Which assessment finding indicates a patient has had a favorable response to adenosine (Adenocard)?
1. Complaints of a headache
2. Heart rate decreased to 80
3. Converts to sustained asystole
4. Heart rate increased to 64
2
Rationale 1: A headache is not a favorable response to adenosine.
Rationale 2: Adenosine is given for supraventricular tachycardia.Converting to a normal heart rate is considered successful treatment.
Rationale 3: A short period of asystole is sometimes experienced immediately after administration but not sustained asystole. This would be an adverse response to adenosine.
Rationale 4: An increase in heart rate to 64 would have indicated a bradycardic rate for which adenosine is not recommended.
You might also like to view...
Advocacy and support are activities associated with which learning style?
A) Cognitive B) Cultural C) Psychomotor D) Affective
Which of the following statements synopsize the relationship between research and practice? (Select all that apply.)
a. Practice limits nursing research to issues that are client-centered. b. Research participation helps nurses to meet re-licensure requirements for evidence-based practice. c. Research knowledge, combined with experiential wisdom, constitutes the base for practice. d. Research emphasizes what can be done in practice, rather than what has been done in practice. e. Practice does not affect research: research affects practice. f. Practice provides inspiration for meaningful nursing research. g. Practice helps a nurse differentiate between rigorous, well-designed research and useless research.
The nurse aspirates from the nasointestinal tube. Which requires the nurse to plan follow-up nursing interventions?
1. Aspirated liquid totals 5 ml of greenish fluid. 2. Feeding tube collapses with negative pressure. 3. Nurse aspirates a small amount of the formula. 4. Aspirated liquid appears pale and straw colored.
A prescriber orders hydroxyzine (Vistaril) for a patient with acute urticaria. The nurse will include which information when teaching the patient about this drug?
a. The drug will reduce redness and itching but not edema. b. This antihistamine is not likely to cause sedation. c. The patient should avoid drinking alcohol while taking the drug. d. The patient should report shortness of breath while taking the drug.