HESI Comprehensive Exam
Questions and Answers
Enalapril7vmaleate7vis7vprescribed7vfor7va7vhospitalized7vclient.7vWhich7vassessment7
vdoes7vthe7vnurse7vperform7vas7va7vpriority7vbefore7vadministering7vthe7vmedication?
Checking7vthe7vclient's7vblood7vpressure7v
Checking7vthe7vclient's7vperipheral7vpulses
Checking7vthe7vmost7vrecent7vpotassium7vlevel
Checking7vthe7vclient's7vintake-and-output7vrecord7vfor7vthe7vlast7v247vhours7v-
7vANSWERSChecking7vthe7vclient's7vblood7vpressure7v
Rationale:7vEnalapril7vmaleate7vis7van7vangiotensin-
converting7venzyme7v(ACE)7vinhibitor7vused7vto7vtreat7vhypertension.7vOne7vcommon
7vside7veffect7vis7vpostural7vhypotension.7vTherefore7vthe7vnurse7vwould7vcheck7vthe7v
client's7vblood7vpressure7vimmediately7vbefore7vadministering7veach7vdose.7vCheckin
g7vthe7vclient's7vperipheral7vpulses,7vthe7vresults7vof7vthe7vmost7vrecent7vpotassium7vl
evel,7vand7vthe7vintake7vand7voutput7vfor7vthe7vprevious7v247vhours7vare7vnot7vspecific
ally7vassociated7vwith7vthis7vmediation.
A7vclient7vis7vscheduled7vto7vundergo7van7vupper7vgastrointestinal7v(GI)7vseries,7vand
7vthe7vnurse7vprovides7vinstructions7vto7vthe7vclient7vabout7vthe7vtest.7vWhich7vstatem
ent7vby7vthe7vclient7vindicates7va7vneed7vfor7vfurther7vinstruction?
"The7vtest7vwill7vtake7vabout7v307vminutes."
"I7vneed7vto7vfast7vfor7v87vhours7vbefore7vthe7vtest."
"I7vneed7vto7vdrink7vcitrate7vof7vmagnesia7vthe7vnight7vbefore7vthe7vtest7vand7vgive7vm
yself7va7vFleet7venema7von7vthe7vmorning7vof7vthe7vtest."7v
"I7vneed7vto7vtake7va7vlaxative7vafter7vthe7vtest7vis7vcompleted,7vbecause7vthe7vliquid7v
that7vI'll7vhave7vto7vdrink7vfor7vthe7vtest7vcan7vbe7vconstipating."7v-
7vANSWERS"I7vneed7vto7vdrink7vcitrate7vof7vmagnesia7vthe7vnight7vbefore7vthe7vtest7v
and7vgive7vmyself7va7vFleet7venema7von7vthe7vmorning7vof7vthe7vtest."7v
Rationale:7vNo7vspecial7vpreparation7vis7vnecessary7vbefore7va7vGI7vseries,7vexcept7vt
hat7vNPO7v(nothing7vby7vmouth)7vstatus7vmust7vbe7vmaintained7vfor7v87vhours7vbefor
e7vthe7vtest.7vAn7vupper7vGI7vseries7vinvolves7vvisualization7vof7vthe7vesophagus,7vdu
odenum,7vand7vupper7vjejunum7vby7vmeans7vof7vthe7vuse7vof7va7vcontrast7vmedium.7v
It7vinvolves7vswallowing7va7vcontrast7vmedium7v(usually7vbarium),7vwhich7vis7vadminis
tered7vin7va7vflavored7vmilkshake.7vFilms7vare7vtaken7vat7vintervals7vduring7vthe7vtest,
7vwhich7vtakes7vabout7v307vminutes.7vAfter7van7vupper7vGI7vseries,7vthe7vclient7vis7vpr
escribed7va7vlaxative7vto7vhasten7velimination7vof7vthe7vbarium.7vBarium7vthat7vremain
s7vin7vthe7vcolon7vmay7vbecome7vhard7vand7vdifficult7vto7vexpel,7vleading7vto7vfecal7vi
mpaction.
A7vnurse7von7vthe7vevening7vshift7vchecks7va7vprimary7vhealth7vcare7vprovider's7vpres
criptions7vand7vnotes7vthat7vthe7vdose7vof7va7vprescribed7vmedication7vis7vhigher7vtha
n7vthe7vnormal7vdose.7vThe7vnurse7vcalls7vthe7vprimary7vhealth7vcare7vprovider's7vans
wering7vservice7vand7vis7vtold7vthat7vthe7vprimary7vhealth7vcare7vprovider7vis7voff7vfor7
,vthe7vnight7vand7vwill7vbe7vavailable7vin7vthe7vmorning.7vWhat7vshould7vthe7vnurse7vdo
7vnext?
