A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take?

Administer digoxin by IV bolus.

Prepare the client for temporary pacing.

Instruct the client to perform the Valsalva maneuver.

Perform carotid sinus massage.

Answer and Explanation

The Correct Answer is B

A. Administer digoxin by IV bolus: Digoxin slows conduction through the AV node and can worsen a complete heart block. It is contraindicated in this condition and may lead to further bradycardia or cardiac arrest.
B. Prepare the client for temporary pacing:Third-degree (complete) heart block results in electrical dissociation between atria and ventricles, leading to dangerously low heart rates and inadequate perfusion. The definitive treatment is temporary pacing to stabilize the cardiac rhythm until permanent pacing can be arranged.
C. Instruct the client to perform the Valsalva maneuver: This maneuver is used to terminate supraventricular tachycardias by stimulating the vagus nerve. It is not indicated in bradyarrhythmias like third-degree heart block and could further lower the heart rate.
D. Perform carotid sinus massage: This is another vagal maneuver used to treat tachycardias, not bradycardias. Performing it in a client with third-degree heart block could dangerously reduce the heart rate further and is therefore inappropriate.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Metabolic alkalosis: In metabolic alkalosis, the pH is elevated (above 7.45), and the bicarbonate (HCO3) is increased (above 28 mEq/L). In this scenario, the pH is low (7.12), and HCO3 is low (20 mEq/L), which is not consistent with alkalosis.

B. Metabolic acidosis: In metabolic acidosis, the pH is low (below 7.35), and the bicarbonate (HCO3) is low (below 21 mEq/L), which is consistent with the client's ABG values (pH 7.12, HCO3 20 mEq/L). This suggests the client has metabolic acidosis, which is common in chronic kidney failure due to impaired excretion of acid and decreased bicarbonate.

C. Respiratory acidosis: In respiratory acidosis, the pH is low, and the PaCO2 is elevated (above 45 mm Hg). The PaCO2 in this client is within the normal range (40 mm Hg), making respiratory acidosis unlikely.

D. Respiratory alkalosis: In respiratory alkalosis, the pH would be high, and the PaCO2 would be low (below 35 mm Hg). The client's pH is low (7.12), and the PaCO2 is normal, so respiratory alkalosis is not present.

A. "This vaccine is strictly for people assigned female at birth” B. "I will not need to use condoms after take the vaccine.” C. "This vaccine will help prevent me from developing cervical cancer.” D. "This vaccine is recommended for people older than age 50.”

Correct Answer is C

Explanation

A. "This vaccine is strictly for people assigned female at birth": The HPV vaccine is not exclusive to individuals assigned female at birth. It is recommended for both males and females to prevent HPV-related cancers, including cervical, anal, and oropharyngeal cancers.

B. "I will not need to use condoms after taking the vaccine": While the HPV vaccine provides protection against certain strains of the virus, it does not eliminate the risk of contracting other sexually transmitted infections (STIs) such as HIV.

C. "This vaccine will help prevent me from developing cervical cancer.": The HPV vaccine helps prevent infection with the strains of HPV most commonly linked to cervical cancer. It also protects against other HPV-related cancers, such as anal, throat, and penile cancers.

D. "This vaccine is recommended for people older than age 50.": The HPV vaccine is typically recommended for individuals between the ages of 9 and 26, with some guidelines extending it to ages 45. It is not generally recommended for those over age 50.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has chronic kidney failure. The client's ABG values are pH 7.12 (7.35 to 7.45), HCO3 20 mEq/L (21 to 28 mEq/L), PaO2 90 mm Hg (80 to 100 mm Hg), and PaCO2 40 mm Hg (35 to 45 mm Hg). Which of the following acid-base Imbalances should the nurse identify?

Correct Answer is B

Explanation

A nurse is teaching a group of clients who plan to receive the human papillomavirus (HPV) Immunization. Which of the following statements by a group member indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

A nurse is caring for a client who received chemotherapy the day before. Which of the following items requires the nurse to implement special handling precautions?

A nurse is caring for a client who is receiving phototherapy for psoriasis. Which of the following findings should the nurse identify as an indication of overexposure?

A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?

Exhibits Select the 2 findings that indicate the client's condition is improving.

A nurse is assessing a client who has disseminated intravascular coagulation. Which of the following findings should the nurse expect?

A nurse in a provider's office is caring for a client. Exhibits Complete the following sentence by using the lists of options. The first action the nurse should take is dropdownfollowed bydropdown.