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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B. Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C. Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D. While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.

A. "You have orders for morphine 10 to 15 mg I don't think that's enough to end your suffering" B. "That is really not appropriate to ask. Would you like a shot to take away the pain?" C. "Are you sure that is what you want me to do? Maybe you should think about it first." D. "You sound frustrated. It must be difficult to feel so tired all the time."

Correct Answer is D

Explanation

A. This response focuses solely on the adequacy of the medication dosage and does not address the patient's emotional distress.

B. This response dismisses the patient's request and does not address the underlying feelings of suffering.
C. This response does not provide support or explore the patient's feelings further and may come across as judgmental.
D. This response acknowledges the patient's feelings and opens the door for further discussion and exploration of their emotional distress.

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The nurse sees a life-threatening arrhythmia on a patient's cardiac monitor. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the best indicator of fluid balance in the body?

Correct Answer is A

Explanation

A patient with terminal lymphoma says to the nurse, "I'm tired of being so fatigued all the time. Can't you just give me a big shot of morphine and help me end this suffering? Which of the following responses by the nurse is most appropriate?

Correct Answer is D

Explanation

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