The nurse enters a patient's room and notices the telemetry monitor displaying an irregular bumpy line with no identifiable QRS waveforms. The patient is unresponsive. The nurse recognizes this heart rhythm as which of the following?
•In ventricular fibrillation, electrical impulses occur in random areas of the myocardium of the ventricles. These electrical impulses are chaotic, so the ventricles are unable to contract or squeeze, but only to "quiver."
•The lack of ventricular contraction or "squeeze" does not effectively pump the blood out to the rest of the body. Without a steady supply of blood, the brain is deprived of oxygen, so the patient becomes unconscious and unresponsive. Death will occur if uncorrected.
The nurse is caring for a patient that suffered from a myocardial infarction. While monitoring the patient's electrocardiogram (EKG), the nurse may observe which of the following?
A nurse is assessing a patient suspected of an upper GI bleed. Which test should be used first to evaluate the patient's GI bleed?
The nurse is administering an influenza vaccine to a client. Before administration, the nurse informs the client about which common side effect?
A nurse is caring for a patient who had an endoscopic retrograde cholangiopancreatography (ERCP) 2 hours ago. The nurse should alert the physician of which of the following signs and symptoms that suggest a complication from the procedure?
The nurse is caring for a postoperative patient at risk for pneumonia. What interventions can be implemented to reduce the risk of pneumonia?
The nurse is reviewing lab results of a 43-year-old with hyperparathyroidism. Which of the following abnormalities would the nurse expect?
The nurse is assessing a hospitalized patient after complaints of sudden abdominal pain. Which of the following abdominal assessment findings should be reported to the physician immediately?
A patient was diagnosed with Parkinson’s disease. Which intervention should be prioritized in the nursing care plan?
The nurse is reviewing the treatment plan for a patient with pernicious anemia. Which of the following statements regarding treatment is correct?
A newly licensed nurse was asked by her nurse preceptor about examples of malignant neoplasms. The nurse answers accurately with which of the following types of neoplasms?
A patient has been taking antibiotics for 3 days to treat pyelonephritis. Which of the following findings requires the nurse's immediate attention?
A patient is admitted to the medical unit for treatment of hydronephrosis. While performing an assessment, the nurse would expect:
The nurse is caring for a patient with thrombocytopenia who has developed epistaxis. In order to stop the bleeding, the patient should
The nurse is assessing a patient with advanced cirrhosis. The nurse should be alert for which sign of hepatic deterioration?
A patient with claudication asks the nurse about relieving measures. The nurse correctly educates the patient when she advises the patient to
A patient is seen in the clinic for symptoms consistent with gastroesophageal reflux disease. The nurse should expect which common symptoms?
The nurse is assessing a patient in skeletal traction after sustaining a femur fracture. While assessing the pin sites, the nurse would expect to note:
A female patient complains of urinary frequency and burning. Unsure of the cause, the nurse assesses the patient to determine whether the problem is of renal origin. Which of the following pain locations is indicative of kidney problems?
A patient suspected of diverticulitis is admitted to the hospital for evaluation and treatment. The nurse explains to a student nurse that the classic triad of signs and symptoms are:
The nurse is assessing a patient with acromegaly. Which of the following signs can the nurse expect?
When caring for a clinically stable patient with chronic kidney disease (CKD), the nurse consults with the dietician who advises inclusion of which foods in his diet?
A patient with hyperaldosteronism asks the nurse about the cause of his disease. The nurse understands that the most common cause of hyperaldosteronism is
The nurse is evaluating a 52-year-old male for risk factors for coronary artery disease (CAD). The patient is overweight, male, and smokes a pack a day. The nurse questions the patient about other risk factors including
The nurse is reviewing laboratory results for a patient and finds a potassium level of 2.9. The nurse then looks at the patient's electrocardiogram (EKG) monitor and notes the occurrence of wide QRS waves at a rate of 100 with no identifiable P waves. The nurse immediately checks on the patient, who is awake and alert, but with complaints of shortness of breath and chest discomfort. The nurse calls the rapid response team for assistance. The nurse has recognized which of the following heart rhythms in this patient?
A nurse is assisting a patient who has hemiparesis after a cerebrovascular accident (CVA). The nurse assists the patient with a safe transfer from sitting on the bed
The nurse is assessing a patient suspected of having carpal tunnel syndrome. Which assessment finding is indicative of carpal tunnel syndrome?
While reviewing the patient's chart, the nurse notes that the patient takes digoxin for congestive heart failure (CHF). Which of the following early findings on the patient's electrocardiogram (EKG) would alert the nurse to a possible digoxin toxicity?
A patient's biopsy results indicate the presence of squamous cell carcinoma. The nurse develops a care plan for this patient knowing that squamous cell carcinoma:
A patient with full-thickness circumferential burns to the left arm is in need of an escharotomy. The nurse understands that the desired outcome of this procedure is:
A nurse is caring for a patient with burns covering 45% of their total body surface area (TBSA). The nurse initiates fluid resuscitation and will continue resuscitation for:
A 78-year-old patient has osteoarthritis of the right hip and requires a cane in order to ambulate. While instructing the patient how to use a cane, the nurse should tell the patient to:
A patient with burn injuries is tested for carbon monoxide. His level is 25%. The nurse would expect which of the following based on this carbon monoxide level?
While evaluating an electrocardiogram (EKG) during a routine physical exam, the nurse notes that the patient's heart rate is 62 beats per minute with a P wave for every QRS complex and that these are occurring in regular intervals. The nurse determines that the rhythm is normal sinus rhythm, indicating that the heartbeats are following the normal electrical conduction route originating in which of the following?