The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)

Place defibrillator pads and prepare for defibrillation

Prepare Cardizem subcutaneously

Prepare for synchronized cardioversion

Prepare Adenosine PO

Prepare for Adenosine IV

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.

Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.

Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.

Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.

Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.

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Correct Answer is D

Explanation

Choice A reason: A low fiber diet with decreased intake of nuts is not specifically indicated for managing Meniere's disease. Meniere's disease management focuses on fluid balance rather than dietary fiber.

Choice B reason: A low fat diet with a restriction of citrus fruits is not relevant to Meniere's disease. Fat intake and citrus fruits do not directly affect the symptoms or management of this condition.

Choice C reason: A low carbohydrate diet and the elimination of red meats are not standard dietary recommendations for Meniere's disease. The focus is on reducing sodium intake to manage fluid retention and balance.

Choice D reason: A low sodium diet and fluid restriction are key dietary measures for managing Meniere's disease. Reducing sodium intake helps to decrease fluid retention, which can alleviate symptoms such as vertigo and tinnitus associated with this condition.

A. "I can change who serves as my health care proxy at any time." B. "The health care proxy does not go into effect until I am incapable of making decisions." C. "I have to choose a family member as my health proxy." D. "My health care proxy can make decisions on my behalf if I am unable to do so."

Correct Answer is C

Explanation

Choice A reason: The statement "I can change who serves as my health care proxy at any time" is correct. A client can modify or revoke their health care proxy designation as long as they are mentally competent.

Choice B reason: The statement "The health care proxy does not go into effect until I am incapable of making decisions" is accurate. The health care proxy is activated when the client is unable to make their own medical decisions.

Choice C reason: The statement "I have to choose a family member as my health proxy" indicates a need for clarification. A client is not required to choose a family member as their health care proxy; they can select any trusted individual to act in this capacity.

Choice D reason: The statement "My health care proxy can make decisions on my behalf if I am unable to do so" is correct. The purpose of a health care proxy is to appoint someone to make medical decisions when the client is incapacitated.

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The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home care nurse is preparing to visit a client diagnosed with Meniere's disease. The nurse reviews the primary health care provider's prescriptions and expects to educate the client on which dietary measure?

Correct Answer is D

Explanation

A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which statement by the client indicates a need for clarification?

Correct Answer is C

Explanation

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