Call7vthe7vnursing7vsupervisor
Ask7vthe7vanswering7vservice7vto7vcontact7vthe7von-
call7vprimary7vhealth7vcare7vprovider7v
Withhold7vthe7vmedication7vuntil7vthe7vprimary7vhealth7vcare7vprovider7vcan7vbe7vreac
hed7vin7vthe7vmorning
Administer7vthe7vmedication7vbut7vconsult7vthe7vprimary7vhealth7vcare7vprovider7vwhe
n7vhe7vbecomes7vavailable7v-
7vANSWERSAsk7vthe7vanswering7vservice7vto7vcontact7vthe7von-
call7vprimary7vhealth7vcare7vprovider7v
Rationale:7vThe7vnurse7vhas7va7vduty7vto7vprotect7vthe7vclient7vfrom7vharm.7vA7vnurse
7vwho7vbelieves7vthat7va7vprimary7vhealth7vcare7vprovider's7vprescription7vmay7vbe7vin
7verror7vis7vresponsible7vfor7vclarifying7vthe7vprescription7vbefore7vcarrying7vit7vout.7vT
herefore7vthe7vnurse7vwould7vnot7vadminister7vthe7vmedication;7vinstead,7vthe7vnurse7
vwould7vwithhold7vthe7vmedication7vuntil7vthe7vdose7vcan7vbe7vclarified.7vThe7vnurse7v
would7vnot7vwait7vuntil7vthe7vnext7vmorning7vto7vobtain7vclarification.7vIt7vis7vprematur
e7vto7vcall7vthe7vnursing7vsupervisor.
An7vemergency7vdepartment7v(ED)7vnurse7vis7vmonitoring7va7vclient7vwith7vsuspected
7vacute7vmyocardial7vinfarction7v(MI)7vwho7vis7vawaiting7vtransfer7vto7vthe7vcoronary7vi
ntensive7vcare7vunit.7vThe7vnurse7vnotes7vthe7vsudden7vonset7vof7vpremature7vventric
ular7vcontractions7v(PVCs)7von7vthe7vmonitor,7vchecks7vthe7vclient's7vcarotid7vpulse,7v
and7vdetermines7vthat7vthe7vPVCs7vare7vnot7vperfusing.7vWhat7vis7vthe7vnurse's7vmos
t7vappropriate7vaction?
Document7vthe7vfindings
Ask7vthe7vED7vprimary7vhealth7vcare7vprovider7vto7vcheck7vthe7vclient7v
Continue7vto7vmonitor7vthe7vclient's7vcardiac7vstatus
Inform7vthe7vclient7vthat7vPVCs7vare7vexpected7vafter7van7vMI7v-
7vANSWERSAsk7vthe7vED7vprimary7vhealth7vcare7vprovider7vto7vcheck7vthe7vclient7v
Rationale:7vThe7vmost7vappropriate7vaction7vby7vthe7vnurse7vwould7vbe7vto7vask7vthe7
vED7vhealth7vcare7vprovider7vto7vcheck7vthe7vclient.7vPVCs7vare7va7vresult7vof7vincrea
sed7virritability7vof7vventricular7vcells.7vPeripheral7vpulses7vmay7vbe7vabsent7vor7vdimi
nished7vwith7vthe7vPVCs7vthemselves7vbecause7vthe7vdecreased7vstroke7vvolume7vof
7vthe7vpremature7vbeats7vmay7vin7vturn7vdecrease7vperipheral7vperfusion.7vBecause7v
other7vrhythms7valso7vcause7vwidened7vQRS7vcomplexes,7vit7vis7vessential7vthat7vthe
7vnurse7vdetermine7vwhether7vthe7vpremature7vbeats7vare7vresulting7vin7vperfusion7vof
7vthe7vextremities.7vThis7vis7vdone7vby7vpalpating7vthe7vcarotid,7vbrachial,7vor7vfemoral
7vartery7vwhile7vobserving7vthe7vmonitor7vfor7vwidened7vcomplexes7vor7vby7vauscultati
ng7vfor7vapical7vheart7vsounds.7vIn7vthe7vsituation7vof7vacute7vMI,7vPVCs7vmay7vbe7vc
onsidered7vwarning7vdysrhythmias,7vpossibly7vheralding7vthe7vonset7vof7vventricular7v
tachycardia7vor7vventricular7vfibrillation.7vTherefore,7vthe7vnurse7vwould7vnot7vtell7vthe
7vclient7vthat7vthe7vPVCs7vare7vexpected.7vAlthough7vthe7vnurse7vwill7vcontinue7vto7vm
onitor7vthe7vclient7vand7vdocument7vthe7vfindings,7vthese7vare7vnot7vthe7vmost7vappro
priate7vactions7vof7vthose7vprovided.
