The patient is asymptomatic but is diagnosed with second-degree heart block Mobitz I. The patient is on digitalis medication at home. The nurse should expect that:
a. the patient has had an anterior wall myocardial infarction.
b. the physician will order the digitalis to be continued in the hospital.
c. a digitalis level would be ordered upon admission.
d. the patient will require a transcutaneous pacemaker.
C
Digitalis toxicity is a major cause of this rhythm, and further digitalis doses should not be given until a digitalis level is obtained. Other causes of Mobitz I include AV nodal blocking drugs, acute inferior wall myocardial infarction or right ventricular infarction, ischemic heart disease, and excess vagal response. This type of block is usually well tolerated and no treatment is indicated unless the dropped beats occur frequently.
You might also like to view...
A 7-year-old child who is otherwise healthy is receiving mecasermin [Increlex] replacement therapy to treat severe primary deficiency of insulin-like growth factor-1 (IGF-1). The child de-velops tonsillar hypertrophy
The nurse anticipates that the provider will recommend: a. antibiotics. b. reducing the dose of mecasermin. c. discontinuing the mecasermin. d. tonsillectomy.
When caring for a patient who is hospitalized with active tuberculosis (TB), the nurse observes a student nurse who is assigned to take care of a patient. Which action, if performed by the student nurse, would require an intervention by the nurse?
a. The patient is offered a tissue from the box at the bedside. b. A surgical face mask is applied before visiting the patient. c. A snack is brought to the patient from the unit refrigerator. d. Hand washing is performed before entering the patient's room.
SSRIs have been found useful in the treatment of which of the following disorders?
a. dissociative disorder b. borderline personality disorder c. antisocial personality disorder d. obsessive-compulsive disorder
Today the student nurse assigned to a patient on a medical unit assessed the patient's response to nursing interventions. The step of the nursing process being utilized is known as:
a. assessment b. planning c. implementation d. evaluation e. none of the above