A nurse notices frequent artifact on the ECG monitor for a client whose leads are connected by cable to a console at the bedside. The nurse examines the client to determine the cause. Which of the following items is unlikely to be responsible for the artifact?
A. Frequent movement of the client
B. Tightly secured cable connections
C. Leads applied over hairy areas
D. Leads applied to the limbs
Ans: B. Tightly secured cable connections
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The nurse is assessing a patient who was admitted to the critical care unit 3 hours ago following cardiac surgery
The nurse's most recent assessment reveals that the patient's left pedal pulses are not palpable and that the right pedal pulses are rated at +2. What is the nurse's best response? A) Document this expected assessment finding during the initial postoperative period. B) Reposition the patient with his left leg in a dependent position. C) Inform the patient's physician of this assessment finding. D) Administer an ordered dose of subcutaneous heparin.
A nurse identifies a nursing diagnosis of Constipation related to the effects of the prescribed cholinergic blocking drug. Which of the following would the nurse expect to include in the client's plan of care? Select all that apply
A) Encouraging the intake of a diet high in fiber B) Decreasing the dosage of the cholinergic blocking medication C) Increasing client's fluid intake to at least 2000 mL daily D) Withholding the drug until the client resumes usual bowel pattern E) Encouraging ambulation and exercise as appropriate
When performing the initial assessment on a new client in a geriatric outpatients practice, the most effective method the nurse can implement to elicit an accurate medication assessment is to ask that the client:
a. make a list of all her current medications. b. work with a family member to make a list of her medications. c. bring in all of the medications that she is currently taking. d. allow her previous primary care provider to provide a list of medications.
Which of the following is one example of a patient benefit of using the nursing process?
A) greater personal satisfaction B) decreased reliance on the nursing staff C) continuity of care D) decreased incidence of medical errors