Author Question: The nurse in the ICU is caring for a newly admitted patient with chest pain. She is aware that ... (Read 149 times)

saliriagwu · **on:** Jun 25, 2018

The nurse in the ICU is caring for a newly admitted patient with chest pain. She is aware that dysrhythmia may be caused by which of the following? (Select all that apply.)

a. Electrolyte disturbances
b. Heart damage
c. Medications
d. Respiratory arrest

Question 2

When assessing a patient's tracheostomy site, the nurse notes redness and inflammation around the stom

a. Which intervention can the nurse provide to address this problem?
a. Decrease the frequency of tracheostomy care.
b. Apply a dry gauze dressing just under the stoma.
c. Remove the ties at frequent intervals.
d. Apply a topical antibacterial solution and allow it to dry.

Dominic · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, B, C, D
Causes of dysrhythmia may include electrolyte disturbances (potassium, magnesium, calcium), heart damage, and certain prescribed or recreational medications. Early intervention for a respiratory arrest usually prevents a cardiac arrest.

Answer to Question 2

D
Apply a topical antibacterial solution and allow it to dry. Increase the frequency of tracheostomy care. Apply a hydrocolloid or transparent dressing just under the stoma to protect the skin from breakdown. Consult with a skin care specialist. Adjust the ties or apply new ones when the ties are loose or tight. Never remove the ties.