Answer to Question 1
B
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A A sinus dysrhythmia has a rate of 60 to 100 beats per minute, slows during inspiration, and increases with expiration. This patient is not experiencing a sinus dysrhythmia.
B The patient is experiencing sinus tachycardia. The rhythm is regular with a normal P wave, normal QRS complex, and a rate of 100 to 180 beats per minute.
C With supraventricular tachycardia, the heart rate is 150 to 250 beats per minute, the P wave may be buried in the preceding T wave, and the PR interval is variable. This patient is not experiencing supraventricular tachycardia.
D With ventricular tachycardia, the rhythm is slightly irregular at a rate of 100 to 200 beats per minute, the P wave is absent, PR interval is absent, and the QRS complex is wide. This patient is not experiencing ventricular tachycardia.
Answer to Question 2
A
The first action the nurse should take is to redefine the boundaries of the nurse-patient relationship. If those attempts fail, the nurse may want to consider consulting her supervisor and discussing whether a different nurse should care for that patient. Giving out personal information or faulty information could be considered unethical.
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