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- A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Obtain the client’s apical heart rate Remove the medication from the dispensing system Open the medication package Compare the client’s wristband to the medication administration record e. Document administration of the medicationA nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply.) Hypotension Bradycardia Clubbing of the nail beds Weak pulses Murmur OWhich of the following assessment findings in a client who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all that apply.)a. Heart rate of 50 beats/minuteb. Heart rate of 124 beats/minutec. Blood pressure 86/56d. Blood pressure 156/88e. Tinnitus and vertigoWhy letter A and C are the right answer and why the remaining choices are not applicable to this.
- A nurse is caring for an infant that has recently been diagnosed with a congestive heart failure. Which of the following clinical signs would most likely be present?a. Slow pulse rateb. Weight gainc. Decreased systolic pressured. Irregular WBC lab valuesThe RN has administered the following medications to the client with heart failure; metoprolol, lisinopril, spironolactone. What data collection and assessment parameters should the nurse perform prior to the administration of these medications? How will the RN evaluate the effectiveness of these medications? What would your teachings be for this patient?A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
- a nurse is preparing to measure a clients vital signs. The nurse should identify that which of the following factors will affect the methods that are usedWhile assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. HemorrhageA patient has a normal cardiac rhythm and a heart rate of 72 beats/minute. The nurse determines that the P-R interval is 0.24 seconds. The most appropriate intervention by the nurse would be to: 1. document the finding and continue to monitor the patient 2. give atropine per agency dysrhythmia protocol 3. notify the health care provider immediately 4. prepare the patient for temporary pacemaker insertion