Examining the electrocardiogram strips of a client with mitral stenosis, the nurse would recognize the characteristic dysrhythmia of
a. atrial fibrillation.
b. artial flutter.
c. sinus tachycardia.
d. ventricular tachycardia.
A
Atrial fibrillation is a dysrhythmia that frequently develops as a result of mitral stenosis.
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A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert, but shaky, diaphoretic, and weak. Five minutes after administering a half-cup of orange juice, the client's clinical manifestations have not changed
Which action should the nurse take next? a. Administer another half-cup of orange juice. b. Administer a half-ampule of dextrose 50% intravenously. c. Administer 10 units of regular insulin subcutaneously. d. Administer 1 mg of glucagon intramuscularly.
The nurse is caring for a 34-year-old obstetric patient who has disseminated intravascular coagulation (DIC). The nurse is aware that DIC is
a. an acquired hemorrhagic syndrome of clotting cascade overstimulation and anticlotting processes. b. a hereditary coagulation disorder in which factor VIII is absent. c. a deficiency of the number of circulating platelets with thrombocytopenia present. d. a malignant disorder characterized by painless, progressive enlargement of lymphoid tissue.
What is the nurse's best means of determining whether a patient is immunized against a certain disease?
1. Ask the patient for records. 2. Look for vaccination scars. 3. Call the health department. 4. Obtain a blood titer.
The nurse is caring for a client with abdominal pain. Which of the following assessments should the nurse perform to assess this complaint? Select all that apply
1. Inspect the abdomen. 2. Auscultate the abdomen. 3. Palpate the abdomen. 4. Assess vital signs. 5. Assess peripheral pulses.