A client has received thrombolytic therapy after an ST segment myocardial infarction (STEMI). A half-hour later, the nurse notices frequent PVCs. The most appropriate action by the nurse is to
a. administer lidocaine per the dysrhythmia protocol.
b. document the finding and conclude the therapy worked.
c. prepare to send the client for emergent PTCA.
d. request an order for an anxiolytic medication.
B
Successful reperfusion of the coronary arteries is evidenced by return of the ECG changes to normal; relief of chest pain; presence of reperfusion dysrhythmias, usually sudden onset of fre-quent premature ventricular contractions (PVCs) or short runs of PVCs; and a rapid, early peak of CK-MB isoenzyme (washout). The physician should be notified of any changes in the client status.
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The nurse is conducting a physical examination of a child with a brachial plexus injury. Which of the following findings would be the most highly suspicious of Erb's palsy?
A) The child is unable to close one of his eyes. B) The involved extremity is adducted, prone, and internally rotated. C) Asymmetry of the face occurs when the child is crying. D) The mouth is drawn to the noninvolved side.
Which of the following patient's lab findings would the nurse consider to be the most significant for the development of coronary artery disease?
1. total cholesterol of 210 mg/dL and low HDLs 2. high levels of HDLs and total cholesterol of 245 mg/dL 3. LDLs of 192 mg/dL and total cholesterol of 198 mg/dL 4. LDLs of 132 mg/dL and low HDL levels
Tumors that do not spread to other body parts and usually do not grow back when removed are:
a. Cancer b. Malignant c. Metastasis d. Benign
A client has just been visited by the anesthesiologist who will provide anesthesia during the client's abdominal surgery the next day. The client says, "I think I heard the doctor say something about hypnosis. I don't believe in all of that."
How should the nurse respond? Standard Text: Select all that apply. 1. "Hypnosis is a standard method of relaxing the client before anesthesia is started." 2. "That just means the drugs are going to make you unaware of what is happening." 3. "The doctor needs to block all of your reflexes so the surgeon can do the surgery." 4. "This is not the same as the kind of hypnosis you might see on television." 5. "The doctors do not want you to remember the pain of your procedure."