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.

Answer and Explanation

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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Correct Answer is D

Explanation

A reason:

Calling the provider is unnecessary for an apical heart rate of 100/min unless there are other concerning symptoms. This heart rate is within the upper range of normal, especially if the client is active or anxious.

B reason:

Preparing the client for a chest x-ray is not warranted solely based on a heart rate of 100/min. Other clinical indications would be needed to justify this diagnostic test.

C reason:

Asking another nurse to verify the heart rate is not required. A heart rate of 100/min is within the normal range and does not typically necessitate double-checking unless there are irregularities or other concerns.

D reason:

Documenting this as an expected finding is correct. An apical heart rate of 100/min is within the normal range, especially in situations of mild exertion or stress.

A. Shoe covers B. Gown C. N95 respirator D. Surgical mask E. Gloves

Correct Answer is ["B","D","E"]

Explanation

A reason:

Shoe covers are not typically required for standard precautions when dealing with MRSA-infected wounds. They are used in specific scenarios to prevent environmental contamination.

B reason:

Wearing a gown is essential to protect the nurse's clothing and skin from potential contamination with MRSA.

C reason:

An N95 respirator is not necessary unless there is a concern about airborne transmission, which is not the case with MRSA in a draining wound.

D reason:

A surgical mask may be used to protect the nurse from any potential splashes or to prevent respiratory droplets from contaminating the wound area.

E reason:

Gloves are essential to protect the nurse's hands from contamination and prevent the spread of MRSA. They should be worn during any contact with the wound or contaminated linens.

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A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client and auscultates an apical heart rate of 100/min. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is ["B","D","E"]

Explanation

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