An older adult is on cardiac monitoring after a myocardial ...

[tnt_battle]

An older adult is on cardiac monitoring after a myocardial infarction. The client shows frequent dysrhythmias. What action by the nurse is most appropriate?
 
  a. Assess for any hemodynamic effects of the rhythm.
  b. Prepare to administer antidysrhythmic medication.
  c. Notify the provider or call the Rapid Response Team.
  d. Turn the alarms off on the cardiac monitor.

Question 2

The nurse is preparing to change a client's sternal dressing. What action by the nurse is most important?
 
  a. Assess vital signs.
  b. Don a mask and gown.
  c. Gather needed supplies.
  d. Perform hand hygiene.

[AngeliqueG]

Answer to Question 1

ANS: A
Older clients may have dysrhythmias due to age-related changes in the cardiac conduction system. They may have no significant hemodynamic effects from these changes. The nurse should first assess for the effects of the dysrhythmia before proceeding further. The alarms on a cardiac monitor should never be shut off. The other two actions may or may not be needed.

Answer to Question 2

ANS: D
To prevent a sternal wound infection, the nurse washes hands or performs hand hygiene as a priority. Vital signs do not necessarily need to be assessed beforehand. A mask and gown are not needed. The nurse should gather needed supplies, but this is not the priority.

[tnt_battle]

Correct answers!

[AngeliqueG]

Great! Please up vote