Author Question: A 20-year-old has a mandatory electrocardiogram (ECG) before participating on a college soccer team ... (Read 53 times)

rayancarla1 · **on:** Jun 25, 2018

A 20-year-old has a mandatory electrocardiogram (ECG) before participating on a college soccer team and is found to have sinus bradycardia, rate 52. Blood pressure (BP) is 114/54, and the student denies any health problems.

What action by the nurse is most appropriate?
a. Allow the student to participate on the soccer team.
b. Refer the student to a cardiologist for further diagnostic testing.
c. Tell the student to stop playing immediately if any dyspnea occurs.
d. Obtain more detailed information about the student's family health history.

Question 2

Which action should the nurse perform when preparing a patient with supraventricular tachycardia for cardioversion who is alert and has a blood pressure of 110/66 mm Hg?

a. Turn the synchronizer switch to the off position.
b. Give a sedative before cardioversion is implemented.
c. Set the defibrillator/cardioverter energy to 360 joules.
d. Provide assisted ventilations with a bag-valve-mask device.

SVictor · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
In an aerobically trained individual, sinus bradycardia is normal. The student's normal BP and negative health history indicate that there is no need for a cardiology referral or for more detailed information about the family's health history. Dyspnea during an aerobic activity such as soccer is normal.

Answer to Question 2

ANS: B
When a patient has a nonemergency cardioversion, sedation is used just before the procedure. The synchronizer switch is turned on for cardioversion. The initial level of joules for cardioversion is low (e.g., 50). Assisted ventilations are not indicated for this patient.