A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

check the patient's record to determine his baseline blood pressure.

notify the charge nurse of the hypotension.

check medications that might be the cause of the irregularity.

notify the doctor of the bradycardia.

Answer and Explanation

The Correct Answer is A

A.   This is because the patient's blood pressure of 98/66 mm Hg, while on the lower side, may be normal for them. It's important to compare it to their baseline to determine if there has been a significant change.
B.   The blood pressure is within a normal range for an adult, so immediate notification of hypotension is not required.
C.   This can be done after determining if there is a significant change from the baseline.
D.   The pulse is not bradycardic (it is within a normal range), so there is no immediate need to notify the doctor regarding bradycardia.

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Correct Answer is B

Explanation

A. Bradycardia is defined as a heart rate lower than 60 beats per minute. Therefore, 62 beats per minute is not bradycardic.
B. 59 beats per minute would be considered bradycardic, as it is below 60.
C. 64 beats per minute is within normal limits.
D. 60 beats per minute is on the threshold of bradycardia but typically is still within normal limits for some individuals.

A. date of previous diagnostic tests B. where the patient is living C. treatment for previous illnesses D. any allergies to medications

Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would record a pulse as bradycardic if the rate were:

Correct Answer is B

Explanation

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Correct Answer is D

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