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

Hypoglycemia

Report of dizziness

Temperature of 39° C (102.2° F).

History of cigarette smoking

Answer and Explanation

The Correct Answer is B

A: Hypoglycemia does not directly correlate with a lower heart rate.

B: A heart rate of 56/min may indicate bradycardia, which can lead to symptoms like dizziness due to decreased cardiac output and subsequently reduced cerebral perfusion.
C: A fever would typically increase the heart rate, not decrease it.

D: Cigarette smoking is more commonly associated with an increased heart rate due to stimulants like nicotine.

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Correct Answer is A

Explanation

A. The patient's spouse reporting experiencing marital issues is a perfect example of secondary information as it comes from someone other than the patient and might affect the patient's care or emotional well-being indirectly.
B. The patient reports a history of chest pain, is an example of primary information. This is because the patient directly reports the symptoms of their health condition.
C. The patient complaining of chronic constipation is an example of primary information. This is because the patient is directly reporting their own health condition.

D. The patient verbalizes anxiety about hospitalization is also primary information, directly provided by the patient concerning their feelings about the current care environment.

A. Carotid pulse B. Brachial pulse C. Posterior tibialis D. Femoral pulse

Correct Answer is C

Explanation

A: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.

B: This is not suitable for assessing circulation issues specifically in the lower extremities as it is located on the upper body.
C: Palpating the posterior tibialis pulse is a logical next step for checking lower extremity circulation, particularly when dorsalis pedis is not palpable, helping localize the evaluation of blood flow in the foot and ankle.
D: The femoral pulse is useful for broader leg circulation issues. However, it is less targeted than posterior tibialis for checking blood flow in the lower extremities.

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

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