A 58-year-old female is admitted with the following new onset rhythm. With complications related to this rhythm in mind, priority nursing assessment would be to:
1. Monitor for sudden onset of ventricular tachycardia.
2. Perform neurologic checks every 4 hours.
3. Monitor for deterioration to third-degree block.
4. Assess skin turgor for dehydration.
2
Rationale 1: Ventricular tachycardia is not a usual complication associated with atrial fibrillation.
Rationale 2: The patient in atrial fibrillation is at risk for thromboembolism and will need to be placed on anticoagulants. The nurse would need to assess for signs of stroke.
Rationale 3: Third-degree block is not a usual complication of atrial fibrillation.
Rationale 4: Dehydration is seen in sinus tachycardia and not atrial fibrillation.
You might also like to view...
A client is diagnosed with major depressive episode. Which nursing diagnosis should a nurse assign to this client, to address a behavioral symptom of this disorder?
1. Altered communication R/T feelings of worthlessness AEB anhedonia 2. Social isolation R/T poor self-esteem AEB secluding self in room 3. Altered thought processes R/T hopelessness AEB persecutory delusions 4. Altered nutrition: less than body requirements R/T high anxiety AEB anorexia
Which of the following statements, if used in a hypothesis, is not readily testable by empirical means?
A) Less than B) Meaning of C) More than D) Related to
What word describes pain that comes and goes?
a. Localized b. Intermittent c. Chronic d. Referred
Three fundamental ethical concerns related to chronically ill persons are:
a. paternalism, non-compliance, and advocacy b. lack of control, suffering, and access to services c. pain, expense, fatigue d. complex management, unresolved issues, incurable nature of illness