Question # 1

A patient admitted to the stroke intensive care unit following an acute ischemic stroke develops new onset atrial fibrillation with a rapid ventricular response (heart rate 145 beats per minute). The patient reports mild palpitations but remains hemodynamically stable with clear lungs. What is the immediate nursing priority?

Options:

A.

Notify the provider promptly, monitor hemodynamic parameters, and prepare to administer rate-control medications such as beta-blockers or calcium channel blockers.

B.

Immediately perform emergent external cardiac defibrillation without synchronization.

C.

Administer high-dose intravenous potassium chloride rapidly via peripheral line.

D.

Discontinue all neurological checks and administer sedative medications to cause deep sleep.

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SCRN Overview

Name Stroke Certified Registered Nurse (SCRN) Examination
Code SCRN
Vendor Nursing
Certification American Board of Neuroscience Nursing (ABNN)

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