An elderly client is demonstrating a change in heart rate that occurs with respirations. When planning care for the client, the nurse knows that treatment may include:
1. Oxygen therapy
2. Analgesics
3. Antibiotics
4. Pacemaker insertion
4
A change in heart rate that occurs with respirations defines a sinus arrhythmia. If the client becomes symptomatic during periods of bradycardia, treatment will include atropine sulfate or pacemaker insertion. Treatment for sinus arrhythmia might include oxygen if the client is symptomatic. Treatment for this arrhythmia does not include analgesics or antibiotics.
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A client who had a severe traumatic brain injury is being discharged home, where the spouse will be a full-time caregiver. What statement by the spouse would lead the nurse to provide further education on home care?
a. "I know I can take care of all these needs by myself." b. "I need to seek counseling because I am very angry." c. "Hopefully things will improve gradually over time." d. "With respite care and support, I think I can do this."
The nurse prepares to document medication administration. Appropriate information to record includes:(Select all that apply) Standard Text: Select all that apply
1. Name of the drug, dose, method of administration 2. Exact time of administration 3. Client's response to the medication 4. Client teaching 5. Drug information
Which disease has become known as the "great imitator?"
a. Human immunodeficiency virus (HIV) b. Acquired immunodeficiency syndrome (AIDS) c. Alzheimer disease d. Schizophrenia
The nurse is caring for a patient with a pressure ulcer. The nurse would expect which of the following outcomes if the patient's wound is healing? (Select all that apply.)
a. Pain intensity is reduced during dressing changes. b. The depth of wound is reduced. c. The amount of exudate increases. d. The amount of necrotic tissue decreases.