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 ["937.5"]
Explanation
Calculate the fluid volume to be administered in the remaining 16 hours:
Total fluid volume - Fluid administered in the first 8 hours = Remaining fluid volume
30,000 mL - (1875 mL/hr * 8 hr) = 15,000 mL
Calculate the infusion rate for the remaining 16 hours:
Remaining fluid volume / Remaining time = Infusion rate
15,000 mL / 16 hr = 937.5 mL/hr
Therefore, the nurse should infuse the IV fluids at a rate of 937.5 mL/hr after the first 8 hours.
Correct Answer is B
Explanation
A. Assessing oral temperature is not a priority immediately after an electrical burn, as the focus should be on monitoring for cardiac issues and other life-threatening conditions.
B. Electrical burns can cause cardiac arrhythmias, including dysrhythmias like ventricular fibrillation, which can be life-threatening. The nurse should place the client on a cardiac monitor immediately to detect any abnormal rhythms and respond accordingly.
C. While checking potassium levels is important for assessing potential complications such as kidney damage or arrhythmias, cardiac monitoring should take precedence.
D. Assessing for pain at contact points is important, but it is secondary to ensuring cardiac stability in an electrical burn victim.
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