The nurse is caring for a client admitted for myocardial infarction. The client's monitor shows frequent premature ventricular contractions (PVCs). What dysrhythmia does the nurse remain alert for?
a. Sinus tachycardia
b. Rapid atrial flutter
c. Ventricular tachycardia
d. Atrioventricular junctional rhythm
C
With an acute myocardial infarction (MI), the onset of PVCs may be considered as a warning that could herald the onset of ventricular tachycardia or ventricular fibrillation.
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The nurse is treating a skin tear on an older patient's lower leg. Which dietary selection contains ingredients that will be most favorable to wound healing for this patient?
1. Cereal, milk, and toast 2. Bacon, toast, and coffee 3. Eggs, toast, and orange juice 4. Ham slices, milk, and applesauce
The nurse is preparing formula for a preterm infant. Which type of formula will most likely be prescribed for this patient?
A) Glucose water B) 20 calories per ounce C) 22 calories per ounce D) Iron supplemented
The nurse working with the family of a potential organ donor informs them that the Uniform Determination of Death Act (UDDA) includes in its definition of death irreversible cessation of activity in the entire brain
a. except in the situation of an ancephalic infant. b. in a person in an irreversible vegetative state. c. including the brain stem. d. unless a vegetative state has exceeded 2 years.
The nurse has applied an aquathermia pad to a client's back. After 15 minutes of treatment, the client says that the pack no longer is warm, and asks the nurse to increase the temperature. How should the nurse evaluate this request?
A) Adaptation of the thermal receptors often results in the decreased sensation of warmth. B) This client might be experiencing a rebound effect from the application of moist heat. C) The aquathermia pad should be replaced with a standard hot pack. D) Since this client's thermal tolerance is higher than normal, increasing the temperature is necessary.