A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?

Measure the client's blood pressure.

Prepare the client for temporary pacing.

Initiate IV fluid therapy for the client.

Administer atropine to the client.

Answer and Explanation

The Correct Answer is A

The nurse should measure the client's blood pressure first, as sinus bradycardia can cause hypotension and decreased perfusion to vital organs. The nurse should assess the client's hemodynamic status and symptoms before initiating any interventions that may affect their heart rate or rhythm. The other options may be appropriate depending on the severity of the bradycardia and its underlying cause, but they are not the first priority.

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Correct Answer is D

Explanation

A hacking cough, especially at night or when lying down, is a common manifestation of left-sided heart failure, as fluid accumulates in the lungs and causes pulmonary congestion and dyspnea. Neck-vein distention and ankle edema are more indicative of right-sided heart failure, as fluid backs up into the systemic circulation and causes peripheral edema and jugular venous pressure elevation. Anorexia may occur in either type of heart failure, but it is not specific to left-sided heart failure.

A. Inspect the feet every other day. B. Apply lotion between the toes. C. Soak the feet twice a day. D. Trim toenails straight across.

Correct Answer is D

Explanation

The nurse should instruct the client to trim toenails straight across to prevent ingrown toenails and infection. The nurse should also advise the client to inspect the feet daily for any signs of injury or ulceration, to avoid applying lotion between the toes as this can cause maceration and fungal growth, and to avoid soaking the feet as this can dry out the skin and increase the risk of injury.

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A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?

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