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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Related Questions
Correct Answer is D
Explanation
A reason:
Troponin levels are not directly related to malnutrition. Troponin is a cardiac biomarker used to diagnose myocardial infarction (heart attack) and other heart-related conditions.
B reason:
Total bilirubin is primarily used to assess liver function and diagnose conditions like jaundice and liver disease. It is not specifically related to nutritional status.
C reason:
Creatine kinase is an enzyme found in the heart, brain, and skeletal muscle. Elevated levels can indicate muscle damage but are not directly associated with malnutrition.
D reason:
Albumin is a protein made by the liver, and its levels can be significantly affected by malnutrition. Low albumin levels are often seen in individuals with poor nutritional status, as adequate protein intake is essential for maintaining normal albumin levels.
Correct Answer is A
Explanation
A reason:
Wearing a mask is essential for droplet precautions to prevent the nurse from inhaling respiratory droplets that could contain infectious agents. Droplet precautions are necessary for infections that are spread through large respiratory droplets, such as influenza and pertussis.
B reason:
While gloves are important for contact precautions, they are not specifically required for setting up a meal tray under droplet precautions. The primary focus should be on preventing the inhalation of infectious droplets.
C reason:
Goggles are not typically necessary for droplet precautions unless there is a risk of splashes or sprays. The primary protective equipment is a mask.
D reason:
A gown is used for contact precautions to protect clothing from contamination. It is not required for droplet precautions unless there is a risk of direct contact with infectious materials.
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