A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?
Pallor.
Bradypnea.
Tachycardia.
Somnolence.
The Correct Answer is C
A reason: Pallor. Pallor refers to an abnormal paleness of the skin, which can be caused by various conditions such as anemia or shock. It is not related to heart rate.
B reason: Bradypnea. Bradypnea refers to an abnormally slow breathing rate. It is unrelated to heart rate and is not the correct term for describing an elevated heart rate.
C reason: Tachycardia. Tachycardia is the medical term for an abnormally fast heart rate, typically defined as a heart rate over 100 beats per minute. A heart rate of 115 falls into this category, making tachycardia the correct term.
D reason: Somnolence. Somnolence refers to a state of drowsiness or sleepiness. It is not related to heart rate and is not the appropriate term for describing an elevated heart rate.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A reason: Thyroid disease. Thyroid disease is not typically associated with the combination of high blood pressure, high BMI, and smoking. While thyroid disorders can affect various bodily functions, they are not the primary concern based on these specific risk factors.
B reason: Cardiovascular disease. Cardiovascular disease is strongly linked to the provided risk factors. Elevated blood pressure (hypertension), a high BMI (indicating obesity), and smoking are all well-known contributors to cardiovascular problems, such as heart disease and stroke. This combination of risk factors significantly increases the likelihood of developing cardiovascular disease.
C reason: Testicular cancer. Testicular cancer does not have a direct correlation with the given risk factors. Testicular cancer risk factors typically include age, family history, and certain medical conditions, but high blood pressure, high BMI, and smoking are not among the primary risk factors.
D reason: Depression. Although depression can be associated with overall poor health and lifestyle choices, it is not directly indicated by the combination of high blood pressure, high BMI, and smoking. These physical risk factors are more directly connected to cardiovascular issues than to mental health disorders like depression.
Correct Answer is D
Explanation
A reason: Wear sterile gloves. Sterile gloves are typically used for invasive procedures or when there is a high risk of infection transmission. While it's important to maintain strict hygiene and infection control when dealing with MRSA, wearing sterile gloves for checking a pulse is not necessary. Sterile gloves are more appropriate for surgical procedures or when directly handling open wounds. In the context of checking a client's pulse, clean gloves are sufficient to prevent the spread of infection.
B reason: Wear an N95 respirator mask. An N95 respirator mask is used to protect against airborne pathogens. MRSA is primarily transmitted through direct contact with contaminated surfaces or person-to-person contact rather than through the air. While respiratory protection is crucial in certain settings, such as for airborne diseases like tuberculosis, it is not required for checking a client's pulse when the primary concern is MRSA. Therefore, this option is not appropriate in this scenario.
C reason: Wear protective eyewear. Protective eyewear is necessary in situations where there is a risk of splashing or exposure to bodily fluids that could enter the eyes. While protective eyewear is an important part of personal protective equipment (PPE), it is not specifically required for checking a client's pulse unless there is an anticipated risk of exposure to bodily fluids. The primary concern with MRSA is skin-to-skin contact or contact with contaminated surfaces, making this option less relevant for the given task.
D reason: Wear clean gloves. Clean gloves are necessary when providing care to any patient, especially one with an infection like MRSA. Wearing clean gloves helps prevent the transmission of bacteria from the healthcare provider to the patient and vice versa. Since MRSA is transmitted via direct contact, clean gloves provide an effective barrier to reduce the risk of spreading the infection. In this scenario, clean gloves are the most appropriate and practical choice for the nurse to use while checking the client's pulse.
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