A nurse is reviewing ECG rhythm strips for a group of clients. The nurse should identify that which of the following rhythms indicates bradycardia?

Answer and Explanation

The Correct Answer is C

Sinus bradycardia is a type of cardiac arrhythmia characterized by a heart rate lower than 60 beats per minute in adults, or below the normal range for age in children. It can be diagnosed by an electrocardiogram (ECG) that shows regular P waves with constant morphology preceding every QRS complex, and positive in lead II.

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Correct Answer is D

Explanation

The nurse should instruct the client to trim toenails straight across to prevent ingrown toenails and infection. The nurse should also advise the client to inspect the feet daily for any signs of injury or ulceration, to avoid applying lotion between the toes as this can cause maceration and fungal growth, and to avoid soaking the feet as this can dry out the skin and increase the risk of injury.

Correct Answer is B

Explanation

To assess a client for a positive Chvostek’s sign, the nurse should tap gently on the cheek, specifically two centimeters in front of the ear, over the facial nerve (also known as CN VII). This test is used to check for hypocalcemia, a condition that can lead to tetany, which is the involuntary contraction of muscles. A twitch of the facial muscles in response to this tapping indicates a positive Chvostek’s sign. This is particularly relevant following a thyroidectomy, as the procedure can indirectly affect the parathyroid glands, potentially leading to hypocalcemia

Hypocalcemia (Signs and Symptoms) - CHVOSTEK'S & TROUSSEAU SIGN. • Image • MEDtube.net

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A nurse is reviewing ECG rhythm strips for a group of clients. The nurse should identify that which of the following rhythms indicates bradycardia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany?

Correct Answer is B

Explanation

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