,NPO7vstatus7vis7vimposed7v87vhours7vbefore7vthe7vprocedure7von7va7vclient7vschedule
d7vto7vundergo7velectroconvulsive7vtherapy7v(ECT)7vat7v17vp.m.7vOn7vthe7vmorning7vo
f7vthe7vprocedure,7vthe7vnurse7vchecks7vthe7vclient's7vrecord7vand7vnotes7vthat7vthe7vc
lient7vroutinely7vtakes7van7voral7vantihypertensive7vmedication7veach7vmorning.7vWha
t7vaction7vshould7vthe7vnurse7vtake?
Administer7vthe7vantihypertensive7vwith7va7vsmall7vsip7vof7vwater7v
Withhold7vthe7vantihypertensive7vand7vadminister7vit7vat7vbedtime
Administer7vthe7vmedication7vby7vway7vof7vthe7vintravenous7v(IV)7vroute
Hold7vthe7vantihypertensive7vand7vresume7vits7vadministration7von7vthe7vday7vafter7vt
he7vECT7v-
7vANSWERSAdminister7vthe7vantihypertensive7vwith7va7vsmall7vsip7vof7vwater7v
Rationale:7vThe7vnurse7vshould7vadminister7vthe7vantihypertensive7vwith7va7vsmall7vsi
p7vof7vwater.7vGeneral7vanesthesia7vis7vrequired7vfor7vECT,7vso7vNPO7vstatus7vis7vim
posed7vfor7v67vto7v87vhours7vbefore7vtreatment7vto7vhelp7vprevent7vaspiration.7vExcept
ions7vinclude7vclients7vwho7vroutinely7vreceive7vcardiac7vmedications,7vantihypertensi
ve7vagents,7vor7vhistamine7v(H2)7vblockers,7vwhich7vshould7vbe7vadministered7vsever
al7vhours7vbefore7vtreatment7vwith7va7vsmall7vsip7vof7vwater.7vWithholding7vthe7vantihy
pertensive7vand7vadministering7vit7vat7vbedtime7vand7vwithholding7vthe7vantihypertens
ive7vand7vresuming7vadministration7von7vthe7vday7vafter7vthe7vECT7vare7vincorrect7vac
tions,7vbecause7vantihypertensives7vmust7vbe7vadministered7von7vtime;7votherwise,7vt
he7vrisk7vfor7vrebound7vhypertension7vexists.7vThe7vnurse7vwould7vnot7vadminister7va7
vmedication7vby7vway7vof7va7vroute7vthat7vhas7vnot7vbeen7vprescribed.
A7vclient7vwho7vrecently7vunderwent7vcoronary7vartery7vbypass7vgraft7vsurgery7vcome
s7vto7vthe7vprimary7vhealth7vcare7vprovider's7voffice7vfor7va7vfollow-
up7vvisit.7vOn7vassessment,7vthe7vclient7vtells7vthe7vnurse7vthat7vhe7vis7vfeeling7vdepr
essed.7vWhich7vresponse7vby7vthe7vnurse7vis7vtherapeutic?
"Tell7vme7vmore7vabout7vwhat7vyou're7vfeeling."7v
"That's7va7vnormal7vresponse7vafter7vthis7vtype7vof7vsurgery."
"It7vwill7vtake7vtime,7vbut7vI7vpromise7vyou,7vyou7vwill7vget7vover7vthis7vdepression."
