A patient is diagnosed with ventricular fibrillation. For which emergency intervention should the nurse anticipate preparing?
a. Defibrillation
b. Endotracheal Intubation
c. Synchronized cardioversion
d. Cardiopulmonary resuscitation (CPR)
ANS: A
Defibrillation is the best treatment for ventricular fibrillation to terminate it and increase survival. B. Endotracheal intubation will ensure oxygenation however will not affect the lethal heart rhythm. C. Synchronized cardioversion is not indicated for this heart rhythm. D. CPR may need to be started if defibrillation is not effective.
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The nurse notes a colleague making an inappropriate remark about the patient's weight when the patient is unconscious. The nurse should:
A) Ignore the comment because the patient is unconscious. B) Discourage the comments. C) Report the comment to the supervisor. D) Realize humor is needed in the workplace.
The adrenal cortex secretes glucocorticoids. The most important is cortisol. What is it involved in? (Select all that apply.)
a. Glucose metabolism b. Releasing androgens and estrogens c. Providing extra reserve energy during stress d. Decreasing the level of potassium in the blood stream e. Increasing retention of sodium in the blood stream
The nurse is caring for a 14-year-old girl with special health needs. What is the priority intervention for this child?
A) Encouraging the parents to promote the child's self-care B) Assessing the child for signs of depression C) Discussing how her care will change as she grows D) Monitoring for compliance with treatment
A nurse is caring for a client in a healthcare facility. The nurse has to document
information to maintain the health record of the client. Which description is required consistently for each charting entry? A) Report each observation to the physician. B) Sign the record with first initial, last name, and classification. C) Obtain a signature from the physician. D) Provide the day of the week on the entry.