You and your partner are caring for a child with stable supraventricular tachycardia that was refractory to initial treatment. As your partner is preparing to establish vascular access, the child's level of consciousness decreases markedly. You reassess the child and note that his femoral pulse is rapid and weak. You should:
A) perform immediate synchronized cardioversion and reassess.
B) begin chest compressions as your partner establishes the IV line.
C) preoxygenate the child and then perform endotracheal intubation.
D) establish vascular access and administer 0.1 mg/kg of adenosine.
Answer: A) perform immediate synchronized cardioversion and reassess.
You might also like to view...
A nurse in the emergency department wants to screen a patient for domestic violence, but the woman's partner won't leave. What action by the nurse is best?
a. Ask the questions anyway. b. Tell the partner to leave. c. Go with the patient to the bathroom. d. Skip the abuse assessment.
During a medication information group, the nurse responds to a question about the basis on which
the antiepileptic drugs carbamazepine (Tegretol), valproic acid (Depakene), and lamotrigine (Lamictal) act to relieve symptoms of mania by saying that these drugs a. preferentially block the reuptake and destruction of serotonin. b. reduce the firing rate of high-frequency brain neurons. c. exert a powerful and rapid sleep-inducing effect. d. produce paradoxical psychostimulation.
What is the first step in helping patients to increase adaptability?
a. Assess past methods of coping with stress. b. Suggest using past coping strategies. c. Determine external coping strategies. d. Determine what the patient perceives as stressful.
What household measure might be useful to give 1/6 ounce of a liquid medication?
A) 1 teaspoon B) 1 tablespoon C) 5 drops D) 5 milliliters