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A student nurse is measuring a patient’s pulse rate and the patient places his free hand against his neck. When the nurse finishes her count, the patient says, “It’s 82, isn’t it?” How should the nurse respond?
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- The nurse in the Emergency Department is caring for a patient brought in for a near syncope episode that has following cardiac rhythm. The patient is currently stable. What would be the next action for the nurse to take?The practical nurse (PN) uses an ultrasound stethoscope to auscultate a client's left dorsalis pedis pulse. Where should the PN place the transducer?The physician accidentally entered an order into the computer to request a cardiology consultation for the wrong patient. A staff nurse noticed the error. How should the correct be handled?
- You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various cardiac related disorders. One of your patients for the day is Mr. Stein, a 66 year old male with a primary diagnosis of a myocardial infarction. You enter the room to conduct your morning assessment and you find that Mr. Stein does not appear to be in a positive mood. As you begin your assessment, Mr. Stein criticizes your technique and berates you for anything you seem to do. Should you continue with your assessment? If so, could you say or do anything different to help improve the situation? How do you think receiving criticism and negative feedback may affect your job performance, if at all? Prior to beginning your assessment, could you have said or done anything that may have prevented or reduced Mr. Stein's hostility towards you?When you conclude an EKG, what are the different components that you need to observe and confirm before you disconnect the patient? Can you explain the difference between normal, abnormal, and artifacts? What is a Holter monitor? Under what circumstances would one be ordered for a patient? How do you use a Holter monitor? Educate a patient: What you will do before, during, and after an electrocardiogram or using a Holter monitor? List 5 medical cardiac conditions or diseases that you can diagnose with an electrocardiogram or Holter monitor.The nurse is concerned that there have been significant variations in the documented blood pressure of a number of patients. The nurse feels it is appropriate to review the blood pressure monitoring techniques used by the new staff member who was responsible for taking the blood pressures.How can the nurse best evaluate the nurse’s monitoring technique?
- While recording the ECG pattern, the subject must be still. Any talking, laughing or moving distorts the pattern. Why?Mrs. Jeffries arrives at the cardiology outpatient clinic in a major research hospital. She is moving out of state and demands to take her patient chart with her. The waiting room receptionist is unsure what to do; she receives the following pieces of advice. Which one is correct? O "You can make a copy of it, but ultimately, the chart is the property of the patient. You can be subject to liability if you don't turn it over to her within 24 hours." O "The chart belongs to the physician Mrs. Jeffries saw in this clinic. You'll need his permission to give her a copy, particularly if the data in her chart were included in a research study." O "See whether or not she has insurance. Patient charts belong to whoever is the primary insurance provider. They only belong to the patient if the patient is the primary source of payments." "The patient chart is always a legal medical record, so it belongs to the hospital itself." None of the above.You are caring for a 50-year-old male who is recovering from open heart surgery and you are unable to palpate the radial pulse. What additional intervention should be done in this scenario?
- A nurse enters a patient’s room and examines the patient’s IVfluids and cardiac monitor. The patient states, “Well, I haven’tseen you before. Who are you?” What is the nurse’s bestresponse?a. “I’m just the IV therapist checking your IV.”b. “I’ve been transferred to this division and will be caring foryou.”c. “I’m sorry, my name is John Smith and I am your nurse.” d. “My name is John Smith, I am your nurse and I’ll be car-ing for you until 11 p.m.”You are helping a nursing assistant give perineal care. The nursing assistant does not wear gloves and does not use a clean part of the washcloth for each stroke. How can you correct the situation?The nurse is caring for a patient who has undergone surgery following a motor vehicle accident. The patient is stable and resting comfortably; he is expected to make a full recovery. Upon entering the room, the nurse notes the patient's wife is holding his hand and crying. Which statement by the nurse is most appropriate? he's really lucky that he will pull through this: we almost lost him." " I will sit with you for a while if you would like to talk about it. " I know you must be scared about almost losing him." ( "Oh, please don't cry, ma'am! He's doing so well!