The nurse is caring for a patient who develops pulseless electrical activity. Upon confirmation, the nurse would immediately:
A) Start CPR
B) Administer epinephrine
C) Notify the physician STAT
D) Start an IV of NSS wide-open rate
Ans: A
Feedback: During asystole or pulseless electrical activity, CPR must be initiated immediately to maintain minimal cardiac output and oxygenation, followed by intubation, and then administration of epinephrine.
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1. Need a physician's order and a psychiatric consult. 2. May be started on the recommendation of the psychiatric nurse. 3. Can be instituted without a physician's order only under emergency conditions. 4. Cannot be instituted without the client's consent.
While at the local pool on an extremely hot day, the nurse is called on to care for a woman who has evidently suffered heat exhaustion. The initial nursing care for this person is to:
1. obtain vital signs. 2. move the patient into an air-conditioned or shaded area. 3. give her several glasses of ice water. 4. cover her with a wet towel.
A client with pericarditis is admitted to the cardiac unit. What assessment finding does the nurse expect in this client?
a. Heart rate that speeds up and slows down b. Friction rub at the left lower sternal border c. Presence of a regularly gallop rhythm d. Coarse crackles in bilateral lung bases
Acquired primary hypothyroidism occurs more often in which of the following groups or with which of the following conditions?
a. males b. other autoimmune-mediated diseases such as type 1 diabetes or chromosomal abnormalities c. pituitary or hypothalamic dysfunction d. American Indians