The nurse is attending a football game when another spectator reports chest pain and collapses. The nurse assesses the client and finds he is pulseless and not breathing. After the nurse calls for help, someone brings an AED
Which action by the nurse is the most appropriate?
1. Not using the device, because it needs to be plugged in and there is no electricity
2. Turning the machine on, placing the patches, and then plugging in the cable
3. Connecting the cables, placing the patches, and then turning on the machine
4. Placing the patches, turning on the machine, and then plugging in the cable
Correct Answer: 2
The machine should be turned on and then the patches should be placed. Only after the patches are in place and the nurse has assured that no one is touching the client should the cable be plugged into the machine. The machine will begin analyzing the rhythm and deliver a shock as soon as the cables are connected.
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Which of the following is the reason for administering vasopressors after fluid therapy for clients in shock?
A) To aid better circulation and absorption of the vasopressors B) To promote rapid metabolism and excretion of the vasopressors C) To prevent the vasopressors from further lowering the blood pressure (BP) D) To prevent the vasopressors from further impairing cellular circulation
A pregnant woman may look for a health claim on food labels that links
a. sodium intake and risk of stroke. b. calcium intake and risk of osteoporosis. c. folic acid intake and risk of neural tube defects. d. fruit and vegetable intake and risk of heart disease.
Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement
a. The patient will be stronger by (date). b. The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day. c. The nurse will help the patient ambulate the length of the hall twice daily. d. The nurse will evaluate the patient's strength based on his ability to ambulate in the hall on the first postoperative day.
The physician orders enoxaparin (Lovenox) for the postoperative patient. What is the best administration technique by the nurse?
1. Administer the medication in the upper arm, subcutaneously. 2. Administer the medication in the abdomen, subcutaneously. 3. Administer the medication via slow intravenous (IV) push in the patient's intravenous (IV) line. 4. Ask the patient where she would like the injection and administer it subcutaneously.