A patient comes to the clinic with a history of syncope and weakness for 2 to 3 days. The primary care NP notes thready, rapid pulses and 3-second capillary refill. An ECG reveals a heart rate of 198 beats per minute with a regular rhythm
The NP should: a. administer intravenous fluids and obtain serum electrolytes.
b. administer amiodarone in the clinic and observe closely for response.
c. order digoxin and verapamil and ask the patient to return for a follow-up examination in 1 week.
d. send the patient to an emergency department for evaluation and treatment.
D
Paroxysmal supraventricular tachycardia (PSVT) is a very fast regular rate and rhythm. This patient is becoming decompensated and should be referred to the emergency department for evaluation and treatment. The primary care NP should not treat this in the clinic or as an outpatient until the patient is stable.
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The nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving injections of:
a. iron. b. vitamin B12. c. RhoGAM. d. type O blood.
Which type of clinical decision-making is most reliable?
A. Intuitive B. Analytical C. Experiential D. Augenblick
When taking a patient's pulse, check the rate, ____________________, and quality.
Fill in the blank(s) with the appropriate word(s).
Older adult patients often see several doctors who prescribe what is needed in a patient's particular case. Multiple doctors and multiple drugs can lead to serious drug ________.
Fill in the blank(s) with the appropriate word(s).