The nurse is caring for a client who suddenly develops bradycardia. The client is breathing but with a decreased level of consciousness and decreased blood pressure. Which of the following treatments would be done by the nurse first?
Application of a transcutaneous pacemaker
Administer atropine IV
Begin CPR
Initiate cardioversion
The Correct Answer is B
A. Transcutaneous pacing may be considered if the bradycardia does not respond to initial medical management, but it is not the first intervention.
B. Administering atropine IV is the first-line treatment for symptomatic bradycardia. Atropine works by increasing heart rate through its anticholinergic effects, helping to improve cardiac output and consciousness.
C. CPR is only indicated if the client is pulseless or not breathing. Since this client is still breathing, CPR is not appropriate at this stage.
D. Cardioversion is used for certain tachyarrhythmias (e.g., atrial fibrillation with rapid ventricular response), not for bradycardia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Taking a diuretic before sleep can lead to nocturia (frequent urination at night), disrupting sleep. Also, fluid intake may need to be restricted, not encouraged.
B. Clients with heart failure are usually advised to limit sodium to 2 grams or less per day, not 4 grams, to help reduce fluid retention.
C. Naproxen (a NSAID) is not recommended for clients with heart failure as it can cause fluid retention and worsen the condition.
D. Slowing down when tired after exercise shows an understanding of energy conservation and pacing—appropriate for managing heart failure symptoms. This indicates that teaching was effective.
Correct Answer is D
Explanation
A. Jugular distention is typically associated with right-sided heart failure.
B. Dependent edema is more common in right-sided heart failure due to systemic venous congestion.
C. Hepatomegaly occurs with right-sided heart failure from liver congestion.
D. Frothy sputum is a classic finding in left-sided heart failure due to pulmonary congestion and edema.
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