When attempting resuscitation of a child with pulseless electrical activity, you should:
A) administer epinephrine via the ET tube if possible.
B) attempt to identify an underlying cause of the arrest.
C) perform synchronized cardioversion if the rate is fast.
D) give atropine if the heart rate is less than 60 beats/min.
Answer: B) attempt to identify an underlying cause of the arrest.
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The nurse assesses a client with a history of alcoholism who is hospitalized with anorexia, dysphagia, odynophagia, and chest pressure after eating. Which nursing diagnosis is a priority for this client?
A) Ineffective Coping B) Imbalanced Nutrition: Less Than Body Requirements C) Disturbed Sensory Perception D) Disturbed Thought Processes
The nurse suspects that a patient with a spinal cord injury is experiencing autonomic dysreflexia. Which findings will help the nurse determine the cause for this condition?
Select all that apply. 1. hypertension 2. kinked catheter tubing 3. respiratory wheezes and stridor 4. diarrhea 5. fecal impaction
The nurse inserts an over-the-needle catheter (ONC) into the client's vein. Rank the nursing interventions in the proper order for IV insertion beginning with the next intervention the nurse should implement
1. Check for a blood return in flashback chamber. 2. Stabilize the catheter and the release tourniquet. 3. Apply gentle, firm pressure above insertion site. 4. Advance catheter until hub rests at insertion site.
While giving care to a newborn, the nurse observes a depressed anterior fontanelle. The nurse reports this to the health care provider immediately because it can be a sign of:
a. Infection b. Dehydration c. Shock d. Brain hemorrhage