When reviewing the 12-lead electrocardiograph (ECG) for a healthy 79-year-old patient who is having an annual physical examination, what will be of most concern to the nurse?
a. The PR interval is 0.21 seconds.
b. The QRS duration is 0.13 seconds.
c. There is a right bundle-branch block.
d. The heart rate (HR) is 42 beats/minute.
Question 2After noting a pulse deficit when assessing a 74-year-old patient who has just arrived in the emergency department, the nurse will anticipate that the patient may require
a. emergent cardioversion.
b. a cardiac catheterization.
c. hourly blood pressure (BP) checks.
d. electrocardiographic (ECG) monitoring.
Question 3A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled: 1 mL equals 10 drops. How many drops per minute will the nurse infuse?
What will be an ideal response?
Question 4The nurse has obtained the health history, physical assessment data, and laboratory results shown in the accompanying figure for a patient admitted with aplastic anemia. Which information is most important to communicate to the health care provider?
a. Neutropenia
b. Increasing fatigue
c. Thrombocytopenia
d. Frequent constipation
Question 5When a patient with splenomegaly is scheduled for splenectomy, which action will the nurse include in the preoperative plan of care?
a. Discourage deep breathing to reduce risk for splenic rupture.
b. Teach the patient to use ibuprofen (Advil) for left upper quadrant pain.
c. Schedule immunization with the pneumococcal vaccine (Pneumovax).
d. Avoid the use of acetaminophen (Tylenol) for 2 weeks prior to surgery.
Question 6Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
a. Serum calcium level is 15 mg/dL.
b. Patient reports no stool for 5 days.
c. Urine sample has Bence-Jones protein.
d. Patient is complaining of severe back pain.
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