Nclex Rn Exit Exams 2023 With Ngn

NCLEX RN EXIT EXAMS 2023 WIRH NGN 1.1.Question1 point(s) Category: Pharmacological and Parenteral Therapies The nurse is caring for a 65-year-old male client with a history of ischemic heart disease who has been admitted to the ICU following a myocardial infarction. The client is currently receiving lidocaine I.V. to manage his ventricular ectopy, which has been persistent. Which of the following factors would be most important for the nurse to consider in relation to the administration of this medication? o A. Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter o B. Increase in systemic blood pressure o C. Presence of premature ventricular contractions (PVCs) on a cardiac monitor o D. Increase in intracranial pressure (ICP) o E. A drop in serum potassium levels as indicated in the latest lab results o F. Observation of a widening QRS complex on the ECG Incorrect Correct Answer: C. Presence of premature ventricular contractions (PVCs) on a cardiac monitor. In the context of acute myocardial infarction, the priority is to manage life-threatening arrhythmias. Lidocaine is specifically indicated for the treatment of ventricular arrhythmias, such as PVCs, which can be indicative of an increased risk for more serious arrhythmias like ventricular