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A client has undergone diagnostic testing and received a diagnosis of sinus bradycardia. Which interventions are most appropriate and should be included in the client's plan of care? (SELECT ALL THAT APPLY)

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.

This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Nsg 232 Proctored Exam Med Surg. Take the full exam now


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

QUESTION
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.

QUESTION
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.

QUESTION
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.