"Every7vclient7vwho7vhas7vthis7vsurgery7vfeels7vthe7vsame7vway7vfor7vabout7va7vmonth
."7v-7vANSWERS"Tell7vme7vmore7vabout7vwhat7vyou're7vfeeling."7v
Rationale:7vThe7vtherapeutic7vresponse7vby7vthe7vnurse7vis,7v"Tell7vme7vmore7vabout7
vwhat7vyou're7vfeeling."7vWhen7va7vclient7vexpresses7vfeelings7vof7vdepression,7vit7vis7
vextremely7vimportant7vfor7vthe7vnurse7vto7vfurther7vexplore7vthese7vfeelings7vwith7vth
e7vclient.7vIn7vstating,7v"This7vis7va7vnormal7vresponse7vafter7vthis7vtype7vof7vsurgery"7
vthe7vnurse7vprovides7vfalse7vreassurance7vand7vavoids7vaddressing7vthe7vclient's7vfe
elings.7v"It7vwill7vtake7vtime,7vbut7vI7vpromise7vyou,7vyou7vwill7vget7vover7vthe7vdepress
ion"7vis7valso7va7vfalse7vreassurance,7vand7vit7vdoes7vnot7vencourage7vthe7vexpressio
n7vof7vfeelings.7v"Every7vclient7vwho7vhas7vthis7vsurgery7vfeels7vthe7vsame7vway7vfor7v
about7va7vmonth"7vis7va7vgeneralization7vthat7vavoids7vthe7vclient's7vfeelings.
A7vclient7vin7vlabor7vexperiences7vspontaneous7vrupture7vof7vthe7vmembranes.7vThe7v
nurse7vimmediately7vcounts7vthe7vfetal7vheart7vrate7v(FHR)7vfor7v17vfull7vminute7vand7
vthen7vchecks7vthe7vamniotic7vfluid.7vThe7vnurse7vnotes7vthat7vthe7vfluid7vis7vyellow7va
nd7vhas7va7vstrong7vodor.7vWhich7vaction7vshould7vbe7vthe7vnurse's7vpriority?
, Contact7vthe7vprimary7vhealth7vcare7vprovider7v
Document7vthe7vfindings
Check7vthe7vfluid7vfor7vprotein
Continue7vto7vmonitor7vthe7vclient7vand7vthe7vFHR7v-
7vANSWERSContact7vthe7vprimary7vhealth7vcare7vprovider7v
Rationale:7vThe7vpriority7vaction7vis7vfor7vthe7vnurse7vto7vcontact7vthe7vprimary7vhealt
h7vcare7vprovider.7vThe7vFHR7vis7vassessed7vfor7vat7vleast7v17vminute7vwhen7vthe7vm
embranes7vrupture.7vThe7vnurse7valso7vchecks7vthe7vquantity,7vcolor,7vand7vodor7vof7
vthe7vamniotic7vfluid.7vThe7vfluid7vshould7vbe7vclear7v(often7vwith7vbits7vof7vvernix)7van
d7vhave7va7vmild7vodor.7vFluid7vwith7va7vfoul7vor7vstrong7vodor,7vcloudy7vappearance,7
vor7vyellow7vcoloration7vsuggests7vchorioamnionitis7vand7vwarrants7vnotifying7vthe7vpr
imary7vhealth7vcare7vprovider.7vA7vlarge7vamount7vof7vvernix7vin7vthe7vfluid7vsuggests7
vthat7vthe7vfetus7vis7vpreterm.7vGreenish,7vmeconium-
stained7vfluid7vmay7vbe7vseen7vin7vcases7vof7vpostterm7vgestation7vor7vplacental7vinsu
fficiency.7vChecking7vthe7vfluid7vfor7vprotein7vis7vnot7vassociated7vwith7vthe7vdata7vin7v
the7vquestion.7vThe7vnurse7vwould7vcontinue7vto7vmonitor7vthe7vclient7vand7vthe7vFHR
7vand7vwould7vdocument7vthe7vfindings.
A7vnurse7vhas7vassisted7va7vprimary7vhealth7vcare7vprovider7vin7vinserting7va7vcentral7
vvenous7vaccess7vdevice7vinto7va7vclient7vwith7va7vdiagnosis7vof7vsevere7vmalnutrition
7vwho7vwill7vbe7vreceiving7vparenteral7vnutrition7v(PN).7vAfter7vinsertion7vof7vthe7vcath
eter7vwhat7vdoes7vthe7vnurse7vimmediately7vdo?
Call7vthe7vradiography7vdepartment7vto7vobtain7va7vchest7vx-ray7v
Check7vthe7vclient's7vblood7vglucose7vlevel7vto7vserve7vas7va7vbaseline7vmeasuremen
t
Hang7vthe7vprescribed7vbag7vof7vPN7vand7vstart7vthe7vinfusion7vat7vthe7vprescribed7vr
ate
Infuse7vnormal7vsaline7vsolution7vthrough7vthe7vcatheter7vat7va7vrate7vof7v1007vmL/hr7v
to7vmaintain7vpatency7v-
7vANSWERSCall7vthe7vradiography7vdepartment7vto7vobtain7va7vchest7vx-ray7v
Rationale:7vThe7vnurse7vshould7vimmediately7vmake7varrangements7vto7vhave7va7vch
est7vx-
ray7vdone.7vOne7vmajor7vcomplication7vassociated7vwith7vcentral7vvenous7vcatheter7v
placement7vis7vpneumothorax,7vwhich7vmay7vresult7vfrom7vaccidental7vpuncture7vof7vt
he7vlung.7vAfter7vthe7vcatheter7vhas7vbeen7vplaced7vbut7vbefore7vit7vis7vused7vfor7vinfu
sions,7vits7vplacement7vmust7vbe7vchecked7vwith7van7vx-
ray.7vHanging7vthe7vprescribed7vbag7vof7vPN7vand7vstarting7vthe7vinfusion7vat7vthe7vpr
escribed7vrate7vand7vinfusing7vnormal7vsaline7vsolution7vthrough7vthe7vcatheter7vat7va
7vrate7vof7v1007vmL/hr7vto7vmaintain7vpatency7vare7vall7vincorrect7vbecause7vthey7vco
uld7vresult7vin7vthe7vinfusion7vof7vsolution7vinto7va7vlung7vif7va7vpneumothorax7vis7vpre
sent.7vAlthough7vthe7vnurse7vmay7vobtain7va7vblood7vglucose7vmeasurement7vto7vser
ve7vas7va7vbaseline,7vthis7vaction7vis7vnot7vthe7vpriority.
A7vrape7vvictim7vbeing7vtreated7vin7vthe7vemergency7vdepartment7vsays7vto7vthe7vnur
se,7v"I'm7vreally7vworried7vthat7vI've7vgot7vHIV7vnow."7vWhat7vis7vthe7vmost7vappropria
te7vresponse7vby7vthe7vnurse?
Questions and Answers
Enalapril7vmaleate7vis7vprescribed7vfor7va7vhospitalized7vclient.7vWhich7vassessment7
vdoes7vthe7vnurse7vperform7vas7va7vpriority7vbefore7vadministering7vthe7vmedication?
Checking7vthe7vclient's7vblood7vpressure7v
Checking7vthe7vclient's7vperipheral7vpulses
Checking7vthe7vmost7vrecent7vpotassium7vlevel
Checking7vthe7vclient's7vintake-and-output7vrecord7vfor7vthe7vlast7v247vhours7v-
7vANSWERSChecking7vthe7vclient's7vblood7vpressure7v
Rationale:7vEnalapril7vmaleate7vis7van7vangiotensin-
converting7venzyme7v(ACE)7vinhibitor7vused7vto7vtreat7vhypertension.7vOne7vcommon
7vside7veffect7vis7vpostural7vhypotension.7vTherefore7vthe7vnurse7vwould7vcheck7vthe7v
client's7vblood7vpressure7vimmediately7vbefore7vadministering7veach7vdose.7vCheckin
g7vthe7vclient's7vperipheral7vpulses,7vthe7vresults7vof7vthe7vmost7vrecent7vpotassium7vl
evel,7vand7vthe7vintake7vand7voutput7vfor7vthe7vprevious7v247vhours7vare7vnot7vspecific
ally7vassociated7vwith7vthis7vmediation.
A7vclient7vis7vscheduled7vto7vundergo7van7vupper7vgastrointestinal7v(GI)7vseries,7vand
7vthe7vnurse7vprovides7vinstructions7vto7vthe7vclient7vabout7vthe7vtest.7vWhich7vstatem
ent7vby7vthe7vclient7vindicates7va7vneed7vfor7vfurther7vinstruction?
"The7vtest7vwill7vtake7vabout7v307vminutes."
"I7vneed7vto7vfast7vfor7v87vhours7vbefore7vthe7vtest."
"I7vneed7vto7vdrink7vcitrate7vof7vmagnesia7vthe7vnight7vbefore7vthe7vtest7vand7vgive7vm
yself7va7vFleet7venema7von7vthe7vmorning7vof7vthe7vtest."7v
"I7vneed7vto7vtake7va7vlaxative7vafter7vthe7vtest7vis7vcompleted,7vbecause7vthe7vliquid7v
that7vI'll7vhave7vto7vdrink7vfor7vthe7vtest7vcan7vbe7vconstipating."7v-
7vANSWERS"I7vneed7vto7vdrink7vcitrate7vof7vmagnesia7vthe7vnight7vbefore7vthe7vtest7v
and7vgive7vmyself7va7vFleet7venema7von7vthe7vmorning7vof7vthe7vtest."7v
Rationale:7vNo7vspecial7vpreparation7vis7vnecessary7vbefore7va7vGI7vseries,7vexcept7vt
hat7vNPO7v(nothing7vby7vmouth)7vstatus7vmust7vbe7vmaintained7vfor7v87vhours7vbefor
e7vthe7vtest.7vAn7vupper7vGI7vseries7vinvolves7vvisualization7vof7vthe7vesophagus,7vdu
odenum,7vand7vupper7vjejunum7vby7vmeans7vof7vthe7vuse7vof7va7vcontrast7vmedium.7v
It7vinvolves7vswallowing7va7vcontrast7vmedium7v(usually7vbarium),7vwhich7vis7vadminis
tered7vin7va7vflavored7vmilkshake.7vFilms7vare7vtaken7vat7vintervals7vduring7vthe7vtest,
7vwhich7vtakes7vabout7v307vminutes.7vAfter7van7vupper7vGI7vseries,7vthe7vclient7vis7vpr
escribed7va7vlaxative7vto7vhasten7velimination7vof7vthe7vbarium.7vBarium7vthat7vremain
s7vin7vthe7vcolon7vmay7vbecome7vhard7vand7vdifficult7vto7vexpel,7vleading7vto7vfecal7vi
mpaction.
A7vnurse7von7vthe7vevening7vshift7vchecks7va7vprimary7vhealth7vcare7vprovider's7vpres
criptions7vand7vnotes7vthat7vthe7vdose7vof7va7vprescribed7vmedication7vis7vhigher7vtha
n7vthe7vnormal7vdose.7vThe7vnurse7vcalls7vthe7vprimary7vhealth7vcare7vprovider's7vans
wering7vservice7vand7vis7vtold7vthat7vthe7vprimary7vhealth7vcare7vprovider7vis7voff7vfor7
,vthe7vnight7vand7vwill7vbe7vavailable7vin7vthe7vmorning.7vWhat7vshould7vthe7vnurse7vdo
7vnext?
Call7vthe7vnursing7vsupervisor
Ask7vthe7vanswering7vservice7vto7vcontact7vthe7von-
call7vprimary7vhealth7vcare7vprovider7v
Withhold7vthe7vmedication7vuntil7vthe7vprimary7vhealth7vcare7vprovider7vcan7vbe7vreac
hed7vin7vthe7vmorning
Administer7vthe7vmedication7vbut7vconsult7vthe7vprimary7vhealth7vcare7vprovider7vwhe
n7vhe7vbecomes7vavailable7v-
7vANSWERSAsk7vthe7vanswering7vservice7vto7vcontact7vthe7von-
call7vprimary7vhealth7vcare7vprovider7v
Rationale:7vThe7vnurse7vhas7va7vduty7vto7vprotect7vthe7vclient7vfrom7vharm.7vA7vnurse
7vwho7vbelieves7vthat7va7vprimary7vhealth7vcare7vprovider's7vprescription7vmay7vbe7vin
7verror7vis7vresponsible7vfor7vclarifying7vthe7vprescription7vbefore7vcarrying7vit7vout.7vT
herefore7vthe7vnurse7vwould7vnot7vadminister7vthe7vmedication;7vinstead,7vthe7vnurse7
vwould7vwithhold7vthe7vmedication7vuntil7vthe7vdose7vcan7vbe7vclarified.7vThe7vnurse7v
would7vnot7vwait7vuntil7vthe7vnext7vmorning7vto7vobtain7vclarification.7vIt7vis7vprematur
e7vto7vcall7vthe7vnursing7vsupervisor.
An7vemergency7vdepartment7v(ED)7vnurse7vis7vmonitoring7va7vclient7vwith7vsuspected
7vacute7vmyocardial7vinfarction7v(MI)7vwho7vis7vawaiting7vtransfer7vto7vthe7vcoronary7vi
ntensive7vcare7vunit.7vThe7vnurse7vnotes7vthe7vsudden7vonset7vof7vpremature7vventric
ular7vcontractions7v(PVCs)7von7vthe7vmonitor,7vchecks7vthe7vclient's7vcarotid7vpulse,7v
and7vdetermines7vthat7vthe7vPVCs7vare7vnot7vperfusing.7vWhat7vis7vthe7vnurse's7vmos
t7vappropriate7vaction?
Document7vthe7vfindings
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