Chapter 36: Nursing Management: Dysrhythmias Test Bank MULTIPLE CHOICE 1. To determine whether there is a delay in impulse conduction through the atria‚ the nurse will measure the duration of the patient’s a. P wave. b. Q wave. c. P-R interval. d. QRS complex. ANS: A The P wave represents the depolarization of the atria. The P-R interval represents depolarization of the atria‚ atrioventricular (AV) node‚ bundle of His‚ bundle branches‚ and the Purkinje fibers. The QRS represents ventricular depolarization
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Question 1. A. AIRWAY– Maintaining a clear airway is always considered a high priority because airway is essential for gas exchange (Ramkumar‚ 2011). However‚ the patient has a patent airway. Therefore‚ the nursing strategy is to conduct an airway assessment “look‚ listen and feel” continuously to detect any changes. This is to provide immediate respiratory care if the patient’s airway is compromised (Higginson‚ Jones & Davies‚ 2011). This is a low priority. B. BREATHING – Respiration is altered
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Introduction Trofino (n.d) states that to succeed in the nursing profession‚ nurses must be ready for a high-touch‚ high-caring and high-tech profession where learning never cease. According to the Singapore Nursing Board (2014)‚ nurses are required to maintain their competencies through continuing nursing education in order to deliver safe patient care and to keep updated with the advances and innovations in healthcare. Working in the Emergency Department (ED) Television programme has
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EMERGENCY NURSING Your guide in becoming an Emergency Nurse INTRODUCTION According to Emergency Nurses association‚ Emergency nursing is a specialty area of the nursing profession like no other. To provide quality patient care for people o all ages‚ emergency nurses must possess both general and specific knowledge about health care to provide quality patient care for people of all ages. Emergency nurses must be ready to treat a wide variety of illnesses or injury situations‚ ranging from
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Medical Diagnosis #1: Multiple coronary artery disease Chief Complaint #1 Use Quotes: ”Shortness of breath and chest pain for over a month now” on 2/6/13 on day of Admission Chief Complaint #1 Use Quotes: “Pain 8/10” on day of your nursing care Prior Illnesses Hypertension‚ coronary artery disease‚ obesity‚ angina Family History Father passed away from a heart attack; Mother had a stroke General Survey Sex M Race Caucasian Age 74 Height 175cm Weight 90.7
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Upper airway obstruction condition in which sites of anatomic narrowing such as the hypo pharynx at the base of the tongue and the false and true vocal cords at the laryngeal opening are obstructed. Vasogenic edema an accumulation of fluid in the cerebrum that is typically caused by an increase in capillary endothelial cell permeability and usually occurs near a tumor. Ventilation-perfusion ratio (V/Q) the relationship between ventilation and blood flow in the lung that is measure by calculating
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Physician Dismisses Nursing Assessments‚ Question of Nurse Advocacy. Summary: The patient was involved in a motorcycle accident in which his bike fell onto and injured his left leg. When the nurses assessing the patient could not detect a pulse in that leg‚ an ominous sign of circulatory failure. The physician when notified chose to dismiss this fact and discharge the patient. The patient would return soon after with worsening symptoms that would require emergency surgery. Should the nurses have
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BP- 130/90 mmHg ➢ T- 37.5 C ➢ PR- 98 BPM ➢ RR-25BPM ➢ PAIN SCALE- 8 | ➢ ACUTE PAIN RELATED TO MYOCARDIAL ISCHEMIA. |SHORT TERM GOAL: After 8 hours of nursing intervention: ➢ The patient will be able to verbalize relief from chest pain and difficulty of breathing ➢ The patient will be able to reduce anxiety regarding his condition. LONG TERM GOAL: After 3 days of nursing intervention: ➢ The patient will report pain being absent or controlled with medication administration
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Coronary Artery Disease Tabatha Turner Practicum I Arkansas Tech University Coronary Artery Disease “Acute coronary syndromes represent a spectrum of clinical conditions that are associated with acute myocardial ischemia” (Gulanick & Myers‚ 2011). Coronary Artery Disease (CAD) is one of these clinical conditions that affect approximately 13 million people (Rimmerman‚ 2011). Because coronary diseases are the leading cause of death in men and women‚ nurses need to be involved in the care
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Gaston-Johansson‚ F.‚ & Danielson‚ E. (2005). Living with unexplained chest pain. Journal of Clinical Nursing‚ 14‚ 956-964. Retrieved from http://onlinelibrary.wiley.com | Dumont‚ C.J.‚ Keeling‚ A.W.‚ Bourguignon‚ C.‚ Sarembock‚ I.J.‚ Turner‚ M. (2006‚ May/June). Predictors of vascular complications post diagnostic cardiac catheterization and percutaneous coronary interventions. Dimension of Critical Care Nursing‚ 25(3)‚ 137-142. Retrieved from http://journals.lww.com | * Research question | * How
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