The patient is diagnosed with abrupt onset of supraventricular tachycardia (SVT). The nurse prepares which medication that has a short half-life and is recommended to treat symptomatic SVT?
a. Adenosine
b. Amiodarone
c. Diltiazem
d. Procainamide
A
Adenosine is the initial drug of choice for the diagnosis and treatment of supraventricular dysrhythmias. Adenosine has an onset of action of 10 to 40 seconds and duration of 1 to 2 minutes; therefore, it is administered rapidly.
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An elderly patient with community-acquired pneumonia has been admitted to the CCU. What nursing action will improve the patient's chances of survival?
A) Obtain blood and sputum cultures on admission and 2 days after admission. B) Initiate intravenous antibiotic therapy within 8 hours after admission. C) Administer intravenous antibiotics for 7 full days. D) Initiate antibiotics only after culture results are known.
A patient tells the nurse that she does not want to pass on a disease that is genetic in origin to any future children. The nurse would most correctly respond to this patient with which of the following statements?
1. "A complete genetic study could help guide you in your decision making.". 2. "I supposed, then, that you are not going to have any children.". 3. "Adoption is always a possibility.". 4. "Are you sure that the disease is genetic in origin?"
The mother of a 14-month-old child is concerned because the child's appetite has decreased. The best response for the nurse to make to the mother is:
a. "It is important for your toddler to eat three meals a day and nothing in between.". b. "It is not unusual for toddlers to eat less.". c. "Be sure to increase your child's milk con-sumption, which will improve nutrition.". d. "Giving your child a multivitamin supplement daily will increase your toddler's appetite.".
Many individuals have difficulty voiding in a bedpan or urinal while lying in bed because they
a. Are embarrassed that they will urinate on the bedding. b. Would feel more comfortable assuming a normal voiding position. c. Feel they are losing their independence by asking the nursing staff to help. d. Are worried about acquiring a urinary tract infection.