The nurse is assessing a patient who presents with a heart rate of less than 60 beats per minute. Which are possible causes for this assessment finding? Select all that apply
1) Sinus bradycardia
2) Atrial fibrillation
3) Heart block
4) Myocardial infarction
5) Hyperkalemia
ANS: 1, 3, 4, 5
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Your coworker is noted to be very organized. However, you see that he is always making lists and citing the rules of the organization. He wants all his projects to be perfect and gets very upset when things happen that make him miss his deadlines
Your coworker is exhibit-ing signs of: 1. avoidant personality disorder. 2. obsessive-compulsive disorder. 3. histrionic personality disorder. 4. dependent personality disorder.
While the nurse is performing a physical assessment, the patient begins to cry and states, "I just can't seem to be happy. I thought the reserpine I was prescribed would help my chronic depression and my high blood pressure."
Which of the following is the best nursing response to the patient? a. Explain to the patient that the medication is not indicated for depression; depression is actually a side effect of the medication. The patient should speak to the prescriber about alternative medications. b. Reassure the patient that the medication takes about 3 weeks for full effectiveness to treat both hypertension and depression. c. Explain to the patient that the depression will last only a few days. d. Have a psychiatric consult ordered.
Late signs and symptoms of shock include
A. mottled skin, decrease in temperature. B. elevated blood pressure, rapid pulse. C. warm, moist skin. D. fever and slow, bounding pulse.
The patient is in the hospital awaiting surgery. When asked to remove her jewelry, the patient asks why she needs to remove her navel ring. What explanation should the nurse provide?
a. The navel ring may impede assessment of the skin. b. The navel ring may decrease circulation. c. She may leave it in place if she chooses. d. The navel ring may cause injury.