Med surg 2 final exam Questions and Answers(A+ Solution guide)

A Patient was admitted for shortness of breath. The nurse connects the patient to the cardiac monitor. According to the strip below, which treatment is appropriate for the patient? a. administer adenosine b. administer a thiazide medication c. adminster an oral anticoagulant d. administer a beta blocker - c. An acute myocardial infarction patient ambulated in the hospital hallway. When evaluating the patient response, which would indicate the exercise level should be decreased? a. oxygen satuartion changes from 100% to 98% b. blood pressure changes from 118/60 to 126/26 c. respiratory rate changes from 14 to 20 d. heart rate changes from 66-101 - d. The nurse is caring for 70-year-old patient who the nurse suspects having difficulty hearing. The nurse is providing discharge instructions. The patient is nodding as the charge nurse discusses the orders. What action should the nurse take to assess whether or not the patient heard and understood what she has said? a. Ask the patient to repeat back what he was instructed to do b. Ask the patient if he understood the instructions and ask him to sign the form c. Ask another nurse to witness providing instructions to the patient d. Call the wife and provide the instruction to her - a. *Statement terminally ill pt to caregiver. - "Stop taking chemo-therapy medications." *Marked edema. Which medication? - A nurse has committed a serious medication error and reported the error to the hospital's adverse medication error hotline as well to the unit manager. The manager is a firm believer in developing critical thinking skills. From this stand point what action by the manage would be the best to nurture this ability in the nurse who made the error? a. Let the nurse work with more experience nurses when giving medications b. Have the nurse present and in-service related to the cause of the error c. Send the nurse to refresher course on medication administration d. In struct nurse to write a paper on how to avoid this type of error - b.