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Critically Ill Patients with Neurological Disorders Chapter 39 FA Davis

1.

The nurse observes on the electrocardiogram (ECG) monitor a rhythm that has no P waves and has wide QRS complexes at a rate of 160 beats per minute. Upon assessment, it is determined that the pulse is absent. Which action is the priority for this patient?

1.Defibrillation

2.Cardioversion

3.Apply oxygen via nasal cannula

4.Administration of antiarrhythmics

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2.

The nurse is reviewing a patient’s symptoms as they rate on the Hunt and Hess Grading Scale for a subarachnoid hemorrhage (SAH). Which symptoms are consistent with a Grade IV hemorrhage?

1.Slight headache and neck stiffness

2.Headache and neck stiffness

3.Stupor and posturing

4.Coma and posturing

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3.

The nurse is reviewing this electrocardiogram (ECG) rhythm. Identify the first premature ventricular contraction (PVC) of the ECG rhythm strip.

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