A patient with a second-degree atrioventricular block is demonstrating mild syncope. Which of the following should the nurse be prepared to do to assist this patient?
1. administer epinephrine
2. prepare for temporary pacemaker insertion
3. administer atropine
4. cardioversion
3
Rationale: Regardless of the type of second-degree block, if the patient experiences symptoms, atropine is administered. Dopamine or epinephrine is used in severe symptomatic bradycardia. A temporary pacemaker may be inserted for symptomatic patients with type I second-degree atrioventricular block. The patient is experiencing mild syncope so atropine would be indicated at this time.
You might also like to view...
The nurse is caring for a patient who is receiving vancomycin (Vancocin) to treat a severe infection. The next vancomycin dose is due to be administered at 10:00 A.M. What time will the nurse draw the vancomycin serum trough level?
a. 7:30 A.M. b. 9:30 A.M. c. 11:30 A.M. d. 1:30 P.M.
The nurse suspects that a young adult has an alteration in mental health. Which client statement did the nurse use to make this decision?
1. "I am married and have three children." 2. "I visit the local senior center to help weekly." 3. "I do volunteer work for the Red Cross." 4. "I live alone, and don't go out much."
The newly licensed nurse feels overwhelmed by the demands of working on a busy acute care unit and maintaining a growing family. What strategy should this nurse employ to lessen this stress?
A) Spend the lunch hour completing documentation while eating a sandwich. B) Differentiate between "have to do" and "nice to do" at work. C) Focus on work instead of on family until more familiar with the environment. D) Set the alarm earlier in order to get to work early.
The nurse has assisted with providing discharge instructions for a client diagnosed with pneumonia. Which of the following statements made by the client would suggest that further instruction is needed?
1. "I will get the pneumococcal vaccine every fall.". 2. "I will get the pneumococcal vaccine as soon as I recover from this pneumonia.". 3. "I will get the influenza vaccine every year.". 4. "I can't get the influenza vaccine due to my allergy to eggs.".