A patient with a cardiac disorder is having increased premature ventricular contractions and feels "anxious" and short of breath. After vital signs are obtained, what actions should the nurse take? Select all that apply.

Notify the health-care provider.

Start oxygen at 2 L/min.

Order an electrocardiogram and cardiac enzymes.

Place bed in modified Trendelenburg position.

Allow the patient to rest alone.

Elevate the head of the bed.

Answer and Explanation

Correct Answer : A,B,C,F

A.   Increased premature ventricular contractions along with symptoms of anxiety and shortness of breath may indicate worsening cardiac function or an acute cardiac event, necessitating immediate medical attention.
B.   Oxygen therapy may help alleviate symptoms of shortness of breath and improve oxygenation in patients experiencing cardiac symptoms.
C.   These diagnostic tests can provide valuable information about cardiac function and any potential myocardial damage or ischemia, helping guide further treatment and management.
D.   The modified Trendelenburg position may increase cardiac workload, which is not beneficial in the case of PVCs.
E.   The patient should not be left alone due to the need for ongoing assessment and potential rapid intervention. Furthermore, leaving them alone could worsen their anxiety.
F.   Elevating the head of the bed can aid in breathing and comfort, reducing the sensation of breathlessness.

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Correct Answer is C

Explanation

A. Stewed apples are generally safe for a client with leukemia unless there are specific dietary restrictions.
B. While white bread is not typically contraindicated for leukemia patients, it is generally advisable to consume whole grains for better nutrition.
C. Well-done steak may pose a risk of bacterial contamination, especially for immunocompromised individuals such as those with leukemia. Therefore, it is advisable to avoid undercooked or raw meats.
D. Carrot sticks are generally safe and nutritious for individuals with leukemia unless there are specific dietary restrictions.

A. "They are going to examine my gallbladder and ducts." B. "I'll have an endoscope put down my throat so they can see my gallbladder." C. "Soon those shock waves will get rid of my gallstones." D. "They'll put medication into my gallbladder to dissolve the stones."

Correct Answer is B

Explanation

A. This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B. An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C. This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D. This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.

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A patient with a cardiac disorder is having increased premature ventricular contractions and feels "anxious" and short of breath. After vital signs are obtained, what actions should the nurse take? Select all that apply.

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Explanation

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Correct Answer is B

Explanation

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