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,E,G
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 help you pee when your kidneys aren’t working properly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.
Choice A rationale
While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.
Choice B rationale
Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.
Choice D rationale
Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.
Correct Answer is A
Explanation
Choice A rationale
Given the client’s high blood pressure and complaint of a headache, it is important to continuously monitor the client’s cardiac status to detect any changes that may indicate worsening condition.
Choice B rationale
Placing an indwelling urinary catheter is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.
Choice C rationale
Giving a fluid bolus is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.
Choice D rationale
Drawing a basic metabolic panel (BMP) could be helpful in assessing the client’s overall health and kidney function, but it is not the immediate next step in this client’s care.
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