Medical-Surgical Nursing Concepts for
Interprofessional Collaborative Care, Single Volume
During routine suctioning of a client with a tracheostomy, the client becomes diaphoretic
and nauseous, and the heart rate decreases to 39 beats/min. What is the nurse's best action
at this time?
A. Continue to clear the airway.
B. Stop suctioning the patient.
C. Administer atropine.
D. Call the health care provider immediately
A client in the telemetry unit is on a cardiac monitor. The monitor technician notices that
there are no ECG complexes, and the alarm sounds. What is the first action by the nurse?
A. Suspend the alarm.
B. Call the emergency response team.
C. Press the record button to get an ECG strip.
48-year-old female client having an annual physical asks the nurse about her risk for
developing
a myocardial infarction (MI). The nurse discusses risk factors with the client.
Which modifiable risk factors will the nurse assess to guide the client's teaching plan?
Select all
that apply.
A. Older age
B. Tobacco use
C. Female
D. High-fat diet
E. Family history
F. Obesity