Mrs. Barnes has consistently had a pulse of 78 and regular. Today on rounds, her pulse is 66 and irregular. You will

a. Do an apical pulse for 1 full minute
b. Withhold the medication and call the physi-cian or charge nurse
c. Administer the medication and plan on re-checking in 1 hour
d. Both A and B


D
A sudden change in rate or rhythm should be reported to the physician. As a responsible LPN, you should suspect digitoxicity and withhold the medication until speaking with the physician.

Nursing

You might also like to view...

In which of the following circumstances would it be more helpful to use the wheel model of epidemiology than the epidemiological triangle model?

a. When factors outside the triangle model are involved b. When there are multiple causes for a chronic disease c. When research has not yet determined the exact cause d. When trying to explain the situation to a lay person

Nursing

A terminally ill client is being provided home care. The client's family members are anxious to know about the benefits of providing home care to the dying client

Which of the following is a positive feature of providing home care to dying clients? A) Promotes spiritual support B) Ensures 24/7 nursing support C) Offers access to a greater variety of medications D) Provides emotional and physical comfort

Nursing

A nurse is caring for a client suspected of mescaline abuse at the detoxification center

What symptom may confirm the abuse of mescaline? A) Lacrimation B) Macropsia C) Diaphoresis D) Dementia

Nursing

The nurse is discussing nail care with a group of teenage girls. Which of the following statements made by one girl in the audience requires immediate follow-up by the nurse?

1. "My mother tells me that toe rings will cause me to develop calluses." 2. "It's expensive buying new shoes just because your feet keep growing." 3. "I throw my sneakers into the washing machine regularly to keep the inside sur-faces clean." 4. "I cut the discolored nails on both of my great toes really short to make them a little less noticeable."

Nursing