A patient's heart monitor shows ventricular fibrillation. What is the nurse's best first action?
a. Check the patient.
b. Call a code.
c. Begin CPR
d. Defibrillate the patient.
A
Always check the patient first because a loose lead or brushing the teeth can cause a pattern that looks like ventricular fibrillation. If ventricular fibrillation is the patient's actual rhythm, then call a code and begin CPR. Defibrillate the patient as soon as possible once the crash cart arrives in the patient's room.
You might also like to view...
The charge nurse is reviewing the status of patients in the critical care unit. Which patient should the nurse notify the organ procurement organization to evaluate for possible organ donation?
a. A 36-year-old patient with a Glasgow Coma Scale score of 3 with no activity on electroencephalogram b. A 68-year-old male admitted with unstable atrial fibrillation who has suffered a stroke c. A 40-year-old brain-injured female with a history of ovarian cancer and a Glasgow Coma Scale score of 7 d. A 53-year-old diabetic male with a history of unstable angina status post resuscitation
The HIPAA security rule requires continuity planning and disaster recovery processes for protected health information. Which activity is required for a healthcare organization to safeguard protected patient information? Select all that apply.
A) Lowering security requirements during a disaster B) Developing disaster recovery processes C) Establishing a continuity plan D) Creating, accessing, storing, and destroying manual records E) Giving access codes and usernames to emergency personnel
Explanation: 1. Keep the skin clean and dry. Avoid overuse of soap which can be drying. 2. Evaluate and manage incontinence. A bowel- and bladder-management program should be in place. If soiling occurs, skin should be cleansed as soon as possible using a pH balanced skin cleanser. Underpads that absorb moisture and present a quick-drying surface to the skin should be used. 3. Use pillows or
wedges to prevent the skin from touching the bed on trochanter, heels, and ankles. 4. The score is not inconclusive and it does show a risk for pressure ulcer development. 1. Saline 2. Dakin's solution 3. Povidone-iodine 4. Hydrogen peroxide
What is the correct conversion of 2:45 p.m. (standard) to military time?
What will be an ideal response?