The patient has pulseless electrical activity (PEA). The doctor decides that the cause of the PEA is pericardial tamponade. What is the most appropriate treatment for pericardial tamponade?
a. Atropine
b. Chest tube placement
c. Pericardiocentesis
d. Transcutaneous pacemaker
C
Pericardiocentesis, or needle aspiration of pericardial fluid, is performed to alleviate the pressure around the heart.
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A newly licensed registered nurse is working with a preceptor on the acute care unit. He is developing the nursing care plan for a newly admitted client. The primary nursing diagnosis is knowledge deficit related to pre- and postoperative care
After developing goal statements for the plan, the preceptor reviews them. Which of the goal statements is most appropriate? A) The client will understand the prescribed medications. B) The nurse will administer the prescribed medications. C) The client will be afibrile during the postoperative period. D) The client will verbalize understanding of the preoperative medications prior to surgery.
Patients having physical examination of their breasts often experience feelings of embarrassment, anxiety, and loss of control. Which of the following is least likely to assist the patient in dealing with these feelings?
a. ensuring privacy, providing adequate draping material, and a warm environment b. listening carefully, examining her feelings in the context of her culture, validating concerns c. telling her not to worry and that everything will be fine d. providing her with information about the examination before starting, and answering questions about her body and sexuality
The nurse is conducting a health maintenance visit for an older adult patient. Which is an expected finding for this patient based on age?
1) Enlarged clitoris 2) Copious vaginal secretions 3) Increased risk for vaginal infections 4) Decreased risk for painful intercourse
The nurse is instructing a client newly diagnosed with multiple sclerosis (MS). To determine the effectiveness of his teaching, the nurse would expect the client to state:
1. "It is best for me to be in a cold environment." 2. "I should avoid taking a hot bath." 3. "I should eat foods low in salt." 4. "I should be better in a week."