The nurse identifies the diagnosis of decreased cardiac output as being appropriate for a patient with an acute dysrhythmia. Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)
a. Monitor radial pulse.
b. Monitor apical pulse.
c. Monitor lung sounds.
d. Monitor level of consciousness.
e. Encourage patient to increase activity level.
f. Observe for adverse reactions to medications.
ANS: A, B, C, D, F
The nurse should monitor radial and apical pulses, lung sounds, level of consciousness, and adverse effects of medication. E. Activity level is usually restricted during an acute dysrhythmia.
You might also like to view...
A 25-year-old woman expresses concern regarding some of her new boyfriend's behaviors. Which of the following statements might indicate that he has an abusive personality? (Select all that apply.)
a. Even though they have been dating for less than 2 months, he wants to get married as soon as possible. b. He does not allow her to go out with friends unless he accompanies them. c. He finds fault with her family and seeks to convince her that they are trying to sabotage her relationship with him. d. He has a poor relationship with his own parents, blaming them for not supporting him after he was fired from various jobs. e. He would like to further his education, but realizes that he must first work for a while to pay off student loans.
A nurse needs to determine whether a nasogastric tube is correctly placed. Which of the following techniques should the nurse perform?
A) Check placement using a stethoscope over the chest. B) Obtain repeated x-rays. C) Secure the tube to avoid migration. D) Check the color of aspirated fluid.
An African American couple presents for a genetic counseling appointment. They are pregnant and are concerned about their child. What would a patient of African American heritage have genetic carrier testing for?
A) Meckel's diverticulum B) Sickle cell anemia C) Asthma D) Rubella
Memorial Hospital is in the process of researching a new facility-wide electronic health record system. The ___________________ would be responsible for assessing the budgeting process, funding, and for monitoring the monetary aspects of the project.
Fill in the blank(s) with the appropriate word(s).