A patient has a new onset of a left bundle branch block (LBBB) seen on a 12-lead ECG. What is the nurse's primary intervention?
1. Increase oxygen.
2. Elevate the head of the bed to a 30-degree angle.
3. Ask the patient if he is having chest pain.
4. Reposition the chest leads and assess for any changes.
Answer: 3
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What must the nurse realize when assessing physical and social environmental factors affecting health and illness?
a. They affect one another. b. They cause illness. c. They cause patients to react similarly. d. They can be separated.
The charge nurse is analyzing a postpartum client's risk for hemorrhage. Which client has the greatest risk for postpartum hemorrhage?
1. The client who went overdue and delivered vaginally 2. The client who delivered by a scheduled cesarean delivery 3. The client who had oxytocin augmentation of labor 4. The client who delivered vaginally at 36 weeks
What is the most frequent cause of hypovolemic shock in children?
a. Sepsis b. Blood loss c. Anaphylaxis d. Heart failure
A patient with an acute kidney injury is prescribed intravenous calcium for a potassium level of 6.8 mEq/L
What actions will the nurse make when providing this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Administer the medication IV push over 2 minutes. 2. Observe for electrocardiogram rhythm changes in 1 to 3 minutes after administering the medication. 3. Monitor for ongoing effects to last 30 to 60 minutes. 4. Discontinue the medication if tachycardia occurs. 5. Observe for a urine output increase within 10 minutes after administering this medication.