The patient has just had a transvenous cardiac pacemaker lead inserted into the subclavian vein. What patient symptom, if found by the nurse, would most indicate a possible complication unique to the use of the subclavian vein?
A) Persistent hiccups at the same rate as the pacemaker's set rate
B) Sudden respiratory distress, hypoxia, and hypotension
C) Persistent premature ventricular complexes seen on cardiac monitor
D) Oversensing, undersensing, or failure to capture
B
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The nurse is completing an assessment on a patient who was just admitted from the emergency department. Which assessment findings would require immediate attention? Select all that apply
a. Temperature: 38.6 ° C b. Systolic blood pressure: 150 mm Hg c. Respiratory rate: 22 breaths per minute d. Heart rate: 130 beats per minute e. Oxygen saturation: 95% f. Sudden restlessness
During the assessment of vital signs, a hospitalized patient demonstrates confusion and asks how the nurse gained access to the patient's home. The nurse recognizes this change as being in which facet of the patient's health?
A) Mental B) Physical C) Spiritual D) Social
The nurse recognizes that use of estrogen drugs is contraindicated in which patient?
a. A patient who has atrophic vaginitis b. A patient who has inoperable prostate cancer c. A woman who has just given birth and wants to prevent postpartum lactation d. A woman with a history of thrombophlebitis
Physical examination of a comatose client reveals decorticate posturing. Which statement is accurate regarding this client's status based upon this finding?
A) A cerebral infectious process is causing the posturing. B) Severe dysfunction of the cerebral cortex has occurred. C) There is a probable dysfunction of the midbrain. D) The client is exhibiting signs of a brain tumor.