After reviewing a client's most recent electrocardiogram, the nurse suspects the client is experiencing hyperkalemia. Which of the following did the nurse assess on the client's rhythm strip? (Select all that apply.)
1. Tall peaked T-waves
2. Short QRS complex
3. Dysrhythmias
4. Wide QRS complex
5. Bradycardia
6. Tachycardia
1, 3
Tall peaked T-waves and dysrhythmias are seen on the electrocardiogram of a client experiencing hyperkalemia. The other choices are not seen with hyperkalemia.
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Infection and sepsis are significant complications of ARDS. Which nursing action has the highest priority in preventing infection and sepsis?
A) Maintain plateau airway pressure below 30. B) Infuse enteral nutrition with minimal interruptions. C) Keep patient sedated to facilitate ventilation. D) Place in prone position every 2 to 4 hours.
Which LPN/LVN will be most successful in dealing with change?
a. Nurse S, who always assumes that the worst will happen in any situation b. Nurse T, who agrees with whatever the administration proposes c. Nurse U, who sees change as an opportunity to improve conditions d. Nurse V, who predicts that the change will probably not work
An elderly female client is 10 lbs above the recommended weight for her height. The best intervention is to
A) give no recommendation as there is no consensus regarding optimal weight for the elderly. B) ask her if she is interested in considering a weight reduction diet. C) ask her if she is interested and able to increase her activity. D) refer her to a dietician for nutrition education.
MC Select an example of nursing diagnosis from the following terms:
A. Potential pneumonia B. Breathing patterns, ineffective C. Right-sided CVA D. Metabolic imbalance