Which action will the nurse include in the plan of care for a patient who was admitted with syncopal episodes of unknown origin?
a. Instruct the patient to call for assistance before getting out of bed.
b. Explain the association between various dysrhythmias and syncope.
c. Educate the patient about the need to avoid caffeine and other stimulants.
d. Tell the patient about the benefits of implantable cardioverter-defibrillators.
ANS: A
A patient with fainting episodes is at risk for falls. The nurse will plan to minimize the risk by having assistance whenever the patient up. The other actions may be needed if dysrhythmias are found to be the cause of the patient's syncope, but are not appropriate for syncope of unknown origin.
You might also like to view...
Directions: Fill in the correct number or word(s)
U-100 on the label of an insulin vial means: ______________________________.
A nurse assesses the following ECG strip from a client's telemetry monitor. What does the nurse do next?
a. Measure hourly urine output. b. Assess the client's vital signs. c. Administer 0.5 mg atropine IV. d. Prepare for external pacing.
The elderly client receives diphenhydramine (Benadryl) for allergies. The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
1. "Drowsiness is common but should lessen within a few doses." 2. "If this medication makes my nose run, I can use a nasal spray." 3. "I need to watch my intake of sodium with this medication." 4. "I cannot take this medication with pseudoephedrine (Sudafed)."
A cancer survivor is in the intensive care unit (ICU). Some of the patient's family is from out of town and would like to see the patient even though it is not "official" visiting hours. The patient is anxious to see family members
The nurse allows the family to visit. What is the rationale for the nurse's actions? a. The nurse disagrees with the established time for visiting. b. The nurse realizes that the patient is dying. c. The nurse feels there is no real reason to have limited visiting hours. d. The nurse believes that the visit will help relieve psychological stress.