The patient's monitor shows bradycardia (heart rate of 40 beats/min) and frequent premature ventricular contractions (PVCs) with a measured blood pressure of 85/50 mm Hg. The nurse anticipates the use of which drug?
a. Atropine 0.5 to 1 mg intravenous push
b. Dopamine drip—continuous infusion
c. Lidocaine 1 mg/kg intravenous push
d. Transcutaneous pacemaker
A
This patient is having PVCs secondary to bradycardia. Atropine is a first-line drug for bradycardia. Administer atropine, 0.5 mg IV every 3 to 5 minutes to a total dose of 3 mg. Atropine is not indicated in second-degree atrioventricular (AV) block type II or third-degree AV block.
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The nurse wants to begin helping a resident who is overweight and has urinary inconti-nence with healthy bladder behavior skills. Which intervention should the nurse imple-ment?
a. Begin low-calorie diet for weight management. b. Schedule voiding at 2- to 4-hour intervals. c. Instruct resident to practice abdominal exercises. d. Reduce the time between an urge to void and voiding.
A durable power of attorney differs from a power of attorney in what way?
A) It is granted by the court on behalf of an incompetent individual B) It stays in effect if the individual granting it becomes incompetent C) It goes into effect only after an individual becomes incompetent D) It includes responsibility for managing an individual's financial assets
The nurse is aware that men with gonorrhea are more likely to seek medical attention because their symptoms are more visible than those of women. Which clinical manifestation is most con-sistent with symptoms of gonorrhea experienced by men?
a. Copious purulent discharge from the penis b. Hematuria at the beginning of the urina-tion stream c. Ulcer on the penis d. Scaly lesions on the scrotum
Choose the most therapeutic response by the nurse to a new mother who verbalizes uncertainty about her ability to breast feed her new baby
a. Breast feeding a baby is best. Bottle feed-ing is only a poor substitute for women who can't produce enough milk. b. Let's try the breast feeding first and see how you do. I'll be right here to help you with the process. c. We can give him a bottle until your milk comes in and you feel more sure about your ability to breast feed. d. If you don't make up your mind right away, we'll be forced to bottle feed him.