The nurse is caring for a client with a complete heart block (third-degree atrioventricular [AV] block). What is the nurse's priority intervention?
a. Perform a cardioversion.
b. Assist with carotid massage.
c. Begin external pacing.
d. Administer adenosine (Adenocard) IV.
C
The nurse would expect the client with complete heart block or third-degree AV block to be paced externally until the client can be scheduled for a permanent pacemaker.
You might also like to view...
Which of the following time management skills would be most beneficial to the student learning to manage time? Select all that apply. Standard Text: Select all that apply
1. Planning 2. Implementing 3. Prioritizing 4. Organizing 5. Setting goals
The nurse identifies a tunnel in a wound that previously contained a drain. She can document the length of the tunnel by inserting a
A) cotton swab. B) ruler. C) measuring tape. D) None of the above is correct.
When assessing the temperature of newborns and children, the nurse decides to utilize a temporal artery thermometer. What is the rationale for the nurse's action?
a. It is not affected by skin moisture. b. It has no risk of injury to patient or nurse. c. It reflects rapid changes in radiant temperature. d. It is accurate even when the forehead is covered with hair.
Critical life events
a. Can be positive only b. Can be positive or negative c. Can be negative only d. Act as catalysts for change