A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for surgical placement of a permanent pacemaker. The client asks the nurse how this devise will help him. How should the nurse explain the action of a synchronous pacemaker?
A. an impulse is fired every second to maintain a heart rate of 60 beats per minute
B. ectopic stimulus in the atria is suppressed by the device of usurping depolarization
C. ventricular irritability is prevented by the constant rate setting of a pacemaker
D. an electrical stimulus is discharged when no ventricular response is sensed
Ans: D. an electrical stimulus is discharged when no ventricular response is sensed
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A patient with an acute attack of gout in the right great toe has a new prescription for probenecid (Benemid). Which information about the patient's home routine indicates a need for teaching regarding gout management?
a. The patient sleeps about 8 to 10 hours every night. b. The patient usually eats beef once or twice a week. c. The patient takes one aspirin a day to prevent angina. d. The patient usually drinks about 3 quarts water daily.
When weighing a patient who can stand unassisted, the nurse must make sure to
1. Let the patient get out of bed and walk to the scale unassisted, to respect the patient's boundaries and help maintain the patient's sense of control. 2. Weigh the patient at different times of day to get an average weight over time. 3. Place a hand a few inches behind the patient's back when he steps on the scale, in case the patient loses his balance. 4. Allow the patient to hold on to something while being weighed, if he wishes.
Which example of best practice review would likely be assigned a Level I?
1. Information from the only existing study of an intervention. 2. Information from review of several randomized controlled trials of an intervention. 3. Information from the opinion of a person widely recognized as an expert in the use of the intervention. 4. Information from a non-randomized well-designed controlled trial of the intervention.
A 36-year-old woman with a diagnosis of antiphospholipid syndrome is receiving a scheduled checkup from her nurse practitioner. Which of the following teaching points would the nurse most likely prioritize?
A) "It's important for you to do regular physical activity and maintain a healthy body weight." B) "Good nutrition and blood sugar control are important in your case." C) "You'll need to avoid taking nonsteroidal anti-inflammatory drugs when you have menstrual cramps." D) "You need to ensure your birth control pills don't contain estrogen."