A nurse on a telemetry unit is taking care of an asymptomatic client with sinus bradycardia at 50 bpm and occasional preventricular atrial contractions (PAC). Which of the following orders should the nurse question? Select all that apply.
a. Obtain a 12 lead EKG
b. Administer 15mg of labetalol IV
c. Administer Adenosine 6mg IV
d. Administer atropine 1mg IV
e. Monitor and report abnormal electrolytes
b. Administer 15mg of labetalol IV
c. Administer Adenosine 6mg IV
d. Administer atropine 1mg IV
rationale: Adenosine is not indicated for a heart rate of 50 bpm. Adenosine blocks the AV node. Atropine order is not indicated for a heart rate of 50 bpm. Atropine is used to increase heart rate in some clients. This client is asymptomatic. Labetalol order is not indicated for a heart rate of 50 bpm. Labetalol is a beta-blocker.
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When documenting an incident in the nurse's notes, what should the nurse include? (Select all that apply.)
a. Description of injury, including diagrams of injury placement b. Date, time, and location of incident c. Name of physician and family members notified d. Chronological order of events of the incident e. Confirmation that an incident report was initiated
Which of these terms refers to the group whose values prevail in a given society?
a. cultural assimilation c. dominant culture b. cultural diversity d. oppression
A 7-year-old has taken money from his brother's dresser on two occasions. When counseling his mother about this, you would advise her that
A) she may need to remind him of property rights. B) she should buy his brother a bank that cannot be opened. C) stealing is unusual for a 7-year-old. D) she should talk to the child's teacher about putting less pressure on him.
A patient is admitted to the mental health unit because of suicidal ideations and several suicide attempts in the past
As the nurse manager, you realize that the patient is a safety risk, and you assign one of the staff members to do a 1 to 1 with the client. After lunch, the patient informs the staff member of the need to use the bathroom. After several minutes, the staff member knocks on the bathroom door, but there is no answer. The staff member immediately presses the emergency call light and pushes the door open only to find that the patient has hung herself. The patient's death would be considered which of the following? a. Unfortunate accident c. Grievous error b. What the patient really wanted d. Sentinel event