This question is linked to the client scenario in the previous question. The client with a central line inserted this morning continues to have shortness of breath, chest pain, and hypotension. The RN correctly analyzed the client’s rhythm as ventricular tachycardia. Further assessment shows the client’s vital signs are stable and the patient is alert and oriented. Which of the following interventions are anticipated? SELECT ALL THAT APPLY
The nurse is monitoring the ECG tracings on the central moni…
The nurse is monitoring the ECG tracings on the central monitor on a cardiac unit. Which of the following dysrhythmias is the priority to report?
The nurse is caring for a client who is suspected to be havi…
The nurse is caring for a client who is suspected to be having a myocardial infarction. Which of the following ECG changes would the nurse most likely note?
The nurse is caring for a client with a chest tube that is c…
The nurse is caring for a client with a chest tube that is connected to -20 cm wall suction who needs to go off the unit for a chest x-ray. Which of the following is the priority intervention?
The nurse is caring for a patient who is reporting pain at t…
The nurse is caring for a patient who is reporting pain at the insertion site in the arm where an intravenous infusion is running. What is the priority action of the nurse?
The nurse has an order to insert an IV into a 6-month-old ba…
The nurse has an order to insert an IV into a 6-month-old baby admitted with dehydration. Which action is most appropriate?
The nurse is caring for a client with a diagnosis of pleural…
The nurse is caring for a client with a diagnosis of pleural effusion. The client has a closed chest tube drainage system. The chest tube output for the last 4 hours is 100 milliliters. What action should the nurse take?
The nurse is caring for a client with a diagnosis of small b…
The nurse is caring for a client with a diagnosis of small bowel obstruction who has a nasogastric tube inserted. Which of the following orders should the nurse question?
A patient needs to have a chest tube inserted into the right…
A patient needs to have a chest tube inserted into the right upper chest. Which of the following actions is part of the nurse’s role?
Select four potential central line complications the client…
Select four potential central line complications the client is at risk for developing.