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. The students blood pressure is 119/76 and denies any health issues. Which action by the nurse is most appropriate?
Tell the student to stop playing immediately if any dyspnea occurs.
Refer the student to a cardiologist for further diagnostic testing.
Allow the student to participate on the soccer team.
Obtain more detailed information about the student's family health history.
The Correct Answer is C
A. It is appropriate to monitor for symptoms of bradycardia, but the student is currently asymptomatic.
B. Referral to a cardiologist is not necessary unless the student develops symptoms or other concerning signs.
C. Sinus bradycardia can be normal in young, healthy athletes, especially those who engage in regular physical activity. Since the student is asymptomatic, with no signs of dyspnea, chest pain, or other concerning symptoms, there is no reason to restrict participation in sports.
D. Family history may be helpful, but this is not the immediate priority when the student is asymptomatic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Neurologic status is important to monitor but is not directly related to evaluating calcium gluconate's effect on hyperkalemia.
B. Urine volume would not directly reflect the immediate effects of calcium gluconate in managing hyperkalemia.
C. Calcium gluconate is given to protect the heart from the effects of hyperkalemia by stabilizing the cardiac membrane. Monitoring the cardiac rhythm is essential to assess the effectiveness of the treatment.
D. The calcium level is relevant for monitoring the calcium treatment, but cardiac rhythm is a more immediate indicator of its effectiveness.
Correct Answer is B
Explanation
A. Stool frequency does not directly evaluate the prevention of stress ulcers or gastrointestinal bleeding.
B. Fecal occult test directly assesses for hidden gastrointestinal bleeding, making it the best evaluation method.
C. Bowel sounds, while important for general gastrointestinal assessment, bowel sounds do not directly evaluate the effectiveness of Esomeprazole in preventing bleeding.
D. Abdominal distention may indicate a variety of issues but is not specific to assessing the effectiveness of a proton pump inhibitor.
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