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The Nurse Is Providing Care for a 64-Year-Old Client on the Telemetry

Question 23

Multiple Choice

The nurse is providing care for a 64-year-old client on the telemetry unit whose heart rate suddenly jumps to 144 bpm. Telemetry shows supraventricular tachycardia and the client reports feeling a bit lightheaded and dizzy. The nurse attempts vagal stimulation without success and prepares to administer Adenocard (adenosine) 6 mg IV push. The nurse would expect which of the following to occur?


A) A gradual slowing of the heart rate over the next 30 min with an end result of normal sinus rhythm and improved symptoms.
B) Slowing of the tachycardia with an end rate between 100-120 bpm and improved dizziness within 5 min.
C) Loss of consciousness for the client in preparation for electric shock/cardioversion.
D) A short period of heart block or asystole immediately after injection followed by conversion to normal sinus rhythm.

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