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 A

Explanation

Pain can cause an increase in sympathetic nervous system activity, leading to vasoconstriction and increased heart rate, which can result in hypertension. Pain may also increase the release of stress hormones, such as cortisol and epinephrine, which can further contribute to increased blood pressure.

Bradycardia (slow heart rate) decreased respiratory rate, and hypoglycemia are not typical findings associated with acute pain.

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 assessing a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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