Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Prevention of vagal stimulation
Preventing vagal stimulation can help prevent bradycardia.
B. Assess for acute pain
Acute pain is not typically associated with sinus bradycardia.
C. Prevention of falls
Preventing falls is important because bradycardia can lead to dizziness and falls.
D. Assess for neurologic changes
Assessing for neurologic changes is important because bradycardia can affect cerebral perfusion.
E. Monitor fluid volume excess
Monitoring fluid volume excess is not directly related to sinus bradycardia.
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Full Explanation
Rationale:
A. Preventing vagal stimulation can help prevent bradycardia.
B. Acute pain is not typically associated with sinus bradycardia.
C. Preventing falls is important because bradycardia can lead to dizziness and falls.
D. Assessing for neurologic changes is important because bradycardia can affect cerebral perfusion.
E. Monitoring fluid volume excess is not directly related to sinus bradycardia.
Similar Questions
A nurse is caring for a client who is having an acute myocardial infarction (MI). The nurse is aware that which of the following are part of the assessment of cardiac pain. (SELECT ALL THAT APPLY)
A. Distribution
Distribution refers to the area of the body where the pain is felt.
B. Onset
Onset refers to when the pain started.
C. Intensity
Intensity refers to the severity of the pain.
D. Location
Location refers to where the pain is felt.
E. Radiation
Radiation refers to whether the pain spreads to other areas.
F. Alleviated
Alleviated refers to what makes the pain better or worse.
Full Explanation
Rationale:
A. Distribution refers to the area of the body where the pain is felt.
B. Onset refers to when the pain started.
C. Intensity refers to the severity of the pain.
D. Location refers to where the pain is felt.
E. Radiation refers to whether the pain spreads to other areas.
F. Alleviated refers to what makes the pain better or worse.
A nurse is teaching a newly licensed nurse about evaluating cardiac rhythms. Which of the following best explains calculation of the heart rate?
A. Look for P waves on the strip
Looking for P waves is important for assessing atrial activity, but it does not directly calculate heart rate.
B. Count how many QRS occur in a 6 second strip
Counting how many QRS complexes occur in a 6-second strip and multiplying by 10 is a quick and accurate way to calculate heart rate.
C. Read the monitor or electrocardiogram interpretation.
Reading the monitor or ECG interpretation provides information about the rhythm and morphology of the heart, but it does not directly calculate heart rate.
D. Measure the T waves
Measuring T waves is important for assessing cardiac repolarization, but it does not directly calculate heart rate.
Full Explanation
Rationale:
A. Looking for P waves is important for assessing atrial activity, but it does not directly calculate heart rate.
B. Counting how many QRS complexes occur in a 6-second strip and multiplying by 10 is a quick and accurate way to calculate heart rate.
C. Reading the monitor or ECG interpretation provides information about the rhythm and morphology of the heart, but it does not directly calculate heart rate.
D. Measuring T waves is important for assessing cardiac repolarization, but it does not directly calculate heart rate.
A nurse is caring for a client diagnosed with heart failure (HF) and atrial fibrillation. The client reports feeling of palpitations and shortness of breath. The nurse is aware that clients Atrial Fibrillation (AF) are at risk for which complication?
A. Hypertensive crisis
Hypertensive crisis is not a common complication of atrial fibrillation.
B. Cardiogenic shock
Cardiogenic shock is not a common complication of atrial fibrillation.
C. Flash pulmonary edema
Flash pulmonary edema is not a common complication of atrial fibrillation.
D. Embolic cerebral vascular accident
Atrial fibrillation can lead to the formation of blood clots in the atria, which can then travel to the brain and cause a stroke or embolic cerebral vascular accident.
Full Explanation
Rationale:
A. Hypertensive crisis is not a common complication of atrial fibrillation.
B. Cardiogenic shock is not a common complication of atrial fibrillation.
C. Flash pulmonary edema is not a common complication of atrial fibrillation.
D. Atrial fibrillation can lead to the formation of blood clots in the atria, which can then travel to the brain and cause a stroke or embolic cerebral vascular accident.