocular pressure.

Answer to Question 2

ANS: B
Clients with atrial fibrillation are at risk for embolic stroke. Evidence of embolic events includes changes in mentation, speech, sensory function, and motor function. Clients with atrial fibrillation often have a rapid ventricular response as a result. Fatigue is a nonspecific complaint. Clients with atrial fibrillation often have dyspnea as a result of the decreased cardiac output caused by the rhythm disturbance.