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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A reason:
Airborne isolation with an N95 mask and negative air pressure room is not necessary for symptoms typically associated with respiratory viruses like influenza.
B reason:
Droplet precautions with an N95 mask are not required unless there is a risk of aerosol-generating procedures. A surgical mask is typically sufficient.
C reason:
Contact precautions with a gown and gloves are used for infections spread by direct contact, not for respiratory infections.
D reason:
Droplet precautions with a surgical mask and keeping the door closed are correct. These precautions prevent the spread of infections that are transmitted through respiratory droplets.
Correct Answer is B
Explanation
A reason:
A young adult in skeletal balanced suspension traction is at risk for skin breakdown due to immobility, but they are typically more resilient compared to older adults. Age and overall health are important factors in skin integrity.
B reason:
An older adult with a hip fracture and in Buck's traction is at greatest risk for skin breakdown. Older adults have thinner, more fragile skin, and are more prone to complications from immobility. Buck's traction also limits mobility, increasing the risk of pressure ulcers.
C reason:
An adolescent in a halo brace has a risk for skin breakdown, particularly around the pin sites and under the brace, but adolescents generally have better skin resilience and healing capacity compared to older adults.
D reason:
A middle adult with a fractured radius and an arm cast is at minimal risk for skin breakdown compared to the other scenarios. This situation typically allows for more mobility and less pressure on vulnerable skin areas.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
