As part of treatment for acute myocardial infarction, a patient is receiving an infusion of tissue plasminogen activator (tPA). Two hours after the initiation of the infusion, the patient has a short run of accelerated idioventricular rhythm
During the arrhythmia, the patient's blood pressure is 110/78 but he denies any other change in symptoms. What is the best nursing action?
A) Discontinue the tPA.
B) Initiate an intravenous lidocaine drip.
C) Assess for pulmonary adventitious sounds.
D) Continue close observation of the patient.
D
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A 59-year-old man is being admitted to hospice care that will be given in his home. While doing the admission assessment, the hospice nurse asks about the man's spiritual beliefs
The man tells the nurse that he is of the Baha'i faith and that he is strong spiritually. What does the hospice nurse realize about her patients' beliefs? A) The spiritual beliefs of people and families are all basically the same and do not need addressing. B) The spiritual beliefs of people and families never cause tension and concern when a patient is terminal. C) The spiritual beliefs of people and families need to be acknowledged, valued, and respected. D) The spiritual beliefs of people and families often cause misdirection and discomfort to those who hold different beliefs.
The nurse teaches a client to administer topical medications. Rank the instructions the nurse provides to the client in the correct order
1. Apply medication to applicator or gloved hand. 2. Check for irritation from the topical medication. 3. Gently cleanse affected area and remove debris. 4. Put on an even layer in direction of hair growth.
During puberty, all of the following hormones are secreted at an increased rate except for:
1. Estrogen. 2. Androgens. 3. Progesterone. 4. ADH.
What happens when the vasodilator histamine is released by the mast cells?
A. The inflammatory process is ended. B. Blood platelets adhere to collagen fragments and begin the healing process. C. Blood vessels expand and become more permeable. D. Blood vessels constrict and become less permeable.