A patient in the CCU exhibits a tall, narrow, and peaked T wave on ECG. The nurse recognizes that this is most likely an early sign of which of the following?
A) Hypokalemia
B) Hyperkalemia
C) Hypocalcemia
D) Hypercalcemia
B
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Which individual would be at the highest risk for drug noncompliance?
a. A 2-year-old in a day care center b. A 10-year-old receiving antibiotics for an ear infection c. A 65-year-old on a fixed income taking multiple medications d. A 95-year-old in a long-term care facility taking multiple medications
A patient diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse?
A) Implement distraction techniques. B) Administer an analgesic. C) Inform the nurse-manager. D) Call the health care provider immediately.
A 48-year-old man diagnosed with amyotrophic lateral sclerosis is having difficulty with swallowing. The family feels the patient has been choking and coughing excessively at mealtimes
The patient's temperature is elevated, his respiratory rate is 32 breaths/min, and he is using accessory muscles on inspiration. The nurse should make which of the following assessments? A) Range of motion B) Lung auscultation C) Neurologic assessment D) Urine output
The nurse is interviewing a primigravida client who is 17 weeks pregnant. During the data collection, the client reports she has not felt the baby move yet. Which response by the nurse is the most appropriate?
A. "Fetal movement may not be felt until the 18th week." B. "Do you have reason to believe your baby is not ok?" C. "We will listen for the heartbeat today." D. "You need an ultrasound."