A patient has a junctional escape rhythm. Which action should the nurse make a priority?
A. Eliminate caffeine from the diet.
B. Contact the physician immediately for emergency orders.
C. Prepare for a pacemaker insertion.
D. Assess the patient for symptoms associated with this rhythm.
Answer: D
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A major cause of health-related problems is the increase in chronic conditions. This is especially true in developing countries because of what?
A) Developing countries have the resources to deal with chronic conditions. B) Developing countries are not finding new infectious diseases. C) Developing countries are the only place chronic conditions are found. D) Developing countries are also trying to cope with emerging infectious diseases.
Information in the critical pathway
A. provides nursing actions to help the patient achieve the goals. B. is for critical care providers in the event of an emergency. C. does not pertain to nursing assistant care. D. is completed and logged upon hospital discharge.
During the assessment of an adult client's blood pressure, the nurse notes the following on the sphygmomanometer:
first faint tapping sounds at 136, swishing sounds at 120, clear tapping sounds at 108, muffled sounds at 98, and silence at 76. This nurse would document this client's blood pressure as _____________. Record your answer as a fraction.
A client is brought in with thirst; dry, sticky mucous membranes; decreased urine output; fever; a rough, dry tongue; and lethargy. Serum sodium level is above 145 mEq/L. Is it right for the nurse to start with the salt tablets?
A) Yes, this will correct the sodium deficit. B) Yes, along with the hypotonic IV. C) No, start with the sodium chloride IV. D) No, sodium intake should be restricted.