The nurse notes a run of three ventricular contractions (PVC) that are not preceded by a P wave. This particular arrhythmia can progress into:
a. atrial fibrillation and possible emboli.
b. sinus tachycardia and syncope.
c. ventricular tachycardia and death.
d. sinus bradycardia and fatigue.
ANS: C
PVCs are capable of progressing into ventricular tachycardia and death.
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy. The patient is upset and says, "I didn't know it was going to be this awful. I hate this!" Which response made by the nurse would be most helpful?
a. "This is a temporary solution. It will be closed in 6 weeks." b. "This seems awful now, but you won't have the problems you had before." c. "If everything goes well the surgeon can close this colostomy in about a year." d. "With the appropriate pouch and loose clothing, no one will notice a thing."
To help the resident preserve a meaningful quality of life in a long-term care setting, the nurse will implement a(n):
a. patient care plan. b. individualized approach. c. psychologically approved approach. d. physician-approved approach.
The client needing endotracheal suctioning should be placed in which position?
1. Supine 3. High Fowler's 2. Sims' 4. Side-lying
When educating an elderly client on the prevention of constipation, the nurse should provide which of the following educational interventions?
A) Drink three glasses of milk per day B) Eat six servings of bread or pasta C) Consume antacids to decrease reflux D) Increase intake of fresh vegetables