CH 34

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.

B

The primary health care provider prescribes warfarin (Coumadin) for a client with atrial fibrillation. Which statement made by the client indicates that additional education is needed? A. "I need to go to the clinic once a week to have my blood level checked." B. "If my stools turn black, I will be sure to call my primary health care provider" C. "I'm glad I don't need to change my diet. Salads are my favorite food." D. "I need to stop taking my herbal supplement."

C

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. D. Assess the client and check lead placement.

D