The nurse plans care for a ventilated patient. Which of the following interventions would be best to prevent ventilator-associated pneumonia (VAP)?
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A patient with myocardial damage develops a second-degree ty…
A patient with myocardial damage develops a second-degree type II AV block. The nurse understands the appropriate treatment for a symptomatic patient with this rhythm to administer:
A patient in ventricular fibrillation requires defibrillatio…
A patient in ventricular fibrillation requires defibrillation. What action should you take before delivery of the shock?
In caring for a patient who has undergone Radiofrequency Cat…
In caring for a patient who has undergone Radiofrequency Catheter Ablation, the nurse would be most appropriate in monitoring for:
Which action by a new graduate nurse working on the postsurg…
Which action by a new graduate nurse working on the postsurgical unit indicates that more education about delegation and assignment is needed? The new graduate nurse:
The patient develops uncontrolled atrial flutter. Which of…
The patient develops uncontrolled atrial flutter. Which of the following medications should the nurse be prepared to administer as an intervention for this dysrhythmia to control the heart rate?
A nurse is weaning a 68-kg male patient who has chronic obst…
A nurse is weaning a 68-kg male patient who has chronic obstructive pulmonary disease (COPD) from mechanical ventilation. Which assessment finding indicates that the weaning protocol should be stopped? The patient’s:
A nurse recognizes that the appropriate delegation of nursin…
A nurse recognizes that the appropriate delegation of nursing activities is based on a standard of practice. Identify the correct components of this standard for delegation.
A patient is observed to have a flat line on the cardiac mon…
A patient is observed to have a flat line on the cardiac monitor. The nurse assesses the patient and finds the patient apneic, cyanotic, and pulseless. The nurse understands the patient is in:
A patient admitted to the emergency department is unresponsi…
A patient admitted to the emergency department is unresponsive after successsful resucitation. Initial laboratory findings are serum potassium 4.0 mEq/L, serum sodium 142 mEq/L, blood glucose of 210 mg/dL, and an elevated troponin level. Cardiac monitoring shows multifocal premature ventricular contractions (PVC’s). The nurse understands that the patient’s PVC’s are most likely caused by: