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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)

Prevention of vagal stimulation

Assess for acute pain

Prevention of falls

Assess for neurologic changes

Monitor fluid volume excess

Answer and Explanation

Correct Answer : A,C,D

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.

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Correct Answer is A

Explanation

Rationale:

A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.

B. Slowing pulse rate is not typically associated with heparin therapy.

C. Confusion is not typically associated with heparin therapy.

D. Pruritus (itching) is not typically associated with heparin therapy.

A. Amiodarone administration B. Synchronized Cardioversion C. Epinephrine administration D. Defibrillation

Correct Answer is D

Explanation

Rationale:

A. Amiodarone administration is used for the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT) that is unresponsive to cardioversion.

B. Synchronized Cardioversion is used for the treatment of atrial fibrillation (AF), atrial flutter (AFL), and unstable ventricular tachycardia (VT).

C. Epinephrine administration is part of the ACLS algorithm for the treatment of VF and pulseless VT. It is given after defibrillation.

D. Defibrillation is the immediate treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT).

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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