The nurse caring for a patient on lidocaine to increase ventricular conduction is alarmed when assessments reveal:

1. a slowed ventricular rate.
2. occasional PVCs.
3. increase in temperature to 102ยบ F.
4. nausea and vomiting.


3
A temperature rate that goes up drastically indicates an adverse reaction to lidocaine, ma-lignant hyperthermia. The slowed ventricular rate, even with occasional PVCs, is an ex-pected outcome of lidocaine infusion.

Nursing

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After experiencing two workplace accidents in which he fell asleep, a 30-year-old construction worker has been diagnosed with narcolepsy

The patient admits that he is embarrassed to receive this diagnosis and is adamant that no one find out about it. The nurse should respond to the patient by explaining what aspect of the etiology? A) "This is the result of neurological factors over which you have no direct control." B) "In a lot of cases, making improvements to your sleep habits can resolve narcolepsy." C) "This is something that runs in certain families, and it's not your fault that this has happened." D) "This usually stems from suppressed emotions, so counseling usually helps greatly."

Nursing

The nurse is teaching parents how to prevent the spread of infectious disease. Which of the following is the most important health promotion strategy for all age groups of children?

1. Keeping child free from colds 2. Proper hand hygiene 3. Keeping all toys clean and free from germs 4. Keeping child away from sick adults

Nursing

A rehabilitation nurse is caring for an older adult client who states, "I tire easily." How should the nurse respond? (Select all that apply.)

a. "Schedule all of your tasks for the morning when you have the most energy." b. "Use a cart to push your belongings instead of carrying them." c. "Your family should hire someone who can assist you with daily chores." d. "Plan to gather all of the supplies needed for a chore prior to starting the activity." e. "Try to break large activities into smaller parts to allow rest periods between activities."

Nursing

Which client is not a good candidate for Depo-Provera (DMPA)?

1. One who wishes to get pregnant within three months 2. One who wishes to breastfeed 3. One with a vaginal prolapse 4. One who weighs 200 pounds

Nursing