Question

In: Nursing

You answer a patient’s call light on the medical/surgical unit where you work. The patient complains...

You answer a patient’s call light on the medical/surgical unit where you work. The patient complains of a sudden onset of “palpitations” and “lightheadedness.” Reviewing the bedside cardiac monitor, you see that the patient has a new onset of atrial flutter with a heart rate of 145 bpm.

a. Prior to contacting the primary provider, what other assessment information would you obtain?

b. What interventions do you anticipate? Describe the rationale for each.

c. Describe the “criteria” for identifying atrial flutter.

f.      Describe the differences between synchronized and unsynchronized cardioversion.

g.     Describe indicators for cardioversion (synchronized and unsynchronized).

Solutions

Expert Solution


Related Solutions

You work on a medical/surgical floor at a county medical center. There is a patient on...
You work on a medical/surgical floor at a county medical center. There is a patient on your floor who had a stroke, and his wife is his power of attorney. The patient’s stroke was mild and his cognitive functions were not affected by the stroke (he is oriented times 3). He has been on the unit for 3 weeks. Early in his hospitalization his hemoglobin was found to be 6.0g. The patient’s wife is a Jehovah’s Witness; however, the patient...
Ms C. J. A patient on the medical-surgical unit, was adminitted 2 days before with a...
Ms C. J. A patient on the medical-surgical unit, was adminitted 2 days before with a diagnoses of exacerbation of heart failure. this morning her blood pressure is 175/80 mm Hg. She denies chest pain but states that she has been experiencing shortness of breath at night while sleeping. her baseline weight at admission was 170 lb, but this morning's scale indicates a 4-lb weight gain, and +3 pitting edema to the lower extremities is evident. The nurse telephones the...
Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening...
Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening for exacerbation of chronic obstructive pulmonary disease (COPD). He is an 83-year-old widower with two children who both live an hour away. He lives in a small house and is independent in his care. He has a housekeeper who comes in once a week to clean and fix some meals for him. He was brought to the hospital by his son who was visiting....
What nursing care should be provided for the patient as she arrives on the medical-surgical unit?
What nursing care should be provided for the patient as she arrives on the medical-surgical unit?
You are the manager of a medical/surgical unit. The unit has 32 beds and an occupancy...
You are the manager of a medical/surgical unit. The unit has 32 beds and an occupancy rate of 75%. The desired staffing mix consists of four RNs, two LPNs/LVNs, and two nursing assistants on the 7 AM to 3 PM shift; three RNs, one LPN/LVN, and two nursing assistants on the 3 PM to 11 PM shift; and two RNs, one LPN/LVN, and one nursing assistant on the 11 PM to 7 AM shift. Using the formulas in Box 14-4,...
  PANCREATITIS, A 44 year old male patient has been admitted to the medical surgical unit of...
  PANCREATITIS, A 44 year old male patient has been admitted to the medical surgical unit of the hospital for after seeking treatment for nausea, vomiting, and intense pain in the right upper quadrant the evening before and waited for a few hours before seeking treatment. He has a history of substance abuse and has been in rehabilitation for both alcoho and methamphetamines, despite previous. Following diagnosis and continued administration of the pain medication, the patient still complaing of pain. the...
Case scenario: Ms. Castro, a patient on the medical-surgical unit, was admitted 2 days before with...
Case scenario: Ms. Castro, a patient on the medical-surgical unit, was admitted 2 days before with a diagnosis of exacerbation of heart failure. This morning her BP is 175/80 mm Hg. She denies chest pain, but state that she has been experiencing shortness of breath. She tells the nurse she uses three pillows to be able to breathe at night while sleeping. Her baseline weight at admission was 170 lb., but this morning’s scale indicates a 4-lb weight gain, and...
You are the manager of a medical-surgical unit in a not-for-profit, acute care hospital that is...
You are the manager of a medical-surgical unit in a not-for-profit, acute care hospital that is part of a nine-hospital healthcare system. During the budget preparation process for the upcoming fiscal year, the healthcare system leadership mandated 5% cost reductions from the previous fiscal year budget. Labor costs must be evaluated thoroughly for potential cost savings. You strongly feel eliminating nursing positions is not appropriate in this budget reduction initiative. Discuss at least 3 factors you can use to justify...
A patient has just fallen in the hospital unit where you work and fractured their skull....
A patient has just fallen in the hospital unit where you work and fractured their skull. A team of personnel are asked to collaborate and develop a fall prevention program that includes using the Morse Fall Scale. In your initial discussion post Identify the members included on the team and why they are important to include Identify the components used in the Morse Fall Risk Scale Identify key points to consider when developing a fall prevention plan (Use the literature...
A patient has just fallen in the hospital unit where you work and fractured their skull....
A patient has just fallen in the hospital unit where you work and fractured their skull. A team of personnel are asked to collaborate and develop a fall prevention program that includes using the Morse Fall Scale. In your initial discussion post • Identify the members included on the team and why they are important to include • Identify the components used in the Morse Fall Risk Scale • Identify key points to consider when developing a fall prevention plan...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT