Health

A client with a demand pacemaker has a telemetry tracing with a pacing spike but no corresponding QRS complex. The client's myocardium is eliciting a QRS after a delay of several seconds.Which telemetry interpretation should the nurse conclude? Loss of capture. Ventricular fibrillation. Capture from an ectopic focus A normal finding with a demand pacer.

The nurse is caring for a client who underwent surgical repair of the aorta after sustaining injuries in a fall Which finding indicates improved blood flow after the surgery? Movement of lower extremities. Decreased urinary output. Maintained weight. Blood pressure 90/50

The nurse is caring for a client who is demonstrating signs of impending death The family is experiencing emotional distress as the client's condition declines.Which information should the nurse provide the family to facilitate the process? Encourage the family to give the client permission to die. Revoke the "do not resuscitate" advanced directive. Send the family to an area to seek spiritual comfort. Give the client pain medication during the end-of-life hours.

The nurse is analyzing an arterial blood gas (ABG) of a client who is mechanically ventilated.The ABG results are: pH7.37, PaCO_(2)30mmHg,HCO_(3)28mEq/liter .Which should the nurse recognize as a cause of these findings? Decreased respiratory rate causing respiratory acidosis. Decreased respiratory rate causing respiratory alkalosis. Diarrhea with fully compensated metabolic acidosis. Nasogastric suction with fully compensated metabolic alkalosis.

A client reports feeling achy and weak, being tired and coughing all the time,having frequent headaches, and experiencing night sweats.The client's assessment is significant for crackles scattered throughout the lungs, dependent peripheral edema +3/+4,S_(3) and S_(4) heart sounds, temperature 102.4^circ F(39.1^circ C) heart rate 110beats/minute respirations 20breaths/minute and blood pressure 105/60 mmHg with a mean arterial pressure of 75 . Which diagnostic procedure should the nurse prepare to do first? Metabolic panel with electrolytes. Complete blood count. Liver function test. Blood culture.

The nurse is caring for a client in the intensive care unit who is receiving mechanical ventilation due to acute respiratory failure. The family asks when the client will be extubated. Which information should the nurse provide? When the client breathes spontaneously in between mechanical ventilations. Once all serum electrolyte and blood chemistry levels normalize. At the completion of intravenous antibiotic therapy and the infection is resolved. When the chest x -ray shows that the inflammation is resolved.

The nurse is caring for a client in the critical care unit who has type 2 diabetes mellitus and is admitted with hyperglycemic hyperosmolar syndrome (HHS) The healthcare provider prescribes an insulin drip of 0.1unit/kg/hour based on a current blood glucose level of 670mg/dL(35.3mmol/L) Which intervention should the nurse perform during this infusion? Obtain blood glucose levels hourly. Give potassium chloride 40 mEq per secondary infusion. Infuse dextrose 5% with 0.45% NaCl (D_(5)1/2NS) Initiate a 2,000 calorie diabetic diet.

A client reports shortness of breath and chest pressure radiating down the left arm.The client is receiving 2 liters of oxygen via nasal cannula and has two saline lock intravenous catheters.The nurse performs a 12-lead electrocardiogram that shows ST segment elevation in leads Vert ,Vert vert ,aVF and V4_(R) Which action should the nurse implement first? Give 0.3 mg nitroglycerir sublingual. Administer 4 mg intravenous (IV) morphine sulfate. Measure the ST segment height. Infuse 0.9% sodium chloride bolus.

The nurse is caring for a client who was diagnosed with diabetic ketoacidosis (DKA)The client reports abdominal pain and nausea and presents with fruity-scented breath. The nurse performs a fingerstick blood glucose with a reading too high to register. Which intervention is most important for the nurse to implement? Initiate a one liter bolus of 0.9% sodium chloride. Set up an intravenous (IV) pump to infuse insulin per protocol. Draw blood to perform a complete metabolic panel. Administer a PRN IV dose of. prescribed antiemetic.

The nurse is caring for a client admitted to the surgical intensive care unit on the first postoperative day after kidney transplantation . Which intervention should the nurse include in the plan of care to prevent hypovolemia? Give IV fluids on a 1:1 ratio from output. Administer loop diuretics. Increase sodium intake. Provide sports drinks for hydration.