Based on the patient’s status at 1600, what should the Practical Nurse (PN) prepare to do immediately? Select all that apply.
Attach the patient to a continuous cardiac monitor.
Place an indwelling urinary catheter.
Administer a fluid bolus.
Draw a basic metabolic panel (BMP).
Take the patient’s temperature.
Prepare for cardioversion.
Administer an extra dose of furosemide.
Correct Answer : A,C,F,G
Choice A rationale
Attaching the patient to a continuous cardiac monitor is crucial in this situation. It allows for real-time monitoring of the patient’s heart rate and rhythm, providing valuable information about the patient’s cardiovascular status.
Choice C rationale
Administering a fluid bolus can be beneficial in certain situations. It can help increase the patient’s blood volume, which can improve blood pressure and organ perfusion. This is particularly important if the patient is showing signs of hypovolemia or shock.
Choice F rationale
Preparing for cardioversion is another important step. Cardioversion is a medical procedure that restores a normal heart rhythm in people with certain types of abnormal heartbeats (arrhythmias). It’s usually done by sending electric shocks to your heart through electrodes placed on your chest.
Choice G rationale
Administering an extra dose of furosemide can be helpful. Furosemide is a type of medicine called a diuretic. It’s used to treat high blood pressure, heart failure and oedema (a build up of fluid in the body). It’s also sometimes used to
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Diminished urinary urgency is an expected outcome of oxybutynin treatment, as the
medication works by relaxing the muscles of the bladder.
Choice B rationale
Reduced urinary frequency is another expected outcome of oxybutynin treatment.
Choice C rationale
Decreased urinary output is not a typical effect of oxybutynin. In fact, oxybutynin is used to
manage symptoms of an overactive bladder, which include frequent urination. Therefore, if the
PN observes decreased urinary output, it could indicate a problem such as urinary retention,
which should be reported to the charge nurse.
Choice D rationale
Less frequent urinary incontinence is an expected outcome of oxybutynin treatment.
Correct Answer is B
Explanation
Choice A rationale
Mouth dryness is not a typical therapeutic result of minoxidil. It’s not listed as a common side effect either.
Choice B rationale
Dizziness is a known side effect of minoxidil. It can occur when the medication causes a drop in blood pressure, leading to lightheadedness or dizziness.
Choice C rationale
An elevated blood glucose level is not related to the administration of minoxidil. It could be an unrelated finding, possibly indicating another condition like diabetes.
Choice D rationale
Pain rated at 1/10 is not directly related to the therapeutic effect or side effects of minoxidil. It could be an unrelated finding.
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