The client has undergone insertion of an implantable cardioverter-defibrillator. What complication of this procedure should the nurse be alert for during the postimplantation pe-riod?
A. Burns
B. Psychosis
C. Hypothermia
D. Cardiac tamponade
D
In the postimplantation period, the nurse should be alert for complications of cardiac tamponade, bleeding, and dysrhythmias.
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A nurse who commonly works on a general medical-surgical floor is asked to work briefly in a critical care unit. The charge nurse, based on the legal principle of vicarious liability, should give this nurse which patient assignment?
A) Admit day-of-surgery patient after open heart surgery B) Three stable patients awaiting transfer to medical units C) Patient with hemodynamic monitoring and unstable vital signs D) Patient whose care requires frequent titration of vasoactive medications
A client with a mental health disorder arrives at the emergency department disheveled, arguing with family members. The nurse recognizes that the family is suffering from an objective family burden, which is related to which of the following?
1. The client's symptomatic behaviors 2. Caregiving problems 3. Fear 4. Family conflict
What is the nurse assessing when asking the patient, "Who is the president of the United States?" during a level of consciousness assessment?
a. Orientation b. Memory c. Calculation d. Fund of knowledge
An older client receiving intravenous fluids at 175 ml/hr is demonstrating crackles, shortness of breath, and distended neck veins. The nurse recognizes these findings as being which complication of intravenous fluid therapy?
1. An allergic reaction to the antibiotics in the fluid 2. Fluid volume excess 3. Pulmonary embolism 4. Speed shock