The nurse is caring for a client whose EKG (ECG) results have just been obtained. The nurse recognizes which of the following rhythms as an emergency?
a. Sinus tachycardia
b. Ventricular fibrillation
c. Atrial fibrillation
d. Sinus bradycardia
b. Ventricular fibrillation
rationale: A client with ventricular fibrillation is a medical emergency. This client has ZERO cardiac output, because the heart is unable to pump blood. The nurse should stay with the client, call for help, delegate someone to get a crash cart, call the healthcare provider, and prepare for a potential code blue.
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The perinatal nurse is assessing a woman in triage who is 34 + 3 weeks gestation in her first pregnancy. She is worried about having her baby "too soon" and she is experiencing uterine contractions every 10–15 minutes
The fetal heart rate is 136 beats per minute. A vaginal examination performed by the health care provider reveals that that the cervix is closed, long, and posterior. The most likely diagnosis would be: A) Preterm labor B) Term labor C) Back labor D) Braxton-Hicks contractions
The client is prescribed Demerol (meperidine hydrochloride) 75 mg IM stat. The label on the 20 mL multidose vial reads 100 mg/mL
How many mL of medication will the nurse administer to this client? Round the answer to the nearest hundredth.
The client presents to the emergency room with extensive bruising. Based on this information, the nurse tells the client that what is the cause of the black and blue marks visible on the skin as a result of injuries?
A) Ruptured capillaries containing cellular waste products B) Constriction and dilation of the arterioles diameters C) Holding of large volumes of blood under high pressures D) Reversible cell injury owing to decreased blood and oxygen
Which activity will best affect success in preparing to master the 'school setting' when getting ready to enter into an ADN nursing program?
A) Attending the school's orientation for incoming students B) Visiting the school to explore the various campus locations C) Developing contacts with current school of nursing students D) Becoming familiar with the information on the school's official website