A nurse notes that the PR interval on a client's electrocardiograph (ECG) tracing is 0.14 second. What action does the nurse take?
a. Assess serum cardiac enzymes.
b. Administer 1 mg epinephrine IV.
c. Administer oxygen via nasal cannula.
d. Document the finding in the client's chart.
D
The PR interval normally ranges from 0.12 to 0.20 second. This is a normal finding, so the nurse simply documents this. No further action is required.
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You notice that one of your nursing colleagues has an impaired ability to integrate meaning and purpose in life through her own connectedness with others, self, music, nature, or a higher power
Your colleague is most likely experiencing which of the following? a. Spiritual distress c. Depression b. Philosophical distress d. Schizoid personality disorder
As a nurse working with a group of males over age 65, you would keep in mind factors that bring an increased risk of suicide. Which of the following factors would you associate with the highest risk of suicide in the male population over age 65?
a. occupation b. divorce c. marriage d. income
Which of the following statements most accurately describes the etiology of substance-related disorders?
A) Substance-related disorders result from the interplay of biologic, genetic, and psychosocial factors. B) Substance-related disorders are primarily a result of the presence of an individual's inherently addictive personality. C) The primary predictors of substance-related disorders are childhood trauma and parental abuse or neglect. D) Substance abuse is a learned behavior.
The nurse is caring for a 39-year-old client who has experienced a mild brain attack (stroke). The client is recently widowed, is very active physically, and has two young sons. The client says to the nurse, "I don't know what my sons will do if anything permanent happens to me. We have no other relatives, even on my late wife's side." Which of the following nursing responses would be therapeutic?
A. "You seem to be feeling very troubled." B. "You are working to get better, but you're worrying about things that aren't going to happen." C. "You seem to be feeling very powerless right now, yet you're getting better, so why worry about what won't happen?" D. "I am troubled that you are worried over the worst possible things that could happen rather than worrying about the efforts needed to strengthen your family situation."