A nurse is working on a telemetry unit and notices a client in 2nd degree AV heart block type 2 and knows that which of the following is the priority nursing intervention?
a. Administer adenosine IV asap
b. Prepare the client for a temporary or permanent pacemaker
c. Prepare to defibrillate the client
d. Administer amiodarone 150 mg IV
b. Prepare the client for a temporary or permanent pacemaker
rationale: This is the priority nursing intervention when recognizing this rhythm after notifying the healthcare provider.
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The nurse is preparing to perform Leopold's maneuver in order to assess fetal:
A) position and presentation. B) heart rate and position. C) fetal distress and presentation. D) heart rate and status.
A patient is admitted with heart failure. Which of the following complaints should the nurse assess in the patient?
1. morning headaches 2. sleep disturbances 3. bleeding tendencies 4. sensation losses
The most appropriate nursing intervention for a patient in the third stage of change is:
a. helping the patient see the benefit of changing the problematic behavior. b. assisting the patient with the development of realistic treatment goals. c. developing relapse prevention plans in anticipation of potential failures. d. providing nurse-patient interactions that discuss change in a relaxed environment.
The function of nervous tissue is to
A) carry messages and regulate body function. B) protect body organs and tissues. C) secrete hormones and chemicals. D) manage fluids and electrolytes.