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Author Question: When a client is using oxygen, the nurse should ensure which of the following? a. Portable radios ... (Read 69 times)

Lobcity

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When a client is using oxygen, the nurse should ensure which of the following?
 
  a. Portable radios are placed on the bedside table.
  b. Cotton or acrylic blankets are used on the client's bed.
  c. Use of perfumes or deodorants is limited.
  d. The client takes tub baths.

Question 2

A nurse notices that a patient has an irregular pulse. The nurse should do which of the following?
 
  a. Count the number of lub-dubs occurring in 30 seconds.
  b. Assess how often the dysrhythmia is oc-curring.
  c. Assess the radial pulse for a pulse deficit.
  d. Chart the abnormally low heart rate as ta-chycardia.



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samiel-sayed

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Answer to Question 1

B
When caring for a client using oxygen, the nurse needs to minimize the chances of initiating sparks that can lead to the combustion of the oxygen. Cotton or acrylic blankets, rather than wool, should be used on the client's bed.

Answer to Question 2

B
A regular interval interrupted by an early beat, late beat, or a missed beat indicates an abnormal rhythm or dysrhythmia. A dysrhythmia alters cardiac function, particularly if it occurs repeti-tively. If your patient has a dysrhythmia you need to assess how often it is occurring. After prop-erly positioning the bell or the diaphragm of the stethoscope on the chest, try to identify the first and second heart sounds (S1 and S2). At normal slow rates, S1 is low pitched and dull, sounding like a lub. S2 is a higher pitched and shorter sound and creates the sound dub. Count the number of lub-dubs occurring in 1 minute. An inefficient contraction of the heart that fails to transmit a pulse wave to the peripheral pulse site creates a pulse deficit. To assess a pulse deficit, ask another nurse to assess the radial pulse rate while you assess the apical rate. Tachycardia is an abnormally elevated heart rate, more than 100 beats per minute in adults. Bradycardia is a slow rate, less than 60 beats per minute in adults.



Lobcity

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Both answers were spot on, thank you once again




 

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