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Valued Member
Posts: 24515
6 years ago
A patient is in sinus tachycardia. Which nursing interventions are appropriate?
Standard Text: Select all that apply.
1. Observe the patient for effects on cardiac function.
2. Administer two tablets of acetaminophen (Tylenol) per physician prescription if an elevated temperature is present.
3. Administer normal saline 0.9% IV at the prescribed rate of 200 mL per hour if hypovolemia is suspected as the cause.
4. Give pain medications as prescribed if pain is present.
5. Give atropine per physician prescription to slow the heart rate.
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Posts: 110
6 years ago
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1,2,3,4

1 is correct because you want to know what effects the patient may be experiencing during tachycardia in order to know what interventions to take.

2 -Tylenol is an NSAID (nonsteriodal anti-inflammatory drug) used for acute pain or reducing fever such as the elevated temperature, appropriate action.

3 - If someone has hypovolemia (low volume of blood) it could be due to dehydration or simply because there is a factor that left them losing too much fluid. The blood is too thick and normal saline needs to be given to keep the body in an isotonicstate and prevent issues.

4 -  If a patient is saying they are in pain, you need to believe them and have a drug ordered.


You would not do 5 because atropine speeds up the heart rate. It is something you would probably want to use for sinus bradycardia (slow heart rate) instead.   


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wrote...
Valued Member
6 years ago
Appropriate nursing interventions for the patient in sinus tachycardia are to observe the patient for effects on cardiac function; treat fever, hypovolemia, and pain if present. The focus is on determining the patient response to the elevated heart rate and treating the underlying causes, which are often fever, pain, and hypovolemia.
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wrote...
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6 years ago
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Sunshine ☀ ☼
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