The nurse is reviewing cardiac anatomy with a patient scheduled for pacemaker insertion. Where should the nurse identify the location of the sinus node for the patient?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
ANS: B
The sinus node is located in the right atrium. A. C. D. The sinus node is not located in the left atrium or right or left ventricles.
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A nurse is preparing a care plan for a newly admitted client with COPD. The client currently is receiving oxygen at 4 L per nasal cannula. Her oxygen saturation is 82%, respiratory rate is 32, heart rate is 98, and blood pressure is 102/68
Which of the following is the highest-priority nursing diagnosis for this client? A) Activity intolerance B) Altered tissue perfusion: respiratory C) Ineffective airway clearance D) Ineffective management of therapeutic regimen, individual
Which of the following are direct measures? (Select all that apply.)
a. The patient's radial pulse rate b. The dimensions in centimeters of a decubitus ulcer c. The nurse's observations of an infant's apparent pain d. The physician's measure of the patient's deep tendon reflexes e. The patient's estimate as to whether his lithium level is within therapeutic range f. The mother's report of her toddler's anxiety level before a blood draw g. The patient's serum serotonin levels
The labor patient's electronic fetal monitor detects increasing late decelerations. Which action is warranted in this situation?
a. Reposition the woman and notify the health care provider. b. Administer oxygen at 3 L/minute by nasal cannula. c. Increase oxytocin infusion rate to control decelerations. d. Assess for other signs of maternal hypertension.
The client is experiencing diarrhea. The nurse reviews the client's PRN medication prescription sheet and plans to administer which of the following medications for this problem?
1. Sennosides (Senokot) 2. Bisacodyl (Dulcolax Bowel Prep Kit) 3. Psyllium (Metamucil) 4. Loperamide (Imodium)