The nurse observes a normal sinus rhythm on the EKG monitor after a client has been in atrial fibrillation with a rapid ventricular response. Which of the following should the nurse do first?
a. Notify the healthcare provider
b. Monitor the client
c. Obtain a 12 lead EKG
d. Check the pulse
c. Obtain a 12 lead EKG
rationale: The rhythm change needs to be confirmed with a 12 lead EKG.
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When a client does not show up for a scheduled clinic appointment, which of these factors must the nurse consider as a potential reason?
a. communication misunderstanding b. client indifference c. client laziness d. cultural differences in the meaning of time
The nurse working in a free community clinic knows that access to health care is affected negatively by lack of health insurance. Which of the following accurately describe the effect of lack of insurance on family health? Select all that apply
A) Parents with uninsured children often delay care and are less likely to take their children to a doctor or dentist for preventive care. B) The percentage of children without health insurance is beginning to decrease slightly from previous years. C) Currently, the states have improved enrollment in Medicaid and the State Children's Health Insurance Program (SCHIP). D) Despite state efforts to ensure all children, nearly two-thirds of children eligible for these public programs are not enrolled. E) In most states, men and women of the same health status and age are charged similar rates for the same individual health insurance policy.
The nurse is conducting a nutrition assessment on a patient who has been admitted for hip replacement surgery. The patient reports that he is Jewish and follows the kosher dietary tradition
Which statement by the nurse will have the greatest impact on the patient's nutritional health during his hospitalization? 1. "I'll arrange for a dietitian to come and discuss your food requirements with you." 2. "Would you be more comfortable with having your family bring you food from home?" 3. "Remember that you will need to increase your protein input postsurgery." 4. "Please tell me more about your preferred eating habits."
A patient will be discharged on quinidine
sulfate (Quinidex) extended-release tablets for the treatment of ventricular ectopy. The nurse will include which information in the teaching plan? a. The medication should be stopped once the cardiac symptoms subside. b. Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision, may occur. c. It is important to use sunscreen products when outside because of increased photosensitivity. d. If any tablet or capsule is visible in the stool, contact the prescriber immediately.