PN Adult Medical Surgical Online Practice 2023 B (Updated ) Answers 100 % verified

PN Adult Medical Surgical Online Practice 2023 B (Updated ) Answers 100 % verified A nurse in a telemetry unit is collecting data from a client who has a newly-inserted permanent pacemaker. Which of the following findings should the nurse report to the provider? The client experiences hiccups when sitting. The client's pulse rate is 5/min faster than the preset pacemaker rate. There is the presence of a pacing spike before the P-wave on the ECG rhythm strip. The dressing over the insertion site is dry and intact. The client experiences hiccups when sitting. Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a finding, click on the finding again. • Perineal pad is saturated with blood, and large clots are present is correct. The presence of vaginal bleeding and blood clots is a manifestation of vaginal hemorrhage. Therefore, the nurse should report this finding to the charge nurse. • Blood pressure 98/56 mm Hg is correct. Decreased blood pressure is a manifestation of vaginal hemorrhage. Therefore, the nurse should report this finding to the charge nurse. • Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal hemorrhage. Therefore, the nurse should report this finding to the charge nurse. A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen saturation 90%. Which of the following actions should the nurse take? Administer oxygen via nasal cannula R: The nurse should administer oxygen via nasal cannula to a client who reports shortness of breath and has an oxygen saturation below the expected reference range. The nurse should continue to monitor the client and adjust the oxygen flow rate as needed. A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of impending death. Which of the following manifestations should the nurse include?