The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)

Place defibrillator pads and prepare for defibrillation

Prepare Cardizem subcutaneously

Prepare for synchronized cardioversion

Prepare Adenosine PO

Prepare for Adenosine IV

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.

Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.

Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.

Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.

Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.

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Correct Answer is A

Explanation

Choice A reason: Right upper quadrant pain is a common clinical manifestation of cholecystitis, which is inflammation of the gallbladder. The pain is often severe and can radiate to the back or shoulder. It is usually triggered by the intake of fatty foods and may be accompanied by other symptoms such as nausea and vomiting.

Choice B reason: Right lower leg pain is not associated with cholecystitis. This type of pain could indicate other conditions such as deep vein thrombosis or musculoskeletal issues.

Choice C reason: A positive Babinski sign indicates central nervous system dysfunction and is not related to cholecystitis. It involves dorsiflexion of the big toe and fanning of the other toes when the sole of the foot is stimulated.

Choice D reason: Yawning at mass is irrelevant to the diagnosis of cholecystitis. It could indicate tiredness or boredom but has no clinical significance related to gallbladder inflammation.

A. We should plan for only a few activities B. We should cluster activities at the same time C. We should encourage and praise the client's efforts to carry out activities of daily living D. We should assist with all daily living activities

Correct Answer is C

Explanation

Choice A reason: While planning activities is important, limiting them to only a few does not fully support the client's independence and participation. Encouraging the client to engage in as many activities as they can manage, with appropriate rest breaks, is more beneficial.

Choice B reason: Clustering activities at the same time can lead to fatigue and overwhelm for a client with Parkinson's disease. It's better to space activities throughout the day to allow for adequate rest and recovery.

Choice C reason: Encouraging and praising the client's efforts to carry out activities of daily living is essential for promoting their independence and self-esteem. Positive reinforcement helps motivate the client and reinforces their ability to manage daily tasks despite their condition.

Choice D reason: Assisting with all daily living activities can lead to dependence and a decrease in the client's confidence and autonomy. The goal is to support the client in maintaining as much independence as possible, providing assistance only when necessary.

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The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?

Correct Answer is A

Explanation

A client diagnosed with Parkinson's disease is struggling to adjust to the condition. The nurse educates the family on supporting the client with activities of daily living. Which statement by the family indicates that the teaching was effective?

Correct Answer is C

Explanation

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