A patient is admitted with a heart rate of 220 beats per minute. Which of the following should the nurse do to help this patient?
1. prepare the patient for immediate cardioversion
2. assist the patient to do the Valsalva's maneuver
3. administer digoxin
4. begin anticoagulant therapy
2
Rationale: This patient has supraventricular tachycardia or a heart rate between 150 and 250 bpm. This rhythm can be treated with Valsalva's maneuver or adenosine. In cases in which the patient is experiencing distress or is unresponsive to drug therapy, electric cardioversion is used to rapidly correct the dysrhythmia. The patient has had no drug therapy so immediate cardioversion is not indicated at this time. Immediate cardioversion is the treatment for atrial flutter. Administration of digoxin or anticoagulant therapy would be indicated in atrial fibrillation.
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A) sleep deprivation. B) sensory overload. C) episodes of high stress. D) hallucinations.
The patient is being well supported with a positive-pressure mechanical ventilator. Because of the mechanism of action of this type of ventilator, what common complication does the nurse watch for?
A) Diminished cardiac output B) Increased somnolence C) Deep venous thrombosis D) Reduced patient control
Why would a public health nurse want to know about morbidity and mortality statistics on the local, state, and national level?
a. To be able to share current trends in health problems with the community b. To be able to observe the community's statistics over time and compare the community with other communities c. To justify local budgets and the need for increased income from citizens d. To publicize current health issues and suggest appropriate actions to citizens
The nurse's research is directed toward testing a specific hypothesis deduced from a theory. Which research approach does this work represent?
1. Dynamicism 2. Positivist 3. Constructivist 4. Naturalistic