The nurse entering the patient's medical-surgical room, finds the patient in cardiac arrest. Cardiopulmonary resuscitation (CPR) is initiated and the code team is alerted
Upon arrival of the code team and placement of the patient on a cardiac monitor, it is determined that the electrocardiogram shows ventricular tachycardia. The next step in the management of this patient will include:
A) Continuation of cardiopulmonary resuscitation
B) Defibrillation
C) Immediate transfer to the intensive care unit
D) Chest x-ray
Ans: B
Feedback: If the electrocardiogram shows ventricular tachycardia or ventricular fibrillation, immediate defibrillation rather than CPR is the treatment of choice. In this scenario, CPR is performed initially until the cardiac rhythm is assessed and the defibrillator is available. If the patient has not been defibrillated within 10 minutes, the chance of survival is close to zero. Upon successful resuscitation, the patient will be transferred to the intensive care unit, but not during the active resuscitation phase. A chest x-ray is useful after intubation; while it is not used to confirm placement of an endotracheal tube, it provides information on determining if the tube is too high, too low, or in the main bronchus.
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When teaching a client prescribed a corticosteroid, the nurse recognizes a need for further teaching when the client states,
a. "I should take my medication at bedtime." b. "This medication can make me more prone to infection." c. "I should avoid large crowds while taking this medication." d. "I will make sure to wash my hands frequently."
A nurse conducts a study to evaluate the likelihood that single adolescent mothers will breastfeed their newborn infants if they are given materials about the benefits of breastfeeding. The results show a p value of 0.18. The nurse may conclude that
a. the value is too low to be able to draw meaningful conclusions. b. there is an 18% probability that this population will breastfeed their infants. c. there is an 18% probability that this population will not breastfeed their infants. d. there is an 82% probability that this population will breastfeed their infants
What should the nurse include during discharge in addition to verbal instructions? (Select all that apply.)
a. Written instructions for the patient's reference b. A phone number of the provider or hospital unit for follow-up questions c. Written instructions for monitoring of parameters used to evaluate therapy d. Documentation in the nurse's discharge notes of the nursing and collaborative problems that require continued monitoring and intervention e. Identification of the patient's unreasonable expectations of therapy
A patient states that she is afraid that she and her husband will not be able to maintain a healthy sexual relationship now that they have a baby in the house. To assist these patients, what would it be most helpful for the nurse to know?
a. If they have similar parenting beliefs b. How long they have been married c. That effective communication about sexuality requires a nondiscriminatory attitude d. The level of knowledge the patients have regarding healthy sexual relationships