The most common tachyarrhythmia in fetuses, supraventricular tachycardia, typically occurs at a rate of _____ to _____ bpm with minimal or absent variability.
A. 160-200
B. 200-240
C. 240-260
Ans: C. 240-260
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A nursing home resident with Alzheimer's disease appears extremely distressed after breakfast. On which understanding does the nurse base intervention?
a. This is part of the sundowning syndrome associated with Alzheimer's disease. b. The patient could quickly become more anxious and dysfunctional. c. The patient needs an increase in antipsychotic medications. d. The patient would benefit from external stimuli and diversionary activities.
The nurse is caring for a patient 5 days following clipping of an anterior communicating artery aneurysm for a subarachnoid hemorrhage
The nurse assesses the patient to be more lethargic than the previous hour with a blood pressure 95/50 mm Hg, heart rate 110 beats/min, respiratory rate 20 breaths/min, oxygen saturation (SpO2) 95% on 3 L/min oxygen via nasal cannula, and a temperature of 101.5° F. Which physician order should the nurse institute first? a. Blood cultures (2 specimens) for temperature > 101° F b. Acetaminophen (Tylenol) 650 mg per rectum c. 500 mL albumin infusion intravenously d. Decadron 20 mg intravenous push every 4 hours
Which manifestations is the nurse most likely to assess in a patient with a simple closed fracture of the radial bone?
A) Broken skin at the site of the fracture B) Visible bone at the site of the fracture C) Pain and intact skin at the site of the fracture D) Crepitus and bone protrusion through skin
The nurse notes that one of her clients is more anxious than usual. The client states, "I don't understand how I can still be alive when my heart has failed.". The nurse's most appropriate response is:
1. "It must be very confusing. Heart failure doesn't mean your heart has quit, just that it no longer is as efficient as it once was. You have internal mechanisms that work to try to keep your blood pressure from falling, but eventually these mechanisms work against the heart's ability to pump blood easily.". 2. "It seems like you are upset. Would you like for me to call the health care provider to explain this to you?" 3. "Heart failure is pretty complicated. It means the heart is failing to work.". 4. "Heart failure is a common problem in the United States. Many people have it. They all have problems such as yours.".