In the critical care unit, a patient is experiencing multifocal premature ventricular contractions. The nurse administers a lidocaine bolus without the direct supervision of the physician. This is a legal based upon
A) autonomy.
B) knowledge.
C) experience.
D) protocol.
D
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A sexually active adolescent is scheduled for a pelvic examination. What should the nurse do to help the patient relax during the examination?
A) Show her a speculum prior to the exam. B) Assure her that no part of the exam will hurt. C) Coach her to hold her breath during the exam. D) Advise her to keep one hand on her abdomen.
The client is a 30-year-old man who has type 1 polycystic kidney disease (PKD-1). He asks whether his children could develop this disease. What is the nurse's best response?
A. "Because there is no identifiable pattern of inheritance with this disease, your children are not at an increased risk for developing polycystic kidney disease." B. "Because the disease is sex-linked (x-linked) recessive, only your sons will be affected." C. "Because this is a recessive disorder, your wife would also have to have the dis-ease for your children to have polycystic kidney disease." D. "Because this is a dominant disorder, each of your children would have a 50% risk of having polycystic kidney disease."
In reviewing the history of a newly admitted cardiac patient, the nurse knows that the patient would have a contraindication to antilipemic therapy if which condition is present?
A. renal disease. B. coronary artery disease. C. liver disease D. diabetes mellitus.
The nurse assessing an infant who has been diagnosed with hypertrophic pyloric stenosis anticipates:
a. a history of diarrhea following each feeding. b. gastric pain evidenced by vigorous crying. c. poor appetite due to a poor sucking reflex. d. an olive-shaped mass at the midline.