The nurse is working on the night shift when she notices sinus bradycardia on the patient's cardiac monitor. The nurse should:
a. give atropine to increase heart rate.
b. begin transcutaneous pacing of the patient.
c. start a dopamine infusion to stimulate heart function.
d. assess for hemodynamic instability.
D
Sinus bradycardia may be a normal heart rhythm for some individuals such as athletes, or it may occur during sleep. Assess for hemodynamic instability related to the bradycardia. If the patient is symptomatic, interventions include administration of atropine. If atropine is not effective in increasing heart rate, then transcutaneous pacing, dopamine infusion, or epinephrine infusion may be administered. Atropine is avoided for treatment of bradycardia associated with hypothermia.
You might also like to view...
Nurses working with persons at high risk for NCDs encourage their patients to prevent disease development by
A. Incorporating healthy eating habits B. Leading a sedentary lifestyle C. Getting regular preventive screenings D. Both 1 and 3
Difenoxen is a ________ receptor agonist.
A. glycine B. mu C. serotonin D. gamma-amino butyric acid (GABA)
With school-age children, the examiner should:
A. Use a head-to-toe sequence B. Explain everything they plan to do in detail C. Allow them to hold and look over the equipment D. A and C
A patient had no skin reaction to a purified protein derivative (PPD) screen. When discussing this result, the patient tells the nurse that she is HIV positive
What information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "As this is the first PPD you have ever had, you should have it repeated in 2 weeks.". 2. "You have not contracted TB.". 3. "Your skin test may not be valid.". 4. "You should have a chest X-ray.". 5. "Additional laboratory tests are indicated.".