The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

A patient with sinus bradycardia with a heart rate of 53 beats/minute

A patient with premature atrial contractions who is asymptomatic

A patient with atrial fibrillation reporting dyspnea

A patient with sinus tachycardia with a heart rate of 108 beats/minute

Answer and Explanation

The Correct Answer is C

A.   Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B.   Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C.   Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D.   Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

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Correct Answer is ["A","C","E"]

Explanation

A. Dysuria, or painful urination, is a common symptom of a urinary tract infection (UTI) due to irritation of the urinary tract lining by bacteria.
B. While strong-smelling urine can occur with a UTI, it's not specific to UTIs and can have other causes. Ammonia-smelling urine can be indicative of a UTI, especially if accompanied by other symptoms such as dysuria or frequency.
C. Increased frequency of urination can be a symptom of a UTI as the body attempts to flush out the bacteria causing the infection.
D. Amber urine color can result from concentrated urine due to dehydration but is not specific to a UTI.

E. Urinary urgency, or a sudden and compelling need to urinate, can be a symptom of a UTI due to irritation of the bladder lining by bacteria

A. Notify the health-care provider. B. Start oxygen at 2 L/min. C. Order an electrocardiogram and cardiac enzymes. D. Place bed in modified Trendelenburg position. E. Allow the patient to rest alone. F. Elevate the head of the bed.

Correct Answer is ["A","B","C","F"]

Explanation

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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The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

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Naxlex Comprehensive Predictor Exams

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is ["A","B","C","F"]

Explanation

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