A new nurse notices what appears to be ventricular fibrillation (V-fib) on the monitor and quickly enters the client's room to find the client sitting on the side of the bed talking. After the nurse checks the pulse and determines the client has a regular pulse of 85 beats per minute the nurse should do which of the following next?
a. Reposition the leads and recheck the rhythm
b. Call a code
c. Start CPR
d. Defibrillate the client
a. Reposition the leads and recheck the rhythm
rationale: It may be an artifact, after determining the client is stable with a pulse, leads should be repositioned and the rhythm rechecked
You might also like to view...
A child is admitted to the ED with a diagnosis of hypovolemic shock secondary to traumatic injury. Which of the following normal parental responses would the nurse expect to see?
1. Somatic distress 2. Feelings of guilt and negligence 3. Violent patterns of conduct 4. Confidence in a positive outcome for the child
Based on the assessment results, which of the following hospital patients is most likely to be experiencing the effects of chronic stress?
A) A 32-year-old intravenous drug user with a diagnosis of endocarditis B) A 45-year-old paraplegic who is experiencing delayed wound healing of an ischial ulcer C) A 79-year-old woman who has a diagnosis of acute and chronic renal failure D) A 63-year-old man with a diagnosis of chronic obstructive pulmonary disease (COPD) and heart failure (HF)
The nurse is performing a focused interview with a client who was recently diagnosed with varicose veins. Which of the following statements by the client are associated with risk factors for varicose veins? Standard Text: Select all that apply
1. "My mother had big veins on her legs from the time I was little.". 2. "My father is of Japanese descent.". 3. "I'm a hair stylist.". 4. "I was pregnant once and have a son.". 5. "I know I weigh a lot more than I should.".
When performing health screenings on a college campus, which factor should the university health nurse keep in mind as increasing the risk of testicular cancer in men?
A) History of measles B) African American race C) Family history of prostate cancer D) Cryptorchidism