The nurse is caring for a patient having a TEE. Which of the following is an appropriate nursing intervention for the care of this patient?
1. monitor for bradycardia and hypotension after the procedure
2. dim the lights in the room
3. apply pressure to the puncture site
4. assess pedal pulses bilaterally
1
Rationale: The TEE is done under conscious sedation. After the procedure, the nurse needs to assess for bradycardia and hypotension because of possible stimulation of the patient's vagus nerve. Dimming the lights in the room would be appropriate for a transthoracic echocardiogram. Applying pressure to the puncture site and assessing pedal pulses would be appropriate after a cardiac catheterization.
You might also like to view...
A patient began antiretroviral therapy several weeks ago for the treatment of HIV, and he has now presented to the clinic for a scheduled follow-up appointment
He states to the nurse, "I've been pretty good about taking all my pills on time, though it was a bit hit and miss over the holiday weekend." How should the nurse best respond to this patient's statement? A) "Remember that if you miss a dose, you need to take a double dose at the next scheduled time." B) "It's acceptable to miss an occasional dose as long as your symptoms don't get worse, but it's not really recommended." C) "Remember that your antiretroviral drugs will only be effective if you take them very consistently." D) "If you're not consistent with taking your medications, you're likely to develop more side effects."
A chief nursing officer (CNO) wishes to ensure that the organization has a strong ethical orientation. Which actions by the CNO would be priorities? (Select all that apply.)
a. Create an ethics committee that can support organizational values. b. Establish a corps of in-house chaplains to respond to all emergencies. c. Model assertive communication when working with other disciplines. d. Offer frequent onsite education on organizational ethics and values. e. Publish procedures employees can use when they see ethical violations.
A client on long-term therapy with itraconazole (Sporanox) for treatment of a nail fungus is admitted to the hospital with right upper quadrant pain, nausea, and abdominal pain
Which laboratory results found in the medical record would support the diagnosis of hepatotoxicity? 1. Elevated liver function tests 2. Elevated creatinine levels 3. Decreased blood sugar 4. Decreased prothrombin time
Which of the following children is at highest risk for lead poisoning?
1. Amy Allen, a 13-year-old Caucasian who lives with her mother and sibling in an inner-city housing project that was built during the Clinton administration 2. Bobby Benson, a 6-year-old African-American who lives with his parent in a modest suburban home built in the early 1980s 3. Camille Carson, a 2-year-old Caucasian who lives with her maternal grandmother in a poor neighborhood built in the 1950s 4. Danny Diego, a 10-year-old Hispanic who lives with his parents in a small apartment built in 1975