The nurse prepares to document an electrocardiogram rhythm. The nurse uses a systematic method for analyzing the electrocardiogram tracing for which of the following reasons

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema and flank pain. Use the chart to answer the questions

History & Assessments

Medical/Surgical history: Systemic lupus erythematosus (SLE) x12 years. controlled with glucocorticoids, diabetes mellitus x2 years, recurring urinary tract infections (UTIs).

Surgical history includes C-sections x2. Mitral valve regurgitation for 2 years.

Social History: Married with two healthy children, Works full-time as an office manager. Denies use of alcohol, drugs, or tobacco.

Family History: Mother also had SLE died at age 55 from complications of renal failure. Father is alive and healthy.

Physical Assessment: Alert and oriented, moves all extremities, grips and pushes strong, PERRLA 3 mm. Lungs with crackles, bilaterally, no shortness of breath. 51, 52 heart sounds with murmur: 3+ radial and pedal pulses: 4+ edema of the lower legs, ankles and feet: 2+ edema of the fingers and hands: periorbital edema present. Pain with percussion of the costovertebral angle.

Medications: Prednisone 10 mg PO daily, metformin 500 mg PO BID: ibuprofen 600 mg PO for pain PRN.

The nurse is concerned about the patient’s renal function. For each patient finding, specify if the finding is consistent with the disease process of glomerulonephritis, urinary tract infection, or chronic kidney disease. Select all that apply in each row.

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

Which of the following are rules for atrial fibrillation? Select all that apply

A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

A patient is admitted to the hospital for a splenectomy. The nurse understands that the health-care provider prescribes an injection of vitamin K prior to surgery for which action?

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

An 85-year-old patient who has fallen at home and was unable to get up is admitted to your nursing unit. The patient said she fell 36 hours ago and has been unable to eat or drink. You observe that the patient has voided scant amounts since admission. In planning care for this patient, what condition do you consider related to the diminished renal output?

The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?