Rhenis Nursing Rhenis Nursing
RN Pharmacology 2023 Exam-3
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0900:

Client arrives to ED via ambulance with "racing heart" that began at 0100. Reports no chest pain or dyspnea.

Past medical history: hypertension, heart failure, obstructive sleep apnea, and hyperthyroidism.

Alert and oriented to person, place, and time. Respirations are tachypneic. Breath sounds are clear to auscultation bilaterally S1, S2 auscultated. Tachycardic rate. Irregular rhythm. Non- pitting pedal edema bilaterally.

0930:

Client called for nurse and states, they feel "heaviness in my chest" and "I feel anxious" and "it's difficult to catch my breath".

ECG: atrial fibrillation.

0900:
Temperature: 36.5°C (97.7°F)
Heart rate: 122/min
Respiratory rate: 22/min
Blood pressure: 132/68 mm Hg
Oxygen saturation: 95% on room air
Pain level: 0 on a 0–10 scale

0930:
Temperature: 36.5°C (97.7°F)
Heart rate: 156/min
Respiratory rate: 28/min
Blood pressure: 110/62 mm Hg
Oxygen saturation: 92% on room air
Pain level: 5 on a 0–10 scale


Drag 1 medication and 1 client finding to fill in each blank in the following sentence. The nurse should anticipate a provider prescription fordue to the client's.



Hint : 👀Focus on a medication that controls heart rate in atrial arrhythmias.


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