A nurse is assessing a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

Report of dizziness

History of cigarete smoking

Hypoglycaemia

Temperature of 39°C (102°F)

Answer and Explanation

The Correct Answer is A

A heart rate of 56/min is considered bradycardia, which is defined as a heart rate slower than 60 beats per minute 1. Bradycardia can prevent the brain and other organs from getting enough oxygen, possibly causing symptoms such as dizziness or light-headedness.

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Correct Answer is C

Explanation

Supplemental oxygen is administered to increase the amount of oxygen in the body and improve tissue oxygenation. The goal of this intervention is to improve the client's condition and reduce symptoms of hypoxia.

Options a, b, and d are all indicative of ongoing hypoxia and are not desirable outcomes. An increase in heart rate and respiratory rate and restlessness can be a sign that the client is still struggling to breathe and not getting enough oxygen.

Option c, pink mucous membranes, is indicative of improved tissue oxygenation. The mucous membranes, such as those in the mouth and nose, should be a healthy pink color when oxygen levels are adequate. Therefore, the nurse should identify pink mucous membranes as an indication that the intervention was eﬀective in improving the client's hypoxia.

A. Place the client in a room with negative pressure airﬂow. B. Clean hands with soap and water after caring for the client. C. Apply a mask on the client when they are outside their room. D. Wash hands for 10 seconds after caring for the client.

Correct Answer is B

Explanation

Clostridium difficile (C. difficile) is a highly contagious bacteria that can cause diarrhea and colitis 1. To prevent the spread of infection, it is important for the nurse to practice good hand hygiene by washing their hands with soap and water after caring for the client.

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A nurse is assessing a client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was eﬀective?

Correct Answer is C

Explanation

A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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