A nurse is caring for a client with a temporary pacemaker. The client's bedside monitor shows a spike followed by a QRS complex. What would be the nurse's best action?
A. Turn off the pacemaker.
B. Decrease the pacemaker threshold.
C. Document the finding as the only action.
D. Set the pacemaker to the synchronous mode.
C
A spike followed by a QRS complex indicates "capture," meaning that the pacemaker has suc-cessfully depolarized or captured the ventricle. No action other than documentation of this find-ing is necessary.
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The nurse clarifies that when interstitial edema occurs in the lung tissue, ventilation is inhibited by: (Select all that apply.)
a. thickened alveolar membranes. b. pus formation. c. alveoli filling with fluid. d. surfactant evaporation. e. failure of gas to diffuse across membrane.
A nurse is providing spiritual care to patients. Which action is essential for the nurse to take?
a. Know one's own personal beliefs. b. Learn about other religions. c. Visit churches, temples, mosques, or synagogues. d. Travel to other areas that do not have the same beliefs.
Which of the following is a side effect of too low a level of potassium resulting in fatigue, muscle weakness, and cardiac changes such as disturbances in the electrical impulses that stimulate the heartbeat?
A. hypokalemia B. hyponatremia C. hypernatremia D. hyperkalemia
During an individual therapy session, a nurse is listening to a client describe her addiction to methamphetamine. The client says, "I know I'm throwing my life away, but I just can't stop using."
The nurse maintains eye contact and occasionally nods as the client continues to discuss her addiction to drugs. The nurse responds by saying, "You're going through a difficult time." The nurse's actions and words are an example of: A) Empathy B) Sympathy C) Apathy D) Nontherapeutic communication