A nurse is caring for a client who had a myocardial infarction (MI) 4 days ago. The monitor displays premature ventricular contractions (PVCs) at the rate of 5 per minute. What other dysrhythmia may develop as a result of this?

A. Sinus tachycardia
B. Rapid atrial flutter
C. Ventricular tachycardia
D. Atrioventricular junctional rhythm


C
With acute MI, the onset of PVCs may be considered as a warning that might herald the onset of ventricular tachycardia or ventricular fibrillation.

Nursing

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A client tells the nurse that one result of his chronic stress is that he has considerable fatigue. He has

tried setting his alarm to give himself an extra 30 minutes of sleep each morning but feels no better. The nurse should suggest that a. "You may need to speak to your doctor about taking a sedative.". b. "Keep doing what you have started. It takes a while to develop new sleep habits.". c. "Try going to bed a half hour earlier than usual and getting up at your regular time.". d. "Waking up to music, rather than an alarm, is often helpful in promoting relaxation.".

Nursing

The nurse assesses the newborn's ears to be parallel to the outer and inner canthus of the eye. The nurse documents this finding to be:

1. A normal position. 2. A possible chromosomal abnormality. 3. Facial paralysis. 4. Prematurity.

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Which drugs used to treat insomnia belong to the benzodiazepine class? (select all that apply)

a. Chloral hydrate (Somnote) b. Estazolam (ProSom) c. Eszopiclone (Lunesta) d. Flurazepam (Dalmane) e. Secobarbital (Seconal) f. Triazolam (Halcion) g. Zaleplon (Sonata) h. Zolpidem (Ambien)

Nursing

A client tells the nurse that they have been experiencing emotional distress over the past few weeks. Which physical assessment finding should the nurse anticipate?

A. Pinpoint pupils. B. Elevated blood pressure. C. Hyperactive bowel sounds. D. Elevated temperature.

Nursing