Based on the patient’s status at 1600, what should the Practical Nurse (PN) prepare to do immediately? Select all that apply.
Attach the patient to a continuous cardiac monitor.
Place an indwelling urinary catheter.
Administer a fluid bolus.
Draw a basic metabolic panel (BMP).
Take the patient’s temperature.
Prepare for cardioversion.
Administer an extra dose of furosemide.
Correct Answer : A,C,E,G
Attaching the patient to a continuous cardiac monitor is crucial in this situation. It allows for real-time monitoring of the patient’s heart rate and rhythm, providing valuable information about the patient’s cardiovascular status.
Choice C rationale
Administering a fluid bolus can be beneficial in certain situations. It can help increase the patient’s blood volume, which can improve blood pressure and organ perfusion. This is particularly important if the patient is showing signs of hypovolemia or shock.
Choice F rationale
Preparing for cardioversion is another important step. Cardioversion is a medical procedure that restores a normal heart rhythm in people with certain types of abnormal heartbeats (arrhythmias). It’s usually done by sending electric shocks to your heart through electrodes placed on your chest.
Choice G rationale
Administering an extra dose of furosemide can be helpful. Furosemide is a type of medicine called a diuretic. It’s used to treat high blood pressure, heart failure and oedema (a build up of fluid in the body). It’s also sometimes used to help you pee when your kidneys aren’t working properly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Pill-rolling hand motions are a common symptom of Parkinson’s disease. This is a type of tremor where the thumb and fingers rub together in a circular motion as if rolling a pill. This is not a contraindication to administering carbidopa-levodopa.
Choice B rationale
Anorexia, or loss of appetite, could be a sign of a more serious underlying condition or a side effect of the medication. This would require further assessment before administering the medication.
Choice C rationale
A flat affect, or reduced emotional expressiveness, is another common symptom of Parkinson’s disease. This would not typically require further assessment before administering carbidopa- levodopa.
Choice D rationale
Dizziness can be a side effect of carbidopa-levodopa. However, it would not typically require further assessment before administering the medication unless it was severe or persistent.
Correct Answer is A
Explanation
Choice A rationale
Metronidazole is an antibiotic used to treat various infections. Seizure activity is a serious side effect of metronidazole and should be reported to the charge nurse immediately.
Choice B rationale
While headache is a common side effect of metronidazole, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.
Choice C rationale
A metallic taste in the mouth is a common side effect of metronidazole. It is not a serious side effect and does not need to be reported to the charge nurse.
Choice D rationale
Abdominal cramping can be a side effect of metronidazole. However, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.
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