The Nurse Is Caring for a Client Who Is on the Telemetry

question 10

Multiple Choice

The nurse is caring for a client who is on the telemetry unit and develops atrial flutter, rate 150, with associated dyspnea and diaphoresis. Which of the following actions that are included in the hospital dysrhythmia protocol should the nurse take first?

• A)Obtain a 12-lead electrocardiogram (ECG).
• B)Give O2 via nasal cannula at 3-4 L/minute.
• C)Take the client's blood pressure and respiratory rate.
• D)Notify the health care provider of the change in rhythm.

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Definitions:

Classical Conditioning

An educational technique involving the repeated pairing of two cues, resulting in a behavior initially prompted by the second cue being provoked by the first cue without the second.

Second-order Conditioning

A form of conditioning in which a stimulus that was previously neutral is paired with a conditioned stimulus to produce a similar conditioned response.

Stimulus Generalization

The process by which a conditioned response is triggered by stimuli that are similar but not identical to the original conditioned stimulus.

Behavior Environment Interactions

The dynamic and reciprocal relationship between an individual's behavior and the surrounding physical and social environment.