A patient develops ventricular tachycardia on the cardiac monitor. The patient says, "My heart is racing" as the nurse determines a rapid pulse is present. What is the nurse's priority intervention?
1. Call respiratory therapy to prepare a mechanical ventilator.
2. Draw blood for arterial blood gases.
3. Prepare for a change in intravenous fluid being administered.
4. Monitor the patient for loss of consciousness.
Answer: 4
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A nursing student asks a pediatric intensive care nurse why being bed-bound for several weeks would affect a young child's growth and development. Which response by the nurse is the most appropriate?
A. "A child on bedrest has depression, slowing development." B. "Bedrest causes muscle weakness that limits activity." C. "Growth and development are highly connected to activity." D. "Isolation from peers has a negative effect on growth."
The employer is responsible for providing a safe working environment by:
A. Driving all employees to work. B. Following the OSHA guidelines. C. Teaching employees to use their back muscles for lifting clients. D. Allowing the recapping of contaminated needles.
The nurse infused a continuous bladder irrigation solution at 250 mL/hr for 12 hours. The total output amount measured was 3720 mL. What should the nurse record for the patient's urinary output?
a. 550 mL b. 720 mL c. 3000 mL d. 3720 mL
An infant presents with a heart rate of 180, a respiratory rate of 68, and an enlarged liver. What diagnosis does this suggest?
A) Pneumonia B) Heart failure C) Sepsis D) Necrotizing enterocolitis