Answer to Question 1
Correct Answer: 2
Rationale 1: This is not the first thing that the nurse should do.
Rationale 2: The nurse should always remember to verify any changes on the cardiac monitor by assessing the client (in this case, checking the pulse). The cardiac monitor reports electrical activity that may not directly reflect the mechanical activity occurring in the heart.
Rationale 3: The nurse should not immediately defibrillate the client.
Rationale 4: The nurse should not check the rhythm in a different lead first.
Answer to Question 2
ANS: C
The nurse will need to teach the parent of a school-aged child covering for the child's mistakes; this is a misconception that needs to be corrected. Parents have to learn to allow their school-aged child (6 to 12 years old) to make decisions, accept responsibility, and learn from life's experiences. All the other statements are normal and do not need further teaching. Teenagers typically are very social and have many friends. Adolescents seek a group identity because they need esteem and acceptance. Adolescents feel they are indestructible, which leads to risk-taking behaviors. School-age children are developing eating patterns that are independent of parental supervision. Having nutritious snacks available is a healthy option.
NURSE
Pattern for Tactile Fremitus, Left Lateral Thorax
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
cardiac
To check pupillary reflexes the nurse first holds the penlight
Abnormalities Caused by Cardiac Pathology