A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Anxiety
Lightheadedness
Elevated temperature
Fluid volume deficit
The Correct Answer is B
A. Anxiety is not a typical finding in bradycardia. However, if bradycardia leads to symptoms like dizziness or hypotension, the patient may experience anxiety as a secondary response.
B. Lightheadedness is a common symptom of bradycardia. When the heart rate is too slow, the body may not pump enough blood to meet its oxygen demands, leading to dizziness or lightheadedness.
C. Elevated temperature is not typically associated with bradycardia. Fever is more likely to be related to infection or other systemic issues, not a slow heart rate.
D. Fluid volume deficit is not directly related to bradycardia. However, bradycardia could contribute to hypotension, which may be exacerbated by fluid volume deficits, but it is not a direct cause of fluid loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Auscultating heart tones can provide information about heart sounds, such as murmurs or rubs, but it is not the most effective method for diagnosing a myocardial infarction (MI).
B. Determining if the pain radiates to the left arm can help assess for MI, as pain radiating to the left arm is a common symptom of an MI. However, this alone is not sufficient to confirm the diagnosis.
C. A 12-lead ECG is the most definitive tool for diagnosing a myocardial infarction. It can detect changes in the heart's electrical activity that are characteristic of an MI, such as ST-segment elevation or depression.
D. Checking the client's blood pressure is important for overall assessment, but it is not specific for diagnosing a myocardial infarction. Blood pressure may be elevated or decreased in an MI, but it does not provide conclusive evidence of the condition.
Correct Answer is A
Explanation
A. After a flexible bronchoscopy, the gag reflex may be temporarily impaired due to local anesthesia. It is important to withhold food and liquids until the gag reflex returns to prevent aspiration. This is the priority action to ensure the client's safety.
B. Suctioning the oropharynx is not routinely necessary unless the client is experiencing difficulty clearing secretions or has signs of aspiration. The main concern after bronchoscopy is ensuring the gag reflex returns before allowing the client to eat or drink.
C. Irrigating the throat is not typically indicated following a bronchoscopy. It may irritate the mucosa or cause further discomfort.
D. While it may be beneficial for the client to rest their voice to prevent strain, there is no requirement for the client to refrain from talking for 24 hours unless advised by the healthcare provider.
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