The nurse has completed four cycles of compressions after beginning cardiopulmonary resuscitation (CPR) on a hospitalized adult client. At this time, the nurse should:
1. Stop CPR.
2. Continue CPR.
3. Prepare for defibrillation.
4. Prepare for the administration of bicarbonate.
2
Rationale: After completing four cycles of compressions and ventilations, the nurse should con-tinue CPR unless directed by the physician to take a different intervention. The nurse defibril-lates only with special training and when ventricular fibrillation is the documented rhythm. There are no data in the question that indicate the need for defibrillation. The nurse would prepare for the administration of bicarbonate only when it is prescribed by a physician. CPR is stopped only when a physician terminates the code.
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A child, aged 11 years, stays home from school to care for his siblings while his mother works
because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. When the parents arrive home from work the child's father behaves angrily. He orders his wife and son about. He finds fault with the son, asking him twice "Why are you such a stupid kid?" The wife tells the nurse she has difficulty disciplining the children and gets frustrated easily. The nurse's goal is to continue to gather assessment data. The remark or question that would create a block is a. "Tell me how you punish your children.". b. "When your baby cries, how do you get him to stop?" c. "Caring for five small children must be difficult.". d. "Do you or your husband ever beat the children?"
A patient has been admitted to the hospital with herpes simplex virus (HSV) encephalitis. The nurse would expect the physician to order which of the following medications for the treatment of this disease process?
A) Cyclosporine (Neoral) B) Acyclovir (Zovirax) C) Cyclobenzaprine (Flexeril) D) Ampicillin (Prinicipen)
What types of skills are most important in performing a physical assessment?
A) Psychomotor B) Interpersonal C) Ethical D) Affective
Which actions should the nurse implement when assessing the physical growth for a child who is diagnosed with chronic renal failure? Select all that apply
1. Asking the child to step on the scale 2. Measuring the child's height 3. Measuring the child's head circumference 4. Using the Denver II with the child 5. Monitoring the child's blood pressure