Which of these findings would cause the nurse to hold an oral metoprolol 25mg. A) Heart rate of 12 beats per mins B)Respiratory rate of 26 breaths per minutes C)Blood pressure of 92/44 mg (D) Oxygen saturation level of 95% on room air
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Which of these findings would cause the nurse to hold an oral metoprolol 25mg.
A) Heart rate of 12 beats per mins
B)Respiratory rate of 26 breaths per minutes
C)Blood pressure of 92/44 mg
(D) Oxygen saturation level of 95% on room air
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- https://www.youtube.com/watch?v=t0IngUYN2OA https://www.youtube.com/watch?v=pPxnIh_WTb8 1) Identify three positions of the patient to obtain a BP. 2) What problems can result from high blood pressure Or (HYPERTENSION)? 3) What problems can result from low blood pressure OR (HYPOTENSION)? 4) What IS the effect of exercise on BP? How does the body benefit from this change in BP during exercise? 5) How would the BP of an anxious patient visiting a doctor be different than if the patient is calm? 6) In atherosclerosis, plaque builds up inside the arteries. How would this affect BP? Is this an example of hypertension or hypotension? Part 2: The circulatory system has 5 functions. · Highlight the statements below that are only functions of the circulatory system. It carries cells that help to fight diseases. It gives structure and support to the body. It carries waste products to the urinary system. It carries carbon dioxide from cells…During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as:a) apical pulse rate of 62 beats/min.b) digoxin level of 1.5 ng/mL.c) serum potassium level of 2.0 mEq/L.d) serum calcium level of 9.9 mEq/L.The nurse is administering an IV solution that contains potassium chloride to a patient in the critical care unit who has a severely decreased serum potassium level. Which action(s) by the nurse are appropriate? (Select all that apply.) a )Administer the potassium by slow IV bolus.b )Administer the potassium at a rate no faster than 20 mEq/hr.c) Monitor the patient’s cardiac rhythm with a heart monitor.d) Use an infusion pump for the administration of IV potassium chloride
- The nurse is teaching a patient about the inhaler Advair (salmeterol/fluticasone). Which statements by the patient indicate a correct understanding of this medication? Select all that apply.a) “I will rinse my mouth with water after each dose.”b) “I need to use this inhaler whenever I feel short of breath, but not less than 4 hours between doses.”c) “This medication is taken twice a day, every 12 hours.”d) “I can take this inhaler if I get short of breath while exercising.”e) “I will call my doctor if I notice white patches inside my mouthWhile inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapAfter a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little “shaky,” with slight tremors of the hands. The patient’s heart rate is 98 beats/min, increased from the pretreatment rate of 88 beats/min. The nurse knows that this reaction is ana) expected adverse effect of the medication.b) allergic reaction to the medicationc indication that he has received an overdose of the medication.d) idiosyncratic reaction to the medication.
- What is your field impression and probable treatment of this patient? Assessment reveals slurred speech, drowsiness, droopy eyelids, and BP 118/54, pulse 56, respirations are 8 bpm. Patient has vomited copiously. Is this A) possible narcotic overdose, start IV, admin Narcan 2mg, oxygen B) possible amphetamine overdose, oxygen, Narcan 4mg IM C) possible narcotic overdose; oxygen, IV, Romazicon 2 mg D) possible amphetamine overdose; IV, thiamin 100 mg, oxygen, Narcan 2mg & dextrose 25 gramsFor a patient receiving a vasoactive drug such as intravenous dopamine, which action by the nurse is most appropriate? a) Monitor the gravity drip infusion closely, and adjust as needed. b) Assess the patient’s cardiac function by checking the radial pulse. c) Assess the intravenous site hourly for possible infiltration. d) Administer the drug by intravenous boluses according to the patient’s blood pressureFor each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. soaked with blood, no obvious killer bleed - tells you he feel dizzy - respirations : 28/min - radial pulse : non-palpable 2. lower extremities under wooden debris - tells you she can't move or feel her legs - respirations : 18/min - radial pulse : present 3. patient is face down on the floor - unresponsive - respirations : open airway, not breathing - carotid pulse : weak 4. patient gurgles but can't maintain an open airway - unresponsive - respirations : gasps - radial pulse : absent 5. patient has an open head wound, bleeding controlled - unconscious - respirations : 16/min - CRT : 2
- A client is admitted with a hemothorax following a motor vehicle collision, and the surgeon inserts a chest tube that is attached to a chest drainage system with suction at 20 cm water pressure. The practical nurse (PN) observes that the suction chamber fluid level is at 15 cm. Which action should the PN implement to ensure effective functioning of the chest drainage system? A The chest tube should be irrigated with 20 mL normal saline to ensure patency. B Additional sterile water should be added to the suction chamber to the 20 cm level. C The tubing should be manipulated until the chest drainage collects in the chamber. D Suction at the wall unit should be increased to enhance the velocity of bubbling.43) The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has blood pressure of 114/66 mmHg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the healthcare provider is notified? 44) A. Digoxin B. Enalapril C. Hydralazine D. Furosemide A child who weighs 10 nounde receives to are in Inuy 1 cocorintion for QB I U vyAt 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing pattern
