Apnea testing is being done on a patient who may be brain dead. During the test the patient develops ventricular tachycardia. What nursing action is indicated?
1. Reconnect the patient to the ventilator.
2. Draw an immediate arterial blood gas.
3. No action is necessary unless ventricular fibrillation ensues.
4. Allow the patient to die a natural death.
5. Treat the dysrhythmia.
1, 2, 5
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A client, age 60, voices concern about the development of osteoporosis. She asks about beginning preventative activities. What response by the nurse is indicated?
1. "After menopause, the decline is too rapid to begin preventative interventions.". 2. "Exercise and calcium supplements are helpful in the prevention of osteoporosis.". 3. "Hormone replacement therapy should be initiated as soon as possible.". 4. "You should first determine if you are at risk for the development of osteoporosis.".
The nurse provides instructions to the parents of an infant with hip dysplasia regarding care of the Pavlik harness. Which of the following statements, if made by one of the parents, indicates an understanding of the use of the harness?
1. "I can remove the harness to bathe my infant." 2. "I need to remove the harness to feed my infant." 3. "I need to remove the harness to change the diaper." 4. "My infant needs to remain in the harness at all times."
A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?
a. Perform pelvic floor exercises. b. Avoid voiding frequently. c. Drink cranberry juice. d. Wear an adult diaper.
The nurse is talking with a client who has COPD. The client reports her chest shape seems to have changed over the past year. What information should be provided by the nurse?
A) "Your chest diameter has increased as the musculature has matured in an effort to obtain increased amounts of oxygen." B) "Your lung condition limits the ability of the lungs to fully exhale, causing this change in shape." C) "Chronic lung conditions such as this are associated with fluid retention in the lower lung fields, causing the change in the chest shape." D) "The corticosteroids prescribed to manage the condition have caused a change in the shape of the chest wall."