A client with a permanent pacemaker has no pulse or spontaneous respirations and the monitor is displaying a ventricular fibrillation rhythm. Resuscitation is in progress and the nurse is preparing to defibrillate the client with 200 joules of unsynchronized defibrillation. Which intervention is most important for the nurse to implement?

Obtain 12-lead electrocardiogram to evaluate return of pacemaker's sensing, firing, and capture.

Ensure permanent pacemaker interrogated if return of spontaneous circulation is achieved.

Place self-adhesive defibrillator pads at least 1 inch away from permanent pacemaker site.

Apply a doughnut magnet over the pacemaker if pacer-mediated tachycardia develops.

Answer and Explanation

The Correct Answer is C

A. Obtaining a 12-lead ECG is done after return of spontaneous circulation (ROSC), not during defibrillation.
B. Interrogating the pacemaker is important but is not the immediate priority during resuscitation.
C. Defibrillator pads should be placed at least 1 inch away from the pacemaker to prevent damage to the device and ensure effective defibrillation.
D. A doughnut magnet is used to deactivate pacemaker functions in cases like pacemaker-mediated tachycardia but is not relevant in ventricular fibrillation.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Ear pain and fever suggest otitis media, not mononucleosis.
B. Elevated BUN and creatinine indicate kidney dysfunction, unrelated to mononucleosis.
C. Mononucleosis is caused by the Epstein-Barr virus and commonly presents with fatigue, malaise, and lymphadenopathy.
D. While WBC and sedimentation rate may be elevated, they are not specific to mononucleosis.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

Neglect is the most appropriate option because the client’s inability to access the restroom independently and lack of adequate personal care, as indicated by poor hygiene, tangled hair, matted nails, and untreated wounds, are signs of neglect. Additionally, the client is being kept bedridden against her will, which points to a lack of adequate care and respect for her autonomy, further supporting neglect.

Adult Protective Services (APS) is the proper agency to contact when there are concerns about elder neglect or abuse. APS is responsible for investigating suspected abuse, neglect, and exploitation of vulnerable adults.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

Correct Answer is C

Explanation

Exhibits New data is reviewed. Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. This client is exhibiting signs of dropdown. The nurse is a mandated reporter and therefore must report the elder mistreatment todropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

A client with limited tolerance for activity needs to walk in the hallway with assistance. Which instruction(s) should the nurse give to the unlicensed assistive personnel (UAP) who is assisting with the client's care? Select all that apply.

A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

A client with osteomyelitis from a compound fracture of the left tibia has an open draining wound and is admitted with possible methicillin- resistant Staphylococcus aureus (MRSA) infection. Which interventions should the nurse include in the plan of care? Select all that apply.

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?

Exhibits Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions. Drag from the Word Choices to complete the sentence. The client demonstrates effective epidural anesthesia by dropdown, dropdown, and dropdown.