While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

Take the family members quickly out of the patient room and remain with them.

Tell the family members that watching the resuscitation will be very stressful.

Ask family members if they wish to remain in the room during the resuscitation.

Assign a staff member to wait with family members just outside the patient room.

Answer and Explanation

The Correct Answer is C

A. Quickly removing the family members may add to their distress and does not respect their right to decide.

B. Telling them it will be stressful assumes their reaction without giving them a choice.

C. Allowing the family members to choose whether to stay respects their autonomy and can provide comfort during a difficult time. It is also in line with current best practices for family presence during resuscitation.

D. Assigning a staff member to wait outside is appropriate but should be done after offering the family the option to stay in the room.

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Correct Answer is D

Explanation

A. Documentation of waveform values is important but does not directly enhance patient safety during monitoring.

B. Limiting the pressure tubing length can help maintain accuracy, but it is not the primary safety measure.

C. Zero referencing is crucial for accurate readings, but it must be done in conjunction with ensuring alarms are active.

D. Ensuring that alarm limits are turned on and appropriately set is the best safety measure to immediately alert the nurse to any critical changes in the patient's status.

A. the goal is to lower the BP to 120/80. B. lowering the BP quickly may decrease cerebral, coronary or renal perfusion. C. IV antihypertensive medications have a slow onset. D. Lowering the BP slowly allows the patient to rest.

Correct Answer is B

Explanation

A. While lowering BP to 120/80 may be an ultimate goal, it is not the initial target in a hypertensive emergency.

B. Rapid reduction in blood pressure can cause hypoperfusion of vital organs such as the brain, heart, and kidneys, leading to ischemic injury. The aim is to reduce the BP gradually to prevent these complications.

C. IV antihypertensive medications generally have a rapid onset, not a slow one.

D. While gradual reduction is important, it is not done to allow rest but to protect organ perfusion.

View Question and Answer

A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

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While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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