NURSING MISCMEDSURG HESI Ans Key.

• 1 Which milestone indicates to the nurse successful achievement of young adulthood? • Demonstrates a conceptualization of death and dying. • Completes education and becomes self-supporting. Correct • Creates a new definition of self and roles with others. • Develops a strong need for parental support and approval. • 2.ID: The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse implement? • Prepare the client for transcutaneous pacemaker. • Shock the client with 200 joules per hospital policy. Correct • Use a magnet to deactivate the implanted pacemaker. • Observe the monitor until the onset of ventricular fibrillation. • 3.ID: How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring? • Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line. • Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple line. • Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left shoulder. • Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line. Correct