After a Myocardial Infarction,a Patient Presents with an Increasing Frequency

question 11

Multiple Choice

After a myocardial infarction,a patient presents with an increasing frequency of premature ventricular contractions (PVCs) .The patient's heart rate is 110 beats/min,and electrocardiogram (ECG) indicates a sinus rhythm with up to five unifocal PVCs per minute.The patient is alert and responsive and denies any chest pain or dyspnea.What action should the nurse take next?

• A) Administer lidocaine 100 mg bolus IV push stat.
• B) Administer Cardizem 20 mg IV push stat.
• C) Notify the physician and monitor the patient closely.
• D) Nothing; PVCs are expected in this patient.

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