The nurse in the Emergency Department is caring for a patient brought in for a near syncope episode that has following cardiac rhythm. The patient is currently stable. What would be the next action for the nurse to take?
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The nurse in the Emergency Department is caring for a patient brought in for a near syncope episode that has following cardiac rhythm. The patient is currently stable. What would be the next action for the nurse to take?
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- The physician accidentally entered an order into the computer to request a cardiology consultation for the wrong patient. A staff nurse noticed the error. How should the correct be handled?Why is it important that the patient completely relax the arm when the nurse is initiating an IV?If a patient has a protective device applied , how will you check to be sure it is placed correctly and how often will you check on the patient during your shift?
- The nurse is caring for a patient with "Ventricular tachycardia". The patient is stable, and the rhythm is non-sustained. In addition to administering oxygen, the nurse prioritizes the following orders and will plan to : 1. "obtain CBC, electrolyte panel, and cardiac markers first", 2. "administer Amiodarone (Cordarone) first", 3. "Initiate a Heparin drip as ordered", 4. "repeat the 12-lead EKG first"] .The nurse is concerned that there have been significant variations in the documented blood pressure of a number of patients. The nurse feels it is appropriate to review the blood pressure monitoring techniques used by the new staff member who was responsible for taking the blood pressures.How can the nurse best evaluate the nurse’s monitoring technique?Describe a difficult situation you had to deal with a patient at the front desk. How did you specifically handle the situation?
- The nurse is caring for a patient who has undergone surgery following a motor vehicle accident. The patient is stable and resting comfortably; he is expected to make a full recovery. Upon entering the room, the nurse notes the patient's wife is holding his hand and crying. Which statement by the nurse is most appropriate? he's really lucky that he will pull through this: we almost lost him." " I will sit with you for a while if you would like to talk about it. " I know you must be scared about almost losing him." ( "Oh, please don't cry, ma'am! He's doing so well!You are the nurse working in the cardiac care unit. Ms. Franklin is a 54-year-old woman admitted to your unit with a myocardial infarction (MI) 3 days ago. She is alert, oriented, and gives a reliable history. She has been experiencing headaches and worsening burning chest pains which she interpreted as indigestion, along with left arm numbness and dyspnea on exertion. Her brother, age 66, who sustained an MI at age 45, encouraged her to go to the emergency room (ER) even though she could not believe her symptoms were cardiac. Ms. Franklin thought she was just exhausted from all the yard work she had been doing. She also has a history of cervical strain from a motor vehicle accident, which she thought was acting up and causing her arm numbness. She is divorced with a 25-year-old daughter who is on her own. Ms. Franklin is working as a high school teacher and sells cosmetics part-time to make ends meet. She admits to not eating well, having a lot of fast food and frozen dinners because…What would you say to the patient who is angry about the delay in the waiting room?
- Patient is moved to end of life care. His daughter asks "What happens now to my dad?" How to respond.The nurse properly identifies the following rhythm on the cardiac monitor as"Ventricular fibrillation", "Atrial fibrillation". The nurse responds to the patient's room and assesses the patient is unstable. The nurse appropriately takes the following action: 1. "Calls a Code Blue and performs rapid defibrillation" 2. "Notifies the health provider and prepares he patient for synchronized cardioversion", 3. "Calls a Code Blue and initiates cardiopulmonary resuscitation", 4. "Notifies the health provider and prepare patient for pacemaker placement"] .What steps are required before releasing patient information.