A nursing student is looking at a telemetry screen with multiple rhythms. The unit is a step-down cardiac unit with delicate patients. Patients on Census. The unit has:

1. 84-year-old male with AFib, diaphoretic, and complaining of fatigue.

2. 45-year-old female with SVT not responding to adenosine.

3. 78-year-old female with bradycardia who was given atropine and epinephrine, yet unresolved.

4. 80-year-old male in pulseless Ventricular fibrillation being coded and transferred to Intensive Care Unit.

5. 69-year-old female who arrived at the unit symptomatic and currently being coded is pulseless with Ventricular Tachycardia.

The nurse on the step-down unit explains to the nursing student the electricity to be used for each dysrhythmia. Select the correct electricity to be used to manage the dysrhythmias listed:

Transcutaneous Pacing, Defibrillation, or Synchronized cardioversion?

Dysrhythmias:

1. Ventricular fibrillation.

2. PVC-run ventricular tachycardia with a pulse.

3. Atrial Flutter.

4. Bradycardia.

Medical History: Borderline personality disorder.

Alcohol use disorder.

History of suicidal ideation.

Medication Administration Record: Fluoxetine 20 mg PO daily.

Nurses' Notes: . 1500: Client admitted for evaluation and treatment following arrest for driving while under the influence of alcohol.

Client reports recent breakup of romantic relationship and subsequent job loss.

States, "I was too upset to go to work, and then they fired me. Like I needed that stress, too.”. 1700: Noted client has multiple cuts on arms and legs and there is a broken mirror with blood on it on the floor.

Client states, "I feel so alone.

There is no one that cares about me.”. For each potential nursing action, click to specify if the potential action is anticipated, nonessential, or contraindicated for the client.

A nurse is caring for a group of clients at a mental health facility.

The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?

A nurse is caring for a client who has bipolar disorder and is in the manic phase.

The client says he is bored.

Which of the following activities is appropriate for the nurse to suggest to this client?

A nurse asks a client who is suicidal to make a safety contract, but the client declines.

Which of the following actions should the nurse identify as the priority?.

A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations.

Which of the following hallucinations is the priority for the nurse to address?

A nurse is discussing schizophrenia spectrum disorders with a client.

The client states, "My friend says that before I started hearing voices, I stopped hanging out with them.

Why is that?" Which of the following responses should the nurse make?

A nurse is caring for a young adult client who has acute schizophrenic disorder and tells the nurse, "Yesterday noon the sun moon went over the rover to see the lawnmower.”. Which of the following manifestations is the client exhibiting?

A nurse in a mental health clinic is conducting a staff education session on schizophrenia.

Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).

A nurse is caring for a client who has been diagnosed with schizophrenia.

The client has been wearing the same clothes for the past week and appears unkempt and unbathed.

Which of the following statements should the nurse make to the client?

A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?