search

What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

1 Jahrs vor
Kommentare: 0
Ansichten: 173

250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

Show

  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Body temperature of 99°F or less

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Toes moved in active range of motion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Sensation reported when soles of feet are touched

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Side-lying with knees flexed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Knee-chest

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    High Fowler’s with knees flexed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Taking hourly blood pressures with mechanical cuff

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Encouraging fluid intake of at least 200mL per hour

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Position in high Fowler’s with knee gatch raised

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Steak

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Cottage cheese

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Popsicle

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Adjust the room temperature

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Give a bolus of IV fluids

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Start O2

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    A family vacation in the Rocky Mountains

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Chaperoning the local boys club on a snow-skiing trip

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Traveling by airplane for business trips

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Enlarged spleen

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Elevated blood pressure

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Bradycardia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Conjunctiva of the eye

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Soles of the feet

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Roof of the mouth

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    BP 146/88

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Respirations 28 shallow

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Weight gain of 10 pounds in six months

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “I will drink 500mL of fluid or less each day.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “I will wear support hose.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “I will check my blood pressure regularly.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client collects stamps as a hobby.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client recently lost his job as a postal worker.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The abdomen

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The thorax

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The earlobes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “Have you noticed a change in sleeping habits recently?”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “Have you had a respiratory infection in the last six months?”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “Have you lost weight recently?”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Oral mucous membrane, altered related to chemo-therapy

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Risk for injury related to thrombocytopenia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Fatigue related to the disease process

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Sexual dysfunction related to radiation therapy

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Anticipatory grieving related to terminal illness

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Tissue integrity related to prolonged bed rest

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Platelet count

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    White blood cell count

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Potassium levels

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Bleeding precautions

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Prevention of falls

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Oxygen therapy

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Place the client in Trendelenburg position for postural drainage.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Encourage coughing and deep breathing every two hours.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Elevate the head of the bed 30°.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Measure the urinary output.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Check the vital signs.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Encourage increased fluid intake.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Place the client in a sitting position.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Administer acetaminophen (Tylenol).

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Pinch the soft lower part of the nose.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The blood pressure

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The temperature

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The urinary output

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Glucometer readings as ordered

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Intake/output measurements

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Evaluating the sodium and potassium levels

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Obtain a crash cart.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Check the calcium level.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Assess the dressing for drainage.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Impaired physical mobility related to decreased endurance

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hypothermia r/t decreased metabolic rate

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Disturbed thought processes r/t interstitial edema

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Report muscle weakness to the physician.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Allow six months for the drug to take effect.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Take the medication with fruit juice.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Utilize an infusion pump.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Check the blood glucose level.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Place the client in Trendelenburg position.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Blood pressure of 126/80

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Blood glucose of 110mg/dL

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Heart rate of 60bpm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Replenish his supply every three months.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Take one every 15 minutes if pain occurs.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Leave the medication in the brown bottle.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Macaroni and cheese

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Shrimp with rice

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Turkey breast

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Feet

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Neck

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hands

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Phlebostatic axis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    PMI

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Erb’s point

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Question the order.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Administer the medications.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administer separately.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Weighing the client daily

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Measuring the extremity

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Measuring the intake and output

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Overnight stays by family members is against hospital policy.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    There is no need for him to stay because staffing is adequate.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    His wife will rest much better knowing that he is at home.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Split pea soup, mashed potatoes, pudding, milk

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Tomato soup, cheese toast, Jello, coffee

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    New parents need time to learn how to hold the baby.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The umbilical cord needs time to separate.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Newborn skin is easily traumatized by washing.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Create a synergistic effect that shortens treatment time

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Increase the number of circulating neutrophils

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hib titer

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Mumps vaccine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hepatitis B vaccine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    30 minutes before a meal

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    With each meal

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    In a single dose at bedtime

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Call security for assistance and prepare to sedate the client.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Tell the client that if he continues his behavior he will be punished.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Check the client for bladder distention.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Assess the blood pressure for hypotension.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Determine whether an oxytocic drug was given.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Pneumonia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Reaction to antiviral medication

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Tuberculosis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Diabetes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Prinzmetal’s angina

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cancer

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Pain on flexion of the hip and knee

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Nuchal rigidity on flexion of the neck

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Pain when the head is turned to the left side

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Agnosia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Apraxia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Anomia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Chronic fatigue syndrome

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Normal aging

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Sundowning

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “You know you had breakfast 30 minutes ago.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Urinary incontinence

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Headaches

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Confusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Document the finding.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Report the finding to the doctor.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Prepare the client for a C-section.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hodgkin’s lymphoma

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Cervical cancer

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Multiple myeloma

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Syphilis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Herpes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Gonorrhea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Venereal Disease Research Lab (VDRL)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Rapid plasma reagin (RPR)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Fluorescent treponemal antibody (FTA)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Elevated blood glucose

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Elevated platelet count

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Elevated creatinine clearance

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Magnesium sulfate 4gm (25%) IV

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Brethine 10mcg IV

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The infant is at low risk for congenital anomalies.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The infant is at high risk for intrauterine growth retardation.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The infant is at high risk for respiratory distress syndrome.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Crying

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Wakefulness

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Jitteriness

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Decreased urinary output

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hypersomnolence

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Absence of knee jerk reflex

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Place her in Trendelenburg position.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Decrease the rate of IV infusion.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administer oxygen per nasal cannula.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Alteration in nutrition

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Alteration in bowel elimination

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Alteration in skin integrity

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Severe anemia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Arteriosclerosis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Liver failure

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Alteration in cerebral tissue perfusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Fluid volume deficit

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Ineffective airway clearance

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Likes to play football

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Drinks carbonated drinks

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Has two sisters

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Allow the client to keep the fruit.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Place the fruit next to the bed for easy access by the client.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Offer to wash the fruit for the client.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Place the client in Trendelenburg position.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Increase the infusion of normal saline.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administer atropine intravenously.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Order a chest x-ray.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Reinsert the tube.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cover the insertion site with a Vaseline gauze.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Assess for signs of abnormal bleeding.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Anticipate an increase in the Coumadin dosage.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Instruct the client regarding the drug therapy.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    A granola bar

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A bran muffin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    A cup of yogurt

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The nurse performs a vaginal exam every 30 minutes.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The nurse places a padded tongue blade at the bedside.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The nurse inserts a Foley catheter.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    18 gauge

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    19 gauge

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    22 gauge

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hypovolemia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Laryngeal edema

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hypernatremia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client selects a balanced diet from the menu.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client can tell the nurse the normal blood glucose level.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client asks for brochures on the subject of diabetes.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Pain at the site

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Warm fingers

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Pulses rapid

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Avoid warm climates.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Refrain from taking herbals.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Avoid exercising.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The nurse wears goggles while performing a veno-puncture.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The nurse washes his hands after changing a dressing.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Apply a tourniquet to the client’s arm.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Administer an anticonvulsant medication.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Ask the client if he is allergic to shellfish.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Rectal itching

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Nausea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Oral ulcerations

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Treatment is not recommended for children less than 10 years of age.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Bed linens should be washed in hot water.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Medication therapy will continue for one year.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client with HIV

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client with a radium implant for cervical cancer

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client with RSV (respiratory synctial virus)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client with diabetes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client with pancreatitis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Negligence

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Tort

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Assault

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Feeding the client

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Bathing the client

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Obtaining a stool

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Tell the mother to wash the face with soap and apply powder.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Report the rash to the doctor immediately.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The LPN who is six months postpartum

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The RN who is pregnant

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The RN who is allergic to iodine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The facility fails to provide literature in both Spanish and English.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Call the Board of Nursing.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    File a formal reprimand.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Terminate the nurse.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client who is pregnant and the client with a broken arm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The age of the child

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The child’s weight

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The developmental level of the child

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “It is okay to give my child white grape juice for breakfast.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client is at risk for opportunistic diseases.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client is no longer communicable.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Administer the two medications together.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Administer the medications in two injections.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Altered nutrition

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Impaired communication

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Risk for injury/aspiration

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hypertension

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Lassitude

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Fatigue

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Ambulation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Oral airway assessment using a tongue blade

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Placing a blood pressure cuff on the arm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Slow pulse

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Anorexia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Bulging eyes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Whole-wheat toast

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Angel hair pasta

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Reuben on rye

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Elevate the head.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Recheck the O2 saturation in 30 minutes.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Apply oxygen by mask.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Dark yellow amniotic fluid

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Clear amniotic fluid

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Greenish amniotic fluid

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Avoid eating sweets.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Report changes in urinary pattern.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Allow three hours for onset.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Reposition the monitor.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Turn the client to her left side.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Ask the client to ambulate.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Are smooth in texture

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Have irregular borders

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Are cool to touch

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Anticipate the need for a Caesarean section.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Apply an internal fetal monitor.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Place the client in Genu Pectoral position.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The cervix is closed.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The membranes are still intact.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The fetal heart tones are within normal limits.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Impaired gas exchange related to hyperventilation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Alteration in placental perfusion related to maternal position

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The baby is sleeping.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The umbilical cord is compressed.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    There is head compression.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Notify her doctor.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Start an IV.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Reposition the client.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    A fetal heart rate of 120–130bpm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A baseline variability of 6–10bpm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Accelerations in FHR with fetal movement

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Her level of consciousness is such that she is in a trancelike state.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The sensation of the bladder filling is diminished or lost.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Estrogen levels are low

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Lutenizing hormone is high

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The endometrial lining is thin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Age of the client

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Frequency of intercourse

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Regularity of the menses

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Intrauterine device

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Oral contraceptives

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Diaphragm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Painless vaginal bleeding

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Abdominal cramping

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Throbbing pain in the upper quadrant

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hamburger patty, green beans, French fries, and iced tea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Respiratory alkalosis without dehydration

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Metabolic acidosis with dehydration

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Respiratory acidosis without dehydration

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Elevated human chorionic gonadatropin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The presence of fetal heart tones

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Uterine enlargement

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hypoglycemic, small for gestational age

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hyperglycemic, large for gestational age

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hypoglycemic, large for gestational age

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Weight gain should be reported to the physician.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    An alternate method of birth control is needed when taking antibiotics.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Diabetes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    HIV

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hypertension

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Assess the fetal heart tones.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Check for cervical dilation.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Check for firmness of the uterus.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Her contractions are two minutes apart.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    She has back pain and a bloody discharge.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    She experiences abdominal pain and frequent urination.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Low birth weight

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Large for gestational age

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Preterm birth, but appropriate size for gestation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Within 72 hours of delivery

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Within one week of delivery

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Within two weeks of delivery

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Degree of cervical dilation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Fetal heart tones

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Client’s vital signs

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Active

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Latent

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Transition

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Teaching the mother to provide tactile stimulation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Wrapping the newborn snugly in a blanket

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Placing the newborn in the infant seat

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Checking for cervical dilation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Placing the client in a supine position

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Checking the client’s blood pressure

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Administer a prescribed antibiotic.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Wash her hands for two minutes before care.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Wear a mask when providing care.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Disalignment

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cool extremity

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Lack of exercise

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hormonal disturbances

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Lack of calcium

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The infant no longer complains of pain.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The buttocks are 15° off the bed.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The legs are suspended in the traction.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Uses a Steinman pin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Requires that both legs be secured

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Utilizes Kirschner wires

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Serum collection (Davol) drain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Client’s pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Nutritional status

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “I must check placement four times per day.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “I will report to the doctor any signs of indigestion.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Scant bleeding on the dressing

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Low-grade temperature

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hemoglobin of 7gm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client has traveled out of the country in the last six months.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client’s parents are skilled stained-glass artists.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client lives in a house built in 1990.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    High-seat commode

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Recliner

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    TENS unit

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Administer oxygen via nasal cannula.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Have narcan (naloxane) available.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Prepare to administer blood products.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    16-year-old female with scoliosis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    12-year-old male with a fractured femur

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    10-year-old male with sarcoma

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Take the medication with milk.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Report chest pain.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Remain upright after taking for 30 minutes.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Handles the cast with the fingertips

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Petals the cast

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Dries the cast with a hair dryer

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “It will be alright for your friends to autograph the cast.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “If they don’t use chalk to autograph, it is okay.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Assisting the LPN with opening sterile packages and peroxide

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Telling the LPN that clean gloves are allowed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Telling the LPN that the registered nurse should perform pin care

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Check the bowel sounds.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Assess the blood pressure.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Offer pain medication.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Russell’s traction

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Buck’s traction

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Halo traction

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “The CPM machine controls should be positioned distal to the site.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Palms rest lightly on the handles

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Elbows are flexed 0°

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Client walks to the front of the walker

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Attempt to replace the cord.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Place the client on her left side.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Elevate the client’s hips.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The tube will allow for equalization of the lung expansion.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Mother’s educational level

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Infant’s birth weight

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Size of the mother’s breast

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The presence of scant bloody discharge

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Frequent urination

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The presence of green-tinged amniotic fluid

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Maternal hypoglycemia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Fetal bradycardia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Maternal hyperreflexia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Insulin requirements moderate as the pregnancy progresses.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A decreased need for insulin occurs during the second trimester.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Providing a calm environment

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Obtaining a diet history

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administering an analgesic

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Down syndrome

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Respiratory distress syndrome

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Turner’s syndrome

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Magnesium sulfate

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Calcium gluconate

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Dinoprostone (Prostin E.)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Slow the infusion rate and turn the client on her left side.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    An affected newborn has unaffected parents.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    An affected newborn has one affected parent.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Because it is a state law

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    To detect cardiovascular defects

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Because of her age

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    An apical pulse of 100

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    An absence of tonus

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cyanosis of the feet and hands

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Supplemental oxygen

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Fluid restriction

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Blood transfusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Increasing fluid intake

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Limiting ambulation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administering an enema

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    14 pounds

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    16 pounds

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    18 pounds

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Determines the lung maturity of the fetus

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Measures the activity of the fetus

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Shows the effect of contractions on the fetal heart rate

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The urethral opening is absent

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The urethra opens on the top side of the penis

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The urethral opening is enlarged

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Alteration in coping related to pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Potential for injury related to precipitate delivery

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Alteration in elimination related to anesthesia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Antibiotics

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Antipyretics

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Antivirals

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Nitroglycerin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Ampicillin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Propranolol

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Avoid exercise because it fatigues the joints.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Take prescribed anti-inflammatory medications with meals.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Alternate hot and cold packs to affected joints.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Mylanta 30 ccs m 4 hours via NG

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cimetadine 300mg PO m.i.d.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hallucinogenic drugs induce a state of altered perception.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Depression and suicidal ideation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Tachycardia and diarrhea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Muscle cramping and abdominal pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Right breech presentation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Right occipital anterior presentation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Left sacral anterior presentation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Bronchiolar inflammation and dyspnea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hypersecretion of abnormally viscous mucus

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Infectious processes causing mucosal edema

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Serve high-calorie foods she can carry with her.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Encourage her appetite by sending out for her favorite foods.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Serve her small, attractively arranged portions.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The nurse covers the lesions with a sterile dressing.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The nurse wears gloves when providing care.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The nurse administers a prescribed antibiotic.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    15 minutes after the infusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    30 minutes before the fourth infusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    One hour after the infusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Refrain from keeping the diaphragm in longer than four hours

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Keep the diaphragm in a cool location

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Have the diaphragm resized if she gains five pounds

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “I’m wearing a support bra.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “I’m expressing milk from my breast.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Facial pain

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Absence of ability to smell

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Absence of eye movement

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Cause diarrhea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Change the color of her urine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cause mental confusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Check the calcium level.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Perform a pregnancy test.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Monitor apical pulse.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Limit the client’s activity.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Encourage a high-carbohydrate diet.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Use an incentive spirometer to improve respiratory function.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Pregnancy

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A titanium hip replacement

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Allergies to antibiotics

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Changes in vision

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Nausea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Urinary frequency

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client with hypertension being maintained on Lisinopril

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client with chest pain and a history of angina

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Once per day in the morning

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Three times per day with meals

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Once per day at bedtime

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The lens controls stimulation of the retina.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The lens orchestrates eye movement.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The lens focuses light rays on the retina.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Anesthetize the cornea

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Dilate the pupils

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Constrict the pupils

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Allow five minutes between the two medications.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The medications may be used together.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The medications should be separated by a cycloplegic drug.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Orange

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Violet

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Red

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Report ankle edema

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Check his blood pressure daily

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Refrain from using a microwave oven

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    1900

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    1200

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    1000

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Increase intake of meats.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Avoid citrus fruits.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Perform pericare with hydrogen peroxide.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Treat anemia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Create a synergistic effect

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Increase the number of white blood cells

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    TB skin test

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Rubella vaccine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    ELISA test

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    30 minutes before meals

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    With each meal

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    In a single dose at bedtime

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Is the opening on the client’s left side

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Is the opening on the distal end on the client’s left side

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Is the opening on the client’s right side

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Ask the client to void.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Assess the blood pressure for hypotension.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administer oxytocin.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The need for oxygen therapy

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A history of claustrophobia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    A permanent pacemaker

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Colorful crib mobile

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Hand-held electronic games

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Cars in a plastic container

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A schedule of strenuous exercise will improve muscle strength.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Rest periods should be scheduled throughout the day.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Dulcolax suppository

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Docusate sodium (Colace)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Methyergonovine maleate (Methergine)

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client’s knowledge of the signs of preterm labor

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client’s feelings about the pregnancy

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Whether the client was using a method of birth control

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    .45 normal saline

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Dextrose 1% in water

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Lactated Ringer’s

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Assess the client for allergies.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Bolus the client with IV fluid.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Tell the client he will be asleep.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Provide immunity against Rh isoenzymes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Prevent the formation of Rh antibodies

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Eliminate circulating Rh antibodies

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Application of a short inclusive spica cast

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Stabilization with a plaster-of-Paris cast

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Surgery with Kirschner wire implantation

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Strain his urine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Increase his fluid intake

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Report urinary frequency

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Antivirals

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Antibiotics

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Immunosuppressants

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Mydriatics to facilitate removal

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Miotic medications such as Timoptic

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    A laser to smooth and reshape the lens

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Placing mirrors in several locations in the home

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Placing a picture of herself in her bedroom

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Prevent the need for dressing changes

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Reduce edema at the incision

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Provide for wound drainage

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Mongolian spots

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Scrotal rugae

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Head lag

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Hematuria

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Muscle spasms

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Dizziness

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client is experiencing an auditory hallucination.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The client is having a delusion of grandeur.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The client is experiencing paranoid delusions.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Obtain a new bottle and label it with the date and time of first use.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Ask the ward secretary when the solution was requested.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The baby is hypothermic.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    The baby is experiencing bradycardia.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The baby’s hands and feet are blue.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Lessen the amount of cellular damage

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Prevent the formation of blisters

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Promote movement

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Passing water through a dialyzing membrane

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Eliminating plasma proteins from the blood

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Lowering the pH by removing nonvolatile acids

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Administer an antibiotic.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Contact the physician for an order for immune globulin.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administer an antiviral.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    The client should be placed in a room with negative pressure.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Infection requires close contact; therefore, the door may remain open.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    “The pain will go away in a few days.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    “The pain is psychological because your foot is no longer there.”

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Head of the pancreas

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Proximal third section of the small intestines

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Stomach and duodenum

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Fruits

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Salt

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Pepper

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Have a Protime done monthly.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Eat more fruits and vegetables.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Drink more liquids.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Turn his head to the left side and hyperextend the neck

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Take slow, deep breaths as the catheter is removed

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Allergies to pineapples and bananas

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A history of streptococcal infections

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Prior therapy with phenytoin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Using oil- or cream-based soaps

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Flossing between the teeth

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    The intake of salt

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Apply the new tie before removing the old one.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Have a helper present.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Turning the client to the left side

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Milking the tube to ensure patency

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Slowing the intravenous infusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Digoxin

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Epinephrine

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Aminophyline

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Tire easily

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Grow normally

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Need more calories

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Determine lung maturity

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Measure the fetal activity

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Show the effect of contractions on fetal heart rate

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Instruct the client to push.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Perform a vaginal exam.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Turn off the Pitocin infusion.

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Atrial flutter

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A sinus rhythm

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Ventricular tachycardia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Be injected into the deltoid muscle

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Be injected into the abdomen

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Aspirate after the injection

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Administer the medications together in one syringe

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Administer the medication separately

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Douche after intercourse

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Void every three hours

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Obtain a urinalysis monthly

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Placing the client in seclusion

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Emptying the Foley catheter of the preeclamptic client

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Feeding the client with dementia

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    A tracheotomy set

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    A padded tongue blade

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    An endotracheal tube

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    A.

    Cats

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    B.

    Dogs

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    C.

    Turtles

    What criteria should the nurse use to determine normal sinus rhythm for a client on a cardiac monitor quizlet?

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • Which criteria should the nurse use to determine the normal sinus rhythm for a client on the cardiac monitor?

    Answer: 1, 2. The consistency of the RR interval indicates regular rhythm. A normal P wave before each complex indicates the impulse originated in the SA node. The number of complexes in a 6 second strip is multiplied by 10 to approximate the heart rate; normal sinus rhythm is 60 to 100.

    Which descriptions are characteristics of normal sinus rhythm?

    Characteristics of normal sinus rhythm Normal heart rate (classically 60 to 100 beats per minute for an adult). Regular rhythm, with less than 0.16-second variation in the shortest and longest durations between successive P waves.

    Is a sinus rhythm normal?

    It means the electrical pulse from your sinus node is being properly transmitted throughout the heart muscle. In adults, normal sinus rhythm usually accompanies a heart rate of 60 to 100 bpm. However, it's possible for sinus rhythm to be faster or slower than this and still be considered normal.

    How do you identify the rhythm on an ECG?

    Take a radial pulse at the patient's wrist, confirm it with the number displayed on the cardiac monitor or print a six-second strip of ECG paper and count the number of QRS complexes and multiply by 10 to arrive to a minute heart rate.

    criteria nurse determine normal sinus rhythm client cardiac monitor quizlet Atrial fibrillation

    zusammenhängende Posts

    Which of the following functions counts the number of cells in a range based on specified criteria?
    Which of the following functions counts the number of cells in a range based on specified criteria?

    Which should be analyzed first in training needs assessment organization the task or the persons explain your answer?
    Which should be analyzed first in training needs assessment organization the task or the persons explain your answer?

    Which of the following would suggest that a patient is ready to be weaned from a ventilator?
    Which of the following would suggest that a patient is ready to be weaned from a ventilator?

    Which of the following criteria is acceptable in determining the quality of a peripheral blood smear
    Which of the following criteria is acceptable in determining the quality of a peripheral blood smear

    Which of the following two criteria help the designer determine when to use subtypes and supertypes?
    Which of the following two criteria help the designer determine when to use subtypes and supertypes?

    When choosing measures of performance which of the following criteria should be met quizlet?
    When choosing measures of performance which of the following criteria should be met quizlet?

    When there are no objective criteria and we feel uncertain with whom are we most likely to compare ourselves?
    When there are no objective criteria and we feel uncertain with whom are we most likely to compare ourselves?

    Which of the following is the primary purpose of performing a non-stress test to a pregnant client?
    Which of the following is the primary purpose of performing a non-stress test to a pregnant client?

    Which of the following best describes a list of audit criteria in the audit of the treasury function
    Which of the following best describes a list of audit criteria in the audit of the treasury function

    Of the following statements, the weakest set of criteria to evaluate employee performance would be
    Of the following statements, the weakest set of criteria to evaluate employee performance would be

    Werbung

    NEUESTEN NACHRICHTEN

    Kann man nur schwanger werden wenn man den eisprung hat
    1 Jahrs vor . durch AmpleBonus
    Was kostet windows 10 nach einem jahr
    1 Jahrs vor . durch Anti-SovietCompleteness
    Was passiert wenn ein Elektron aus der Hülle entfernt wird?
    1 Jahrs vor . durch DefiniteConflagration
    What is the relationship between unethical politicking and impression management quizlet?
    1 Jahrs vor . durch HiddenSloth
    For a person to be recognized as having a high degree of political skill, he or she must have the
    1 Jahrs vor . durch IncipientMonument
    Was bedeuted o7
    1 Jahrs vor . durch UninformedMurderer
    Wie erstelle ich einen Broadcast WhatsApp?
    1 Jahrs vor . durch StructuredCriminality
    Führerschein C1 171 Was darf ich fahren
    1 Jahrs vor . durch DazedPlaying
    Rezept rote beete carpaccio mit ziegenkäse
    1 Jahrs vor . durch NastyStairway
    When delivering a speech you should display visual aids only when discussing them?
    1 Jahrs vor . durch TaxingUniversity

    Werbung

    Populer

    Werbung

    Um

    Legal

    Hilfe

    Sozial

    homeendefrjakoptzhhiittr
    Urheberrechte © © 2024 paraquee Inc.