Your patient is ordered an EKG upon admission to the hospital. She is very scared and states she has never had one of these diagnostic tests before. Which answer is most appropriate by the nurse regarding EKG.

An E KG is a painless diagnostic study. We will put stickers on your body and atach wires to assess your heart rhythm.

This will only take a minute there is nothing to fear, we do them all the time.

I've performed many ECGs over the years and have become an expert in doing them.

We have many children that come to the ER and receive an ECG. they say they are painless.

Answer and Explanation

The Correct Answer is A

This response provides the patient with accurate and reassuring information about the EKG procedure. It explains that the test is painless and describes what will happen during the test. The other responses do not provide as much information or reassurance to the patient.

Nursing Test Bank

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Correct Answer is B

Explanation

Respiratory alkalosis is a condition in which the blood pH is elevated due to a decrease in the partial pressure of carbon dioxide (CO2) in the blood. This can occur when a person breathes too rapidly or deeply (hyperventilation), causing them to exhale too much CO2. In this option, the pH is elevated (normal range is 7.35-7.45), the CO2 is low (normal range is 35-45 mmHg), and the bicarbonate (HCO3) level is within the normal range (22-26 mEq/L), which are all consistent with respiratory alkalosis.

A. 'It is unnecessary for you to go to the restroom at this time." B. 'I can assist you to the bathroom and back to bed." C. 'I cannot assist you at this time, please wait until I finish what I’m doing”. D. 'You cannot go to the bathroom.'

Correct Answer is B

Explanation

Chest tubes are inserted to drain ﬂuid, blood, or air from the pleural space, which is the space between the lung and the chest wall. It is important to ensure that the chest tube is secured properly and the drainage system is functioning properly before the patient is ambulated. Additionally, the patient may experience discomfort or pain during ambulation, so it is important to assess and manage the patient's pain before and after ambulation.

Option A is not appropriate because it disregards the patient's need to use the restroom and may make the patient feel helpless or dependent.

Option c is not appropriate because it does not address the patient's request for assistance and may make the patient feel neglected or uncared for.

Option d is not appropriate because it is a directive statement that does not take into account the patient's autonomy or individual needs. It is important to involve the patient in the decision-making process and provide appropriate care based on their individual needs and preferences.

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Your patient is ordered an EKG upon admission to the hospital. She is very scared and states she has never had one of these diagnostic tests before. Which answer is most appropriate by the nurse regarding EKG.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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