A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
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Prepare for defibrillation: The client is unresponsive and has ventricular tachycardia. This indicates a life-threatening arrhythmia. If a patient with VTach is pulseless, the treatment is defibrillation.
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Vtach (Ventricular tachycardia): The ECG tracing shows a rapid, wide-complex tachycardia, which is the hallmark of ventricular tachycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Physiologic indicators can be helpful in pain assessment, but they are not directly linked to pain intensity scales, which are focused on subjective reports.
B. Pain intensity scales still involve a subjective component, as they rely on the patient’s report of their pain, even if the scale itself is structured.
C. A specific pain intensity scale provides consistency in how pain is assessed, allowing for more reliable tracking and management of pain across different shifts and caregivers.
D. While pain scales include subjective reports, they do not focus solely on objective data. The goal is to measure the patient's perception of pain.
Correct Answer is ["104"]
Explanation
Convert days to hours:
- 1 day 24 hours/day = 24 hours 1
Calculate the hourly rate:
- 2500 mL / 24 hours = 104.1666... mL/hour
Round to the nearest whole number:
- 104 mL/hour
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