A patient has a new onset of a left bundle branch block seen on a 12 lead ECG. Which of the following would be indicated for this patient?

1. increase oxygen
2. assist the patient to a right side lying position
3. evaluate for myocardial infarction
4. elevate the head of the bed up to 30 degree angle


3

Rationale: Treatment for a bundle branch block is not usually necessary unless it is a new onset. In this case the patient may be experiencing a myocardial infarction and should be evaluated. The patient may or may not need an increase in oxygen. The patient does not need to be moved to a right side lying position and does not need the head of the bed elevated to a 30 degree angle.

Nursing

You might also like to view...

You are caring for an adult patient with a tracheostomy who is being mechanically ventilated. His pulse oximetry reading is 85%, heart rate is 113 beats/min, and respiratory rate is 30 breaths/min

The patient is very restless. His respirations are labored, and you hear gurgling sounds. You auscultate crackles and rhonchi in both lungs. What is the most appropriate action to take? a. Call the respiratory therapist to check the ventilator settings. b. Provide endotracheal suctioning. c. Provide tracheostomy care. d. Notify the physician of the patient's signs of fluid overload.

Nursing

The labor nurse is reviewing the cardinal maneuvers with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?

a. Expulsion b. Restitution c. Internal rotation d. External rotation

Nursing

A nurse is teaching a hospitalized client who is being discharged about how to care for a peripherally inserted central catheter (PICC) line. Which client statement indicates a need for further education?

A. "I can continue my 20-mile running schedule as I have for the past 10 years." B. "I can still go about my normal activities of daily living." C. "I have less chance of getting an infection because the line is not in my hand." D. "The PICC line can stay in for months."

Nursing

When the patient is resting, she

A. must lie down in bed. B. should close her eyes. C. must have the light off. D. may do something relaxing.

Nursing