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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ankle pain after running a long distance could indicate overuse or strain, but it is more likely to suggest a muscle or tendon issue rather than a sprain.
B. Twisting the foot while running or changing direction quickly, as often happens in sports like baseball, is a common mechanism for an ankle sprain. Sprains occur when the ligaments are stretched or torn due to excessive force or twisting.
C. Being hit by another player in soccer could cause a contusion or fracture, but it is less likely to cause an ankle sprain unless there was a specific twisting or rolling of the ankle.
D. Dropping a weight on the lower leg is more likely to cause a contusion, fracture, or soft tissue injury rather than a sprain.
Correct Answer is A
Explanation
A. Administering 0.9% normal saline at 50 mL/hr continuous is not appropriate for a client with acute heart failure. This solution is isotonic and may contribute to fluid overload, which could worsen the heart failure. In acute heart failure, fluids are typically restricted, and intravenous solutions with a lower sodium content or diuretics are preferred to help manage fluid balance.
B. Laboratory testing of serum potassium is appropriate, as monitoring potassium levels is important in clients with heart failure, especially if they are on medications like diuretics, which can lead to electrolyte imbalances.
C. Bumetanide, a loop diuretic, is commonly used to treat fluid retention in heart failure. The prescribed dose of 1 mg IV bolus every 12 hours is appropriate for managing fluid overload.
D. Morphine sulfate can be used for pain management in acute heart failure, as it helps reduce anxiety, decrease preload, and relieve pain. The prescribed dose of 2 mg IV bolus every 2 hours PRN pain is within a reasonable range for pain control.
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