The assistive nursing personnel reports that the heart rate of the sleeping 23-year-old athlete, who is hospitalized following complications of a tonsillectomy, is 56.
The assistive nursing personnel states that this is 10 beats per minute slower than when she took it earlier in the evening. The nurse knows that this is considered:
1. Normal, and they will continue to monitor the vital signs as ordered
2. Abnormally slow, and the health care provider should be notified immediately
3. Abnormally slow, and the nurse will recheck the heart rate before taking any ac-tion
4. Abnormally slow, signaling that the client may be hemorrhaging
Question 2
The night nurse goes quietly into the sleeping client's room to assess him. The client wakes up as soon as the nurse is in the room. The nurse knows that the client was most likely in which stage of sleep?
1. Stage 1: NREM
2. Stage 2: NREM
3. Stage 3: NREM
4. Stage 4: NREM
