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What position should the nurse place the patient in to Auscultate for signs of acute pericarditis?Auscultation with the diaphragm of the stethoscope over the left lower sternal edge or apex during end expiration with the patient sitting up and leaning forward (or on hands and knees) allows the best detection of the rub and increases the likelihood of observing this finding.
Which assessment is essential for the nurse to complete immediately following a tee?The patient undergoing a TEE has been given conscious sedation and has had the throat numbed with a local anesthetic spray, thus eliminating the gag reflex until the effects wear off. Therefore it is imperative that the nurse assess for gag reflex return before allowing the patient to eat or drink.
When looking at the electrocardiogram ECG of the patient the nurse knows that the QRS complex recorded on the ECG represents which part of the heart's beat?QRS Complex
It represents ventricular depolarization as current passes down the AV node. A standard QRS complex has a duration of less than three small squares (under 120 ms, usually 60 to 100 ms). A prolonged QRS may indicate hyperkalemia or bundle branch block.
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