The nurse is looking at the central cardiac monitor for clients on a telemetry unit. Which EKG (ECG) rhythm is a priority and needs to be addressed immediately?
a. Ventricular fibrillation
b. Supraventricular tachycardia
c. 2nd degree heart block type 2
d. New atrial fibrillation
a. Ventricular fibrillation
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A 28-year-old woman is planning to be part of a mission team going to Central Africa. She will take mefloquine (Lariam) once a week, beginning 1 week before traveling to Africa until 4 weeks after leaving Africa
What precaution will the nurse teach this patient is needed? A) "Avoid excessive weight gain." B) "Have regular cancer screening." C) "Use contraceptives to avoid pregnancy." D) "Stop the medication if diabetes is diagnosed."
The nurse is caring for a patient who recently suffered a cerebrovascular accident (CVA). The family asks the nurse why their father had a seizure. What is the best response by the nurse?
a. "The seizure was most likely caused by brain cells being deprived of oxygen due to a blood clot in the brain." b. "The stroke generated a toxin that excites the brain cells." c. "The stroke causes an alteration in the cells adjacent to the blood clot." d. "The stroke causes an increase in the de-polarization of the brain cells due to the clot formation."
You monitor John Doe for signs and symptoms of alcohol withdrawal and DTs. So far he is
restless, has tremors, and has a low-grade fever. Which of the symptoms listed are symptoms of the more severe DTs? Select all that apply. a. GI bleeding b. Hallucinations c. Hypotension d. Somnolence e. Extreme diaphoresis f. Tachycardia g. Vomiting
In assessing the mood of older adult patients, a nurse documents which finding as abnormal?
a. Sadness and grief after returning from the funeral of a long-time friend b. Depression that interferes with the ability to perform activities of daily living c. Frustration about rearranging the day's schedule to attend a grandson's birthday party d. Crying about the unexpected death of a pet that had been with the family 12 years