Hesi RN Exit Proctored Exam
A client who was admitted with rapid atrial flutter is receiving amiodarone 1 mg/minute via a peripheral IV infusion in the left hand. The unlicensed assistive personal (UAP) reports to the nurse that the client's heart rate is 90 beats/minute and blood pressure is 110/50 mm Hg. Which intervention should the nurse implement?
Explanation & Rationale
A. The UAP should not make medication decisions; only a nurse or healthcare provider should do this after assessment. B. The nurse should evaluate the client’s heart rhythm to determine the effectiveness of the amiodarone and to assess for any arrhythmias or side effects of the medication. C. Checking the regularity of peripheral pulses is important but secondary to assessing the heart rhythm directly. D. Restarting the IV infusion might be necessary if there are issues with the IV site, but the primary concern is the client's cardiac status.
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