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.
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Related Questions
Correct Answer is D
Explanation
A. Documenting the patient's need for restraints is important but does not address the issue of restraining a competent patient against their will. This is an issue of patient rights and autonomy.
B. Not informing the patient is inappropriate, but the key issue is the lack of consent to be restrained, not just the failure to inform.
C. While failing to get a physician's order is critical for legal and safety reasons, the core issue here is the violation of the patient's autonomy and rights.
D. Restraining a competent patient against their will without consent is considered an intentional tort because it involves touching the patient in an unauthorized manner, which is a direct violation of their rights. This can result in legal action for assault or battery.
Correct Answer is ["21.6"]
Explanation
Convert pounds to kilograms:
- 198 lbs / 2.2 lbs/kg = 90 kg
Calculate the medication dose in mcg/min:
- 90 kg 4 mcg/kg/min = 360 mcg/min
Convert mcg/min to mg/hr:
- 360 mcg/min 60 min/hr = 21600 mcg/hr
- 21600 mcg/hr / 1000 mcg/mg = 21.6 mg/hr
Determine the medication concentration:
- 250 mg / 250 mL = 1 mg/mL
Calculate the infusion rate in mL/hr:
- 21.6 mg/hr / 1 mg/mL = 21.6 mL/hr
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