A patient with heart failure is prescribed digoxin (Lanoxin). The patient reports nausea, blurry vision, and feeling like the heart is skipping beats. What is your best action?
a. Administer the scheduled dose because it will correct these heart failure symptoms.
b. Assess the patient's heart rate and then administer the scheduled dose.
c. Hold the dose and notify the prescriber immediately.
d. Place the patient on complete bed rest.
ANS: C
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Which of the following will positively influence how quickly a practice change is adopted?
a. Clearly defined patient outcomes are expected as a result of the change. b. Complex and detailed interventional practice changes are implemented. c. Senior management leaders are the sole members of the team. d. The new practice is much different from current practice.
A client is in the emergency department with a burn calculated to be 35% TBSA. The nurse prepares the client for an IV insertion in which location?
What will be an ideal response?
The nurse prepares to administer isosorbide dinitrate (Isordil) 2.5 mg sublingual (SL) to the client with continuous nasointestinal tube feedings. Which should the nurse implement for the client's safety and well-being?
1. Crush the tablet and mix into the formula. 2. Crush tablet and instill it through the NIT. 3. Ask for nitroglycerin ointment prescription. 4. Administer Isordil 2.5 mg under the tongue.
A school nurse reviews the standards of professional practice published by the National Association of School Nurses. Which professional standard will the school nurse rely upon when providing care?
a. Interact with interdisciplinary health team members. b. Communicate with teachers to effectively manage classrooms. c. Teach CPR to every member of the school staff. d. Do research on students at the school.