The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

A patient with sinus bradycardia with a heart rate of 53 beats/minute

A patient with premature atrial contractions who is asymptomatic

A patient with atrial fibrillation reporting dyspnea

A patient with sinus tachycardia with a heart rate of 108 beats/minute

Answer and Explanation

The Correct Answer is C

A.   Sinus bradycardia may not require immediate intervention if the patient is asymptomatic and stable.
B.   Asymptomatic premature atrial contractions may not require immediate attention unless they are associated with significant symptoms or hemodynamic instability.
C.   Dyspnea in a patient with atrial fibrillation may indicate heart failure or other complications and requires prompt assessment and intervention.
D.   Sinus tachycardia may not require immediate intervention if the patient is asymptomatic and stable.

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Correct Answer is B

Explanation

A. Bright orange urine could be caused by certain medications, such as rifampicin and phenazopyridine or food dyes, such as those containing carotene.
B. This is because the obstruction of the bile duct leads to an accumulation of bilirubin in the blood, which is then excreted in the urine, giving it a darker color.
C. Pale yellow urine is indicative of normal urine coloration and is not specific to bile duct obstruction.

D. Red urine could indicate the presence of blood, which might suggest other conditions such as urinary tract infections or kidney stones, but not typically bile duct obstruction.

A. Apply heat to painful areas. B. Place the patient on bedrest. C. Have the patient cough and deep breathe every 2 hours. D. Encourage 3 to 4 liters of fluid daily.

Correct Answer is D

Explanation

A. Heat application may provide comfort for localized pain but does not address the underlying cause of hypercalcemia, which requires systemic management.
B. While rest may be beneficial for certain conditions, it does not directly address hypercalcemia. Encouraging mobility and adequate fluid intake is typically more effective.
C. Coughing and deep breathing exercises are important for preventing respiratory complications after surgery but are not relevant for managing hypercalcemia.
D. Increasing fluid intake promotes hydration and enhances urinary calcium excretion, helping to lower serum calcium levels and minimize complications associated with hypercalcemia

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The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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