The nurse sees a life-threatening arrhythmia on a patient's cardiac monitor. Which of the following actions should the nurse take first?
Examine the patient and collect data.
Notify the health-care provider immediately.
Obtain vital signs.
Administer antiarrhythmic medication.
The Correct Answer is B
A. While assessment and data collection are important, the priority in the presence of a life-threatening arrhythmia is to initiate immediate interventions to address the situation.
B. The nurse should immediately inform the healthcare provider about the life- threatening arrhythmia to obtain further guidance and potential orders for intervention.
C. Vital signs are important, but they should not delay immediate action when a life- threatening arrhythmia is present.
D. Administering antiarrhythmic medication may be necessary, but the nurse should first notify the healthcare provider to obtain orders and guidance before administering any medications.
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Related Questions
Correct Answer is D
Explanation
A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.
Correct Answer is C
Explanation
A. Nylon underwear can trap moisture and promote bacterial growth, increasing the risk of UTIs. Cotton underwear is recommended for better ventilation.
B. Delaying voiding can increase the risk of UTIs by allowing bacteria to multiply in the bladder. Voiding regularly and completely is important for flushing out bacteria.
C. Cranberry juice contains compounds that may help prevent UTIs by preventing bacteria from adhering to the urinary tract lining.
D. Douching can disrupt the natural balance of bacteria in the vagina and increase the risk of UTIs and other infections.
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