For which of the following dysrhythmias is defibrillation primarily indicated?
A. Ventricular fibrillation
B. Third-degree AV block
C. Uncontrolled atrial fibrillation
D. Ventricular tachycardia with a pulse
Ans: A. Ventricular fibrillation
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Compute the average hourly urinary output for a total output of 2,150 mL in 24 hours: _______________. (Round to nearest whole number.)
a. 83 mL b. 90 mL c. 268 mL d. 250 mL
For the patient with ritualistic hand washing and an identified outcome expectation of Use of effective coping patterns, the nurse should: (Select all that apply.)
a. allow the patient to set her own hand-washing schedule. b. encourage the patient to participate in unit activities. c. encourage the patient to discuss hand washing in all groups. d. teach relaxation techniques to be used in lieu of rituals. e. restrict the ritual to demonstrate that anxiety subsides without it. f. gradually increase the intervals between permitted washing.
A patient who has been receiving norepinephrine (Levophed) at a rate of 10 mcg/min will have the drug discontinued. How should the nurse plan to manage this intervention?
1. Stop the infusion, but leave normal saline infusing at a rate to keep the vein open. 2. Stop the infusion and place an intermittent infusion cap on the IV access device. 3. Decrease the rate to 5 mcg/min for 30 minutes before discontinuing the infusion. 4. Decrease the rate by 1 mcg/min every 30 minutes while monitoring the patient's response.
The nurse is assessing a client who had a dissection of all branches of the right trigeminal nerve. When asked to wrinkle his forehead, the client wrinkles only the left side. Which is the nurse's best action?
a. Place the client in high Fowler's position. b. Document the finding. c. Assess the corneal reflex. d. Notify the health care provider.