1 | P a g e
NSG 430 Exam 2 – Community Health
Nursing Review.
WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!
A PATIENT ON THE TELEMETRY UNIT DEVELOPS ATRIAL FLUTTER, RATE 150, WITH
ASSOCIATED DYSPNEA AND
CHEST PAIN. WHICH ACTION IN THE AGENCY DYSRHYTHMIA PROTOCOL WOULD THE
NURSE TAKE FIRST?
A. OBTAIN A 12-LEAD ELECTROCARDIOGRAM (ECG).
B. NOTIFY THE HEALTH CARE PROVIDER OF THE CHANGE IN RHYTHM.
C. GIVE SUPPLEMENTAL O2 AT 2 TO 3 L/MIN VIA NASAL CANNULA.
D. ASSESS THE PATIENT'S BLOOD PRESSURE AND DISCOMFORT LEVEL.
GIVE SUPPLEMENTAL O2 AT 2 TO 3 L/MIN VIA NASAL CANNULA.
BECAUSE THIS PATIENT HAS DYSPNEA AND CHEST PAIN IN ASSOCIATION WITH THE NEW
RHYTHM, THE
NURSE'S INITIAL ACTIONS SHOULD BE TO ADDRESS THE PATIENT'S AIRWAY, BREATHING,
AND CIRCULATION
(ABC) BY STARTING WITH O2 ADMINISTRATION. THE OTHER ACTIONS ARE ALSO
IMPORTANT AND SHOULD BE
IMPLEMENTED RAPIDLY.
A PATIENT IS APNEIC AND HAS NO PALPABLE PULSES. THE HEART MONITOR SHOWS
SINUS TACHYCARDIA,
RATE 132. WHICH ACTION WOULD THE NURSE TAKE NEXT?
A. PERFORM SYNCHRONIZED CARDIOVERSION.
B. START CARDIOPULMONARY RESUSCITATION (CPR).
C. GIVE ATROPINE PER AGENCY DYSRHYTHMIA PROTOCOL.
D. APPLY SUPPLEMENTAL O2 VIA NON-REBREATHER MASK.
