A patient's cardiac monitor reveals heart rate of 40 beats per minute with an irregular rate. The PR intervals are constant and there are P waves with no QRS to follow. The QRS complexes are wider than normal. The patient complains of severe dizziness and nausea. Which nursing interventions are indicated?
1. Administer atropine.
2. Prepare to cardiovert the patient.
3. Prepare for placement of a temporary pacemaker.
4. Administer epinephrine.
5. Ask the patient to cough forcefully.
1, 3, 4
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Which of the following would help prevent the development of multiple organ dysfunction syndrome in a patient with sepsis and an infected foot ulcer?
1. turn and reposition every 4 hours 2. good hand hygiene before applying gloves for invasive procedures 3. keep blood pressure to <100 mm Hg systolic and <50 mm Hg diastolic 4. maintain blood glucose at identified protocol level
Which statement by a patient who has been prescribed quinidine (Quinaglute) indicates to the nurse the need for additional teaching?
a. "I use over-the-counter St. John's wort to help with my memory." b. "I am careful not to eat too much food that is high in alkaline ash." c. "I check my heart rate and blood pressure at least once a day." d. "I weigh myself every morning at the same time."
To prevent a person from suffocating, you should do which of the following?
a. Make sure the person's dentures are loose. b. Check for braces. c. Report swallowing problems to the nurse. d. Give the person who has a feeding tube fluids only.
Ginny is a student nurse caring for Harry, a 49-year-old patient, who is experiencing shortness of breath. About which of the following laboratory tests should Ginny be most concerned?
A. Hemoglobin B. White blood cell count C. Bilirubin D. Creatinine