A nurse is caring for a client who has a new diagnosis of at... | ATI Med- Surg midterm exam (Respiratory)

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:

A. Emergency defibrillation

B. Coronary artery bypass graft (CABG)

C. Anticoagulant therapy ✓ Correct Answer

D. Diuretic therapy

Correct Answer:

Anticoagulant therapy

Rationale:

🩸Atrial fibrillation increases the risk of thromboembolism, particularly stroke, due to blood pooling in the atria.

💊Anticoagulants such as warfarin, dabigatran, or apixaban are prescribed to prevent clot formation when AF persists.

⚡Defibrillation is not appropriate unless the client is hemodynamically unstable, and CABG or diuretics do not treat AF directly.

📉The goal is to prevent embolic events, especially when rhythm control is not immediately successful.

📌Core Message

In persistent atrial fibrillation, anticoagulation therapy is essential to prevent thromboembolic complications.

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This question is from ATI Med- Surg midterm exam (Respiratory) which contains 38 questions.

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ATI Med- Surg midterm exam (Respiratory)

38 Questions

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Question Details

Category: RN Nursing Exams
Subcategory: ATI Exams (RN)
Domain: MED-SURG Exams (RN ati)
Answer Choices: 4

Rhenis Nursing

Practice Question

Correct Answer:

Rationale:

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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?

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 that the client's respiratory distress is caused by which of the following?

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?

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?

A nurse manager is discussing social services for older adults during a staff meeting in a long- term acute care (LTAC) facility. Which statement about Medicare made by one of the employees requires correction by the nurse manager?

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ATI Med- Surg midterm exam (Respiratory)

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