The client with tachycardia is experiencing all of the following clinical manifestations. Which one alerts the nurse to the need for immediate intervention?
A. Chest pain
B. Increased urine output
C. Mild orthostatic hypotension
D. ECG tracing with P wave touching the T wave
A
Chest pain, possibly angina, indicates that the tachycardia may be increasing the client's myo-cardial workload and oxygen demand to such an extent that normal oxygen delivery cannot keep pace, resulting in myocardial hypoxia and pain.
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When caring for patients who have mental illnesses, a nurse's communication is: (SELECT ALL ANSWERS THAT APPLY)
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In which situations would a nurse use a clinical practice guideline? Select all that apply
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