A patient is in sinus tachycardia. Which nursing interventions are appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Observe the patient for effects on cardiac function.
2. Administer two tablets of acetaminophen (Tylenol) per physician prescription if the temperature is elevated.
3. Administer normal saline 0.9% IV at the prescribed rate of 200 mL per hour if hypovolemia is suspected as the cause.
4. Give pain medications as prescribed if pain is present.
5. Give atropine per physician prescription to slow the heart rate.
1,2,3,4
Rationale 1: An appropriate nursing intervention would be to observe the patient for effects on cardiac function.
Rationale 2: An appropriate nursing intervention would be to treat fever.
Rationale 3: An appropriate nursing intervention would be to treat hypovolemia.
Rationale 4: An appropriate nursing intervention would be to treat pain.
Rationale 5: Atropine acts to increase the heart rate and may be a cause of sinus tachycardia.
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