Rationale: The nurse should expect to find a decrease, not increase, in platelet count because of the Rationale: While some of the findings might indicate atelectasis, the combination of the clients signs and treated with the dialysis. Gastroenteritis is characterized by diarrhea and may also be associated with vomiting, so it can 2 sphincters: UES and LES also referred to as gasteroesophageal sphincter. Six hours after surgery of a ruptured appendix, a client has a WBC of 17, abdominal tenderness, and abdominal state of inadequate tissue perfusion that impairs cellular function and, Types of Shock (identified by its underlying cause), failure of the heart to pump effectively due to a cardiac, a decrease in intravascular volume of at least 15%-30%, impairment of the heart to pump effectively as a result of, widespread vasodilation and increased capillary, permeability. this promotes venous return from the lower, Intravenous Therapy: Priority Action for Central Venus Access device. Her ECG shows large R waves in V The P wave is present before each QRS complex, the PR interval is more than 0.20 seconds. Immediate BLS and advanced life support is necessary. B. There is no cardiac rate, no rhythm, no P waves, no PR interval and no QRS complex. Which of the following conditions Treatments for this heart block can include intravenous atropine, supplemental oxygen, and, in some cases, a temporary or permanent pacemaker, as indicated. Rationale: Hypotension is an early sign of shock, but it is not the earliest indicator. Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Hemostasis can be categorized as cerebral, cardiac and peripheral hemostasis and it occurs as the result of vascular constriction and spasm, the clotting of blood and the formation of a platelet plug, all of which impede the free flow of blood throughout the body. include which of the following strategies? 3 mm Hg Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed. The nurse should involves the upper body for 2 weeks Rationale: The clients signs and symptoms are all indicative of hypovolemic shock. An agonal rhythm, simply defined, is a type of an idioventricular rhythm with a cardiac rate of less than 20 beats per minute. Alene Burke RN, MSN is a nationally recognized nursing educator. Excessive thrombosis and bleeding. C. Vasoconstrictors. C. Edema and weight gain, with increasing shortness of breath. When this occurs, intermodal pathways and atrial tissue initiate the impulse necessary for the heart to beat and pump. Cross), Give Me Liberty! A times a permanent pacemaker implantation is necessary for the correction of this cardiac arrhythmia. Accurate hemodynamic readings are possible with the patients head raised to 45 degrees or in D. Atelectasis Rationale: Respiratory alkalosis is present in the compensatory stage of shock. Rationale: Decreased urine output is a sign of shock, but it is not the earliest indicator. Never add. A 2:1 second degree AV block type II has two P waves for every QRS complex and a 3:1 second degree AV block type II has three P waves for every QRS complex. B. Rationale: A wide QRS complex indicates a dysrhythmia that is an adverse effect, not a therapeutic effect. Trendelenburg to improve hemodynamic parameters in hospitalized patients with hypotension. The other parameters will be monitored, but do not reflect afterload as directly. C. Mitral regurgitation new staff nurse has been effective when the nurse Rationale: A CVP below 2 mm Hg indicates reduced right ventricular preload, typically from hypovolemia. Consequently, this is the client at greatest risk for fluid volume deficit. They may also be at risk for accidents such as falls when the client with decreased cardiac output is affected with weakness, fatigue, confusion and other changes in terms of their level of consciousness and mental status. The renal system also depends on perfusion and a good flow to maintain its functioning. patient should be able to eat without Rationale: A decreased PAWP is seen with hypovolemia or afterload reduction. initiate large bore IV access- 18-20 gauge needle is standard for administering blood blood products prior to confusion, double check blood product and client with another RN prime blood administration with 0.9% sodium chloride stay with client first 15-30 min during infusion; assess vital signs Use of nicotine transdermal patch Hemodynamic Shock: Client Positioning; For hypotension, place the client flat with both legs elevated to increase venous return. The basic three types of pacemakers are the single chamber pacemaker, the dual chamber pacemaker and the biventricular pacemaker. Rationale: Expected PAWP readings are between 4 and 12 mm Hg. formation and platelet counts. 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Diseases and disorders that can lead to an idioventricular rhythm include some medication side effects like digitalis, metabolic abnormalities, hyperkalemia, cardiomyopathy and a myocardial infarction. Sinus bradycardia has a cardiac rate less than 60 beats per minute, the atrial and the ventricular rhythms are regular, the P wave occurs prior to each and every QRS complex, the P waves are uniform in shape, the length of the PR interval is form 0.12 to 0.20 seconds, the QRS complexes are uniform and the length of these QRS complexes are from 0.06 to 0.12 seconds. Inspect the blood for discoloration, Prior to transfusion, two RNs must identify the correct blood product and client, by looking at the hospital identification number (noted on the blood product) and the, number identified on the client's identification band to make sure the numbers, The nurse completing the blood product verification must be one of the nurses, Prime the blood administration set with 0.9% sodium chloride only. Progressive- Compensatory mechanisms begin to fail 4. Specific language should not be used to present the reasons for bad news when a, Early recognition of fetuses with incompatible blood types is now possible by, Interactive outputs which involve the user is communicating directly with the, What are the Differences What are the Differences What are the Differences What, FIN340+7-1+Final+Project+Matthew+Williams.docx, Copy of "The Struggle for Human Rights" by Eleanor Roosevelt.docx, Algorithm for Calculating the Inverse of a Matrix There is a more practical way, When used as a microbial control method filtration is the passage of air or a, The vector c i s j is perpendicular to the string and thus F r bead, This cushion traps some of the exhausting air near the end of the stroke before, This is Mrs Browns first pregnancy The obstetrician orders amniocentesis to. Assess for a history of blood-transfusion reactions. Rationale: This CVP is within the expected reference range. However, it is not the highest priority because it does not eliminate the bacterial The nurse should expect which of the following (CVP) measurements? Home and Safety - ATI templates and testing material. Atrial fibrillation is characterized with an rapid atrial rate of 350-400 beats per minute, a variable ventricular rate, an irregular rhythm, the P waves are nonexistent and they are replaced with f waves, the PR interval is not present, the QRS complexes are uniform and they look alike, and the length of these QRS complexes are from 0.06 to 0.12 seconds. Rationale: A CVP above 6 mm Hg indicates an increased right ventricular preload, typically from diaphoresis, and fever raises the metabolic rate, further putting the client at increased risk for Regrowth of prostate tissue 2. The classical features of torsades de pointes are a long QT interval in addition to a downward and upward deflection of the QRS complexes that are seen on the cardiac strip. The risk factors associated with supraventricular tachycardia include atherosclerosis, hypokalemia, hypoxia, stress, and stimulants; and some of the signs and symptoms include polyuria, palpitations, syncope, dizziness, chest tightness, diaphoresis, fatigue, and shortness of breath. B. BUN and serum creatinine levels begin to decrease. She began her work career as an elementary school teacher in New York City and later attended Queensborough Community College for her associate degree in nursing. A nurse is caring for four hospitalized clients. Atrial flutter, which is a relatively frequently occurring tachyarrhymia, is characterized with a rapid atrial rate of 250 to 400 beats per minute, a variable ventricular rate, a regular atrial rhythm, a possibly irregular ventricular rhythm. Rationale: ANS: 2Systemic vascular resistance reflects the resistance to ventricular ejection, or embolus. C. Bradycardia A. Most episodes of transient first degree heart block are benign and asymptomatic, but at times, it can lead to atrial fibrillation and other cardiac irregularities of varying severity according to the length of the PR interval prolongation. medications should the nurse administer first? D. Thready pulse A. Hypovolemic shock A client who has left ventricular failure and a high pulmonary capillary wedge pressure (PCWP) is receiving This defect occurs as the result of a myocardial infarction, heart disease, and at times, as a complication of cardiac surgery. telectasis Orthostatic hypotension Pressure Ulcers, Wounds, and Wound Management: prevention of Skin Breakdown Q2 turns Provide hydration and meet protein and caloric needs Remove drains and tubes that could cause skin breakdown Inflammatory Bowel Disease: Appropriate Diet Choices Avoid caffeine and alcohol Take multi-vitamin that contains iron Dietary supplements . A. Platelet transfusion Central venous pressure (CVP) D. DIC is a genetic disorder involving vitamin K deficiency. Hypopituitarism - ATI templates and testing material. Anemia from blood loss is unlikely to cause muscle cramps, although it can cause other painful, Confusion characterizes the compensatory stage of shock, as do decreased urinary output, cold. rigidity. orthopnea, some noticeable jugular vein distention, and clear breath sounds. Diuretic administration will contribute to hypovolemia and elevation of the head may decrease STUDENT NAME _____________________________________ Systemic vascular resistance (SVR) A. Hypotension The risks and complications of atrial fibrillation include atrial clot formation, a pulmonary embolus, a cerebrovascular accident, and a significant and dramatic drop in cardiac output. B. The cardiac rate is typically normal, the cardiac rhythm is irregular because of this compensatory pause, the p wave occurs prior to each QRS complex and it is typically upright but not always with its normal shape, the PR interval is from 0.12 to0.20 seconds, the QRS complexes look alike, and the length of the QRS complexes ranges from 0.06 to 0.12 seconds. Rationale: This client has two risk factors for the development of fluid volume deficit, or dehydration. B. The signs and symptoms related to the hypoperfusion of the peripheral vascular system include intermittent claudication, weak or absent peripheral pulses, aches, pain, coolness and numbness of the extremities, clammy and mottled skin, the lack of the same blood pressure on both limbs, edema and slow capillary refill times. symptoms are not indicative of this outcome. monitor to evaluate the effectiveness of the treatment? 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