Author Question: The nurse is caring for a patient with ventricular tachycardia. Which care should the nurse prepare ... (Read 108 times)

Coya19@aol.com · **on:** Jun 25, 2018

The nurse is caring for a patient with ventricular tachycardia. Which care should the nurse prepare to provide to this patient?

Select all that apply.
1. immediate assessment and probable emergency intervention by the nurse
2. cardioversion, if sustained and symptomatic
3. administration of a potassium channel blocker
4. close observation for one hour prior to calling the physician
5. defibrillation to convert the rhythm in the awake patient

Question 2

The nurse has completed teaching related to dietary management of coronary heart disease (CHD). Effective teaching is indicated by what patient statement?

spreads.
2. I will watch my fiber intake so I don't get too much.
3. Well, I'll just have to go buy some of that coconut oil to cook with.
4. Drinking a couple of glasses of milk each day will give me better protein.

zhanghao · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 3
Sustained ventricular tachycardia is a medical emergency that requires immediate intervention, particularly in patients with cardiac disease. Treatment for ventricular tachycardia includes cardioversion. Class III antidysrhythmic medications (potassium channel blockers) are typically administered. Observation prior to calling a physician is not an appropriate action when a potentially life-threatening rhythm is identified. Defibrillation is only conducted in ventricular tachycardia when the patient is pulseless; otherwise, time is taken to synchronize for cardioversion.

Answer to Question 2

Correct Answer: 1
Trans fatty acids behave like saturated fats and are found in solid vegetable fats (margarine, shortening) and stick butter. Therefore, the use of soft margarines and vegetable spreads is recommended for managing CHD. Other dietary recommendations include increasing soluble and insoluble fiber in the diet. High proportions of saturated fats are found in coconut oil, whole-milk products, and red meats.