The nurse receives the following ECG strip at shift report. Which action is most appropriate for this patient?
1. Place the patient on oxygen at 2 L/min via nasal cannula.
2. Give atropine 1 mg IVP per protocol.
3. Start a second IV for normal saline bolus per protocol.
4. Assess the patient.
4
Rationale 1: The nurse needs to assess the patient before implementing any further action.
Rationale 2: The nurse needs to assess the patient before implementing any further action.
Rationale 3: The nurse needs to assess the patient before implementing any further action.
Rationale 4: The rhythm strip shows that the patient is in normal sinus rhythm. Further assessment is needed.
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A patient is being treated with sodium nitroprusside for a hypertensive emergency. When this drug is used, the nurse must monitor the patient for:
a. cyanide poisoning. b. flaccid paralysis. c. respiratory depression. d. pulmonary hypertension.
A nurse is evaluating outcomes of teaching for a client with a new prescription for avorstatin (Lipitor). Which response indicates that the client has understood teaching about this drug?
1. "I will avoid taking this drug with meals." 2. "I might need to increase my dose of digoxin while I am taking this drug." 3. "I will stop taking this drug if I am trying to get pregnant." 4. "I should always take this drug right before breakfast."
A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?
a. What language do you speak at home? b. How different is your life here from back home? c. Which caregivers do you seek when you are sick? d. How different is what we do from what your family does when you are sick?
How would you explain spinal shock to T.W.'s family and why T.W. requires mechanical ventilation at this time?
What will be an ideal response?