An older adult patient with a recent history of syncope has undergone an initial diagnostic workup that has failed to identify the cause of his fainting
As a result, continuous electrocardiographic (ECG) monitoring (Holter monitoring) has been ordered. When initiating this diagnostic testing, what patient education should the nurse provide?
A) "Record your activities in your log so that they can be cross-referenced with your ECG readings."
B) "As much as possible, try to remain lying down or sitting until your Holter monitoring has been completed."
C) "Avoid exposing yourself to electrical devices and appliances while you're wearing your monitor."
D) "You'll need to temporarily stop taking your normal medications while you're wearing your monitor."
A
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The nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) reminds the patient to:
a. drink plenty of fluids before ECT to ensure adequate hydration. b. bring a change of clothes in case of incontinence. c. be prepared for visual disturbances after the treatment. d. arrange for transportation to and from the appointment.
A patient tells the nurse that he is upset because his surgical wound is infected, and everyone else that he knows who had the same surgery did not have the same problem. How should the nurse respond to this concern?
1. "There really is nothing that could be done to prevent it." 2. "You should talk to your surgeon about your concerns." 3. "At least you are in the hospital when the infection started and not at home." 4. "Developing an infection depends on many factors, even things like age and gender."
A pregnant patient asks the nurse about the safe use of medications during the third trimester. What will the nurse tell her about drugs taken at this stage?
a. They may need to be given in higher doses if they undergo renal clearance. b. They require lower doses if they are me-tabolized by the liver. c. They are less likely to cross the placenta and affect the fetus. d. They are more likely to cause anatomical defects if they are teratogenic.
When a woman seeks care for an injury, the nurse should be alert to which clues of abuse? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Defensive injuries 2. Immediate reporting of symptoms or seeking care for injuries 3. Lack of eye contact 4. Providing too much detailed information about the injury 5. Vague complaints without accompanying pathology