Which is a priority action by the nurse when a patient is ...

[tuffie]

Which is a priority action by the nurse when a patient is admitted with a diagnosis of acute myocardial infarction?
 
  a. Administration of antibiotics within 4 hours
  b. Chest radiograph
  c. Administration of aspirin on arrival
  d. Administration of a beta-blocker on arrival

Question 2

Nurse B has planned to instruct Mr. C, a newly diagnosed diabetic, in how to test his blood sugar.
 
  Nurse B has decided that due to time constraints she will quickly show him how to test his blood sugar, but she will not stay for a return demonstration to see if he can do this himself, due to other duties on the unit. Mr. C appears to be confused and becomes agitated halfway through the session. Which education evaluation area does Nurse B's training session need more work on? a. Process c. Pacing
  b. Implementation d. Accuracy

[kristenb95]

Answer to Question 1

C

Feedback
A This does not apply.
B This is not a standard for best practice.
C The American Heart Association/American College of Cardiology (AHA/ACC)'s standards of practice are based on evidence and recommend the administration of an aspirin on arrival or even in transit by the emergency med-ical technician.
D The standard recommends administration of a beta-blocker within 24 hours of admission. The patient requires a complete diagnostic assessment before a be-ta-blocker can safely be administered.

Answer to Question 2

C
The evaluation area of appropriate pacing was lacking in this particular example. Some questions that
pertain to the pacing of an instructional session: Did the education move too fast or too slowly? Was
there enough patient involvement? Was there a lack of or shortage of activities and/or practice time?
The answer is yes, because she did not build in enough time to enable Mr. C to practice and reinforce
the training. Accuracy focuses upon whether the information was accurate, not the pace at which it was
delivered.