This topic contains a solution. Click here to go to the answer

Author Question: A patient develops sinus bradycardia at a rate of 32 beats/minute, has a blood pressure (BP) of ... (Read 121 times)

Bernana

  • Hero Member
  • *****
  • Posts: 530
A patient develops sinus bradycardia at a rate of 32 beats/minute, has a blood pressure (BP) of 80/42 mm Hg, and is complaining of feeling faint. Which actions should the nurse take next?
 
  a. Recheck the heart rhythm and BP in 5 minutes.
  b. Have the patient perform the Valsalva maneuver.
  c. Give the scheduled dose of diltiazem (Cardizem).
  d. Apply the transcutaneous pacemaker (TCP) pads.

Question 2

A patient's cardiac monitor shows sinus rhythm, rate 64. The P-R interval is 0.18 seconds at 1:00 AM, 0.22 seconds at 2:30 PM, and 0.28 seconds at 4:00 PM. Which action should the nurse take next?
 
  a. Place the transcutaneous pacemaker pads on the patient.
  b. Administer atropine sulfate 1 mg IV per agency dysrhythmia protocol.
  c. Document the patient's rhythm and assess the patient's response to the rhythm.
  d. Call the health care provider before giving the next dose of metoprolol (Lopressor).



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

debra928

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

ANS: D
The patient is experiencing symptomatic bradycardia, and treatment with TCP is appropriate. Continued monitoring of the rhythm and BP is an inadequate response. Calcium channel blockers will further decrease the heart rate, and the diltiazem should be held. The Valsalva maneuver will further decrease the rate.

Answer to Question 2

ANS: D
The patient has progressive first-degree atrioventricular (AV) block, and the -blocker should be held until discussing the medication with the health care provider. Documentation and assessment are appropriate but not fully adequate responses. The patient with first-degree AV block usually is asymptomatic, and a pacemaker is not indicated. Atropine is sometimes used for symptomatic bradycardia, but there is no indication that this patient is symptomatic.




Bernana

  • Member
  • Posts: 530
Reply 2 on: Jun 25, 2018
Excellent


lcapri7

  • Member
  • Posts: 350
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

For a complete list of videos, visit